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Documents

Table data
File Name File Category Date File Format
Long-Term_Disability_Claim_Form Long-Term Disability Claim Form (691.73 KB) Form January 6, 2016 PDF
Temporary Prior Service Credit Application DHR-Prior_Temporary_Service_Credit_Form.pdf (101.93 KB) Form February 2, 2024 PDF
Job Share Agreement Form DHR-Job_Share_Agreement_Form.pdf (82.01 KB) Form January 19, 2016 PDF
Classified Prior Service Credit Application DHR-Prior_Classified_Service_Credit_Form.pdf (124.92 KB) Form February 2, 2024 PDF
Request for Market Factor Review DHR-Request_for_Market_Factor_Review.pdf (66.99 KB) Form November 22, 2015 PDF
Request for Time Entry - Delegates DHR-VTHR_Request_for_Time_Entry_Delegates.docx (22.27 KB) Form November 16, 2015 Word
Waiver of Direct Deposit Request Form DHR-VTHR_Waiver_of_Direct_Deposit_Request_Form.pdf (160.74 KB) Form May 23, 2018 PDF
Performance Evaluation Form DHR-Performance_Evaluation_Form.pdf (53.8 KB) Form November 3, 2015 PDF
Certification of Health Care Provider for Employee’s Serious Health Condition (WH-380-E) WH-380-E Employee Certification of Health Care Provider for Employee's Serious Health Condition FMLA Form.pdf (490.73 KB) Form August 29, 2018 PDF
Common Time Reporting Codes Common Time Reporting Codes.pdf (391.05 KB) Form November 16, 2015 PDF