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Table data
File Name File Category Date File Format
Request for Salary Advance Form DHR-VTHR_Request_for_Salary_Advance_Form.docx (56.03 KB) Form October 23, 2017 Word
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
Request for Mandatory Interview Form DHR-Request_Mandatory_Interview_Form_2024.pdf (744.73 KB) Form February 28, 2024 PDF
Reasonable Accommodation Request Form DHR-Reasonable_Accommodation_Request_Form_2024.pdf (811.7 KB) Form February 28, 2024 PDF
Request for Hire into Range DHR-Request_for_HIR_Form.pdf (69.37 KB) Form March 7, 2016 PDF
Telework Request Form DHR Telework Request Form.pdf (347.71 KB) Form July 14, 2016 PDF
Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F) WH-380-F Family Member's Certification of Health Care Provider for Serious Health Condition FMLA Form.pdf (202.09 KB) Form August 29, 2018 PDF
Safety Health Complaint Form DHR-Safety_Health_Complaint_Form.pdf (25.46 KB) Form November 23, 2015 PDF
Classified Prior Service Credit Application DHR-Prior_Classified_Service_Credit_Form.pdf (124.92 KB) Form February 2, 2024 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 (148.27 KB) Form August 29, 2018 PDF