HR Forms and Templates

IMPORTANT

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CLASSIFICATION/COMPENSATION

Date Form/Template Number Title
06/15/21 ASPS/HRD - FA2.02 CAR / PD Form PDF
12/01/19 ASPS/HRD - FA4.01 Salary Change Notification Form PDF
07/22/19 ASPS/HRD - FA4.03 Request for Shift Differential PDF
12/01/19 ASPS/HRD - FA4.04 In-Grade Salary Adjustment Worksheet PDF

STATEWIDE EMPLOYMENT FORMS

Date Form/Template Number Title
08/01/18 ASPS/HRD - FA1.01 Personnel Action Form PDF
08/15/18 ASPS/HRD - FA3.14 Disqualification from State Employment Request PDF
06/03/19 ASPS/HRD - FA3.16 Inter-agency Transfer Request Form PDF
10/18/12 ASPS/HRD - FA5.01 Outside (Secondary Employment) PDF

   Recruitment Forms

Date Form/Template Number Title
10/01/18 ASPS/HRD - FA3.18 Justification to Fill During the Hiring Freeze PDF
10/23/18 ASPS/HRD - FA3.17 SPS Workforce Planning Guide PDF
06/03/19 ASPS/HRD - BA3.01 Second Chance Hire Process PDF
02/08/21 ASPS/HRD - FA3.10 Veteran's Hiring Preference Request Form Google PDF Microsoft
02/12/19 ASPS/HRD - FA3.19 Request for Disability Preference PDF
11/01/21 ASPS/HRD - FA3.01 (1) Application for Employment - (Part 1 of 2) PDF
06/16/20 ASPS/HRD - FA3.01 (2) Application for Employment - (Part 2 of 2) PDF
02/01/18 ASPS/HRD - FA3.13 Pre-Employment Verification and Reference Check PDF
09/01/19 ASPS/HRD - FA3.02 Agency Request to Pay Interviewing Expenses for an Out-of-State Candidate PDF

New Hire Forms Agencies

Date Form/Template Number Title
05/06/16 ASPS/HRD - FA3.09 Non-Satellite Agency Personnel Requisition PDF
08/31/15 ASPