Prior Pay Period Adjustment Request Form |
DHR-VTHR_Prior_Pay_Period_Adjustment_Request_Form.xlsx |
Form |
18 May 2017 |
Spreadsheet |
Long-Term_Disability_Claim_Form |
Long-Term Disability Claim Form |
Form |
06 Jan 2016 |
PDF |
EEO Compliance Survey Form |
DHR-EEO_Compliance_Survey.pdf |
Form |
04 May 2018 |
PDF |
Dental_Claim_Form |
Dental Claim Form |
Form |
11 May 2016 |
PDF |
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (WH-385-V) |
WH385V Military Caregiver Leave Certification for Serious Injury or Illness of a Veteran FMLA Form.pdf |
Form |
29 Aug 2018 |
PDF |
Understanding My Pay Check |
DHR-VTHR_Understanding_my_pay_check.pdf |
Form |
06 Jan 2020 |
PDF |
Designation Notice (WH-382) |
WH-382 FMLA Designation Notice.pdf |
Form |
29 Aug 2018 |
PDF |
Safety Health Complaint Form |
DHR-Safety_Health_Complaint_Form.pdf |
Form |
23 Nov 2015 |
PDF |
Notice of Eligibility and Rights & Responsibilities (WH-381) |
WH-381 Notice of Eligibility and Rights and Responsibilities FMLA Form.pdf |
Form |
29 Aug 2018 |
PDF |
Life_Insurance_Waiver_Form |
Life Insurance Waiver Form |
Form |
23 Sep 2016 |
PDF |