Skip to main content
Human Resources Logo
Human Resources

Main menu

  • Home
  • About
  • COVID-19
  • Forms and Templates
  • Laws/Rules/Policies
  • Publications/Reports
  • Verify Employment
  • HRIS
  • YES
  • Home
  • HR Forms and Templates

HR Forms and Templates

IMPORTANT

If you receive the following error message:

"Please wait... If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document."

You will need to right click the link and choose the save as function and save the .pdf to your computer first and then open it using Acrobat Reader.

  • Users of alternate web browsers (Chrome, Firefox, Safari, Opera, etc), please click HERE.
  • Fillable forms are in PDF format and require Adobe Acrobat Reader 7.0 or higher for viewing.
  • Apple users: Please ensure that you are using Adobe Reader as your default PDF reader.  Mac computers typically open PDFs in Preview, which does NOT support the dynamic content fields used on our fillable forms.
  • If you receive the "bad encrypt dictionary" error, please get the latest updates for Acrobat Reader.

To download Acrobat Reader, visit Adobe's web site.  If you have the Acrobat Reader open, click "Help", then "Check for Updates".

  • Attention Apple users: Please ensure that you are using Adobe Reader as your default PDF reader.  Mac computers typically open PDFs in Preview, which does NOT support the dynamic content fields used on our fillable forms.  The calculations for the form will not run properly in Preview.   eHow.com has a great article on how to default to Acrobat Reader vs Preview.
  • Error Message "bad encrypt dictionary":  if you receive this error, please get the latest updates for Acrobat Reader.
  • All forms are fillable when available.  All forms are downloaded to your system and then completed and printed or printed and completed by hand.
  • Most fillable forms can be saved with data for users of Acrobat 8 and higher versions.  
     

CLASSIFICATION/COMPENSATION

Date Form/Template Number Title
02/03/20 CAR/PD Form
12/09/19 ASPS/HRD - FA2.01 In-Grade Salary Adjustment Worksheet
04/08/20 ASPS/HRD - FA4.01 Salary Change Notification Form
09/10/18 ASPS/HRD - FA4.03 Request for Shift Differential

STATEWIDE EMPLOYMENT FORMS

Date Form/Template Number Title
05/29/19 ASPS/HRD - FA1.01 Personnel Action Form
06/03/19 ASPS/HRD - FA3.16 Inter-agency Transfer Form
10/18/15 ASPS/HRD - FA5.01 Notification of Outside (Secondary Employment)
08/15/18 ASPS/HRD - FA3.14 Disqualification from State Employment Request

   Recruitment Forms

Date Form/Template Number Title
02/02/15 ASPS/HRD - FA3.14 Justification to Fill During the Hiring Freeze
11/09/16 ASPS/HRD - FA3.15 SPS Workforce Planning Guide
06/03/19 ASPS/HRD - BA3.01 Second Chance Hire Process
02/12/19 ASPS/HRD - FA3.17 Disability Preference Request Form
02/08/21 ASPS/HRD - FA3.10 Veteran's Hiring Preference Request Form Google Doc PDF Word
04/17/19 ASPS/HRD - FA3.01 (1) Application for Employment - Part 1 of 2
06/16/20 ASPS/HRD - FA3.01 (2) Application for Employment - Part 2 of 2
02/11/15 ASPS/HRD - FA3.02 Request to Pay for Interviewing Out of State Candidates
08/18/18 ASPS/HRD - FA3.13 Pre-Employment Verification and Reference Check Form

New Hire Forms Agencies

Date Form/Template Number Title
08/14/18 ASPS/HRD - FA3.09 Personnel Requisition
02/08/21 ASPS/HRD - TA3.01 Job Offer Letter Template Google Doc PDF Word
09/16/19 ASPS/HRD - FA3.03 Request to Pay for Relocating Out-of-State Candidate

New Hire Forms Employees 

Date Form/Template Number Title
06/26/20 ASPS/HRD - FA5.03 Disclosure Statement
09/17/19 ASPS/HRD - FA3.04 Moving Expenses Agreement
10/18/12 ASPS/HRD - FA3.10 Select Service Affidavit
11/23/20 ASPS/HRD - FA3.12 Employee Personal Information
09/17/14 ASPS/HRD - FA3.11 Child Support Certification
12/23/19 W4(2020) W-4 Federal Tax Form - Employee's Withholding Certificate
01/01/20 ADOR 10121 (19) A-4 State Tax Withholding
10/18/15 ASPS/HRD - FA4.02 Overtime Compensation Election
10/18/12 ASPS/HRD - FA5.06 Loyalty Oath
04/04/16 ASET F8280 State Access Agreement

TEMPLATE LETTERS/FORMS/REPORTS

     Leave

     Administrative Leave

Date Form/Template Number Title
02/09/21 ASPS/HRD - TA6.04 Administrative Leave - Administrative Leave Pending Investigation Template Letter Google Doc PDF Word
04/17/19 ASPS/HRD - FA6.02 Administrative Leave - Administrative Leave Justification
06/04/19 ASPS/HRD - FA6.01 Administrative Leave - Administrative Leave Weekly Report
02/11/21 ASPS/HRD - TA6.05 Administrative Leave - Return From Administrative Leave Google Doc PDF Word

     Family and Medical Leave

Date Form/Template Number Title
01/06/21 After 3 Call Me
02/01/18 ASPS/HRD - BA6.01 FMLA Process Flow Chart
05/25/18 ASPS/HRD - FA6.03 FMLA Request Form
07/16/20 WH - 381 FMLA - DOL Notice of Eligibility and Rights and Responsibilities
07/16/20 WH- 380 - E FMLA - DOL CHCP for Employee
07/16/20 WH - 380 - F FMLA - DOL CHCP for Family Member
07/16/20 WH - 384 FMLA - DOL Certification of Qualifying Exigency
07/16/20 WH - 385 FMLA - DOL - CHCP for Illness/Injury of Service Member
07/16/20 WH - 385 - V FMLA - DOL CHCP for Illness/Injury of Veteran
02/08/21 ASPS/HRD - TA6.01 FMLA - Acknowledgement Template Letter Google Doc PDF Word
02/08/21 ASPS/HRD - BA6.02 Important Information While on FMLA Google Doc PDF Word
02/11/21 ASPS/HRD - TA6.02 FMLA - Designation Transmittal Letter Google Docs PDF Word
07/16/20 WH - 382 FMLA - DOL Designation Notice
06/06/18 ASPS/HRD - FA6.04 FMLA - Health Status Update and/or Medical Clearance for Return to Work
02/11/21 ASPS/HRD - TA6.03 FMLA - End of FMLA Options Letter Google Docs PDF Word
06/12/18 ASPS/HRD - FA6.05 FMLA - Request To Receive Donations of Annual Leave
02/11/19 ASPS/HRD - FA.03 FMLA - Reasonable Accommodation Request Form

     Leave Without Pay (LWOP)

Date Form/Template Number Title
02/16/21 ASPS/HRD - TA6.07 Leave Without Pay - Return or Request Additional Time Google Docs PDF Word
02/22/21 ASPS/HRD - TA6.08 Leave Without Pay - Expiration of LWOP - Separation Letter Google Docs PDF Word

     Demotion

Date Form/Template Number Title
05/06/15 ASPS/HRD - TA3.07 Demotion Request - Uncovered to Uncovered
05/06/15 ASPS/HRD - TA3.06 Demotion Request - Covered to Uncovered
05/06/15 ASPS/HRD - TA3.05 Demotion Request - Covered to Covered
05/06/15 ASPS/HRD - TA3.10 Demotion Acceptance - Voluntary - Uncovered to Uncovered
05/06/15 ASPS/HRD - TA3.09 Demotion Acceptance - Voluntary - Covered to Uncovered
05/06/15 ASPS/HRD - TA3.08 Demotion Acceptance - Voluntary - Covered to Covered
05/17/19 ASPS/HRD - TA8.13 Demotion - Involuntary - Uncovered Employee
06/24/14 ASPS/HRD - TA8.08 Notice of Charges - Covered PS Non- FAPO - Demotion
05/01/18 ASPS/HRD - TA8.10 Demotion - Involuntary - Covered PS - Non-FAPO
06/24/14 ASPS/HRD - TA8.03 Notice of Charges - Covered PS FAPO
02/08/13 ASPS/HRD - TA8.05 Demotion - Involuntary - Covered PS - FAPO

     Dismissal

Date Form/Template Number Title
07/31/19 ASPS/HRD - FA8.01A ADOA Discipline - Dismissal Review Guidance Worksheet
10/20/20 ASPS/HRD - FA8.01 ADOA Discipline/Dismissal CHRO Review Document
10/19/12 ASPS/HRD - TA8.14 Dismissal - Uncovered Employee
06/24/14 ASPS/HRD - TA3.15 End of Assignment - Temporary Employee
06/24/14 ASPS/HRD - TA8.15 Dismissal - Temporary Employee
10/19/12 ASPS/HRD - TA8.01 Dismissal - Covered Original Probationary Employee
06/24/14 ASPS/HRD - TA8.08 Notice of Charges - Covered PS Non-FAPO
10/19/12 ASPS/HRD - TA8.11 Dismissal - Covered PS Non-FAPO
06/24/14 ASPS/HRD - TA8.03 Notice of Charges - Covered PS FAPO
10/19/12 ASPS/HRD - TA8.06 Dismissal - Covered PS FAPO

     Job Abandonment

Date Form/Template Number Title
05/17/19 ASPS/HRD - TA10.01 Job Abandonment

     Lateral Transfer

Date Form/Template Number Title
10/17/12 ASPS/HRD - TA5.02 Transfer - Covered to Uncovered
10/17/12 ASPS/HRD - TA5.03 Transfer - Uncovered to Uncovered
10/17/12 ASPS/HRD - TA5.01 Transfer - Covered to Covered

     Medical

Date Form/Template Number Title
05/21/19 ASPS/HRD - TA7.02 Fitness for Duty Evaluation
05/21/19 ASPS/HRD - TA7.03 Order for Medical Evaluation
06/24/14 ASPS/HRD - TA7.01 Medical Certification Requirement

     Memorandum of Concern

Date Form/Template Number Title
06/24/14 ASPS/HRD - TA8.17 Memorandum of Concern - Uncovered Employee
06/12/14 ASPS/HRD - TA8.16 Memorandum of Concern - Covered Permanent Status Employee

     Promotion

Date Form/Template Number Title
10/17/12 ASPS/HRD - TA3.04 Promotion - Uncovered to Uncovered
10/17/12 ASPS/HRD - TA3.03 Promotion - Covered to Uncovered
10/17/12 ASPS/HRD - TA3.02 Promotion - Covered to Covered

     Reprimand

Date Form/Template Number Title
06/24/14 ASPS/HRD - TA8.19 Reprimand - Uncovered Employee
06/24/14 ASPS/HRD - TA8.18 Reprimand - Covered PS Employee

     Resignation

Date Form/Template Number Title
06/24/14 ASPS/HRD - TA10.03 Resignation Letter
05/07/19 ASPS/HRD - TB10.04 Acceptance of Verbal or Written Resignation

      Reversion

Date Form/Template Number Title
05/15/19 ASPS/HRD - TA2.01 Failure to Complete Promotional Probation

     Special Assignment

Date FORM/TEMPLATE NUMBER Title
12/03/12 ASPS/HRD - TA3.11 Special Assignment Notification - Same or Lower Grade
12/03/12 ASPS/HRD – TA3.12 Special Assignment Notification – Higher Grade
12/03/12 ASPS/HRD - TA3.13 End of Special Assignment - Same or Lower Grade
12/03/12 ASPS/HRD - TA3.14 End of Special Assignment - Higher Grade

     Suspension

Date Form/Template Number Title
10/19/12 ASPS/HRD – TA8.12 Suspension - Uncovered Employee
10/19/12 ASPS/HRD – TA8.07 Suspension - Covered PS Employee Non-FAPO – 80 Hours or Less
06/24/14 ASPS/HRD - TA8.08 Notice of Charges - Covered PS Non-FAPO
02/23/18 ASPS/HRD – TA8.09 Suspension - Covered PS Employee Non-FAPO – Greater than 80 Hours
10/19/12 ASPS/HRD – TA8.02 Suspension - Covered PS FAPO – 40 Hours or Less
06/24/14 ASPS/HRD - TA8.03 Notice of Charges - Covered PS FAPO
10/19/12 ASPS/HRD – TA8.04 Suspension - Covered PS FAPO – Greater than 40 Hours

Arizona State Seal
ADOA Human Resources
100 N 15th Ave #401
Phoenix, AZ 85007
Find in Google Maps
Map Image

Footer Nav

  • Privacy Statement
  • Contact HR
  • Contact ADOA
  • Statewide Policies
  • Site Map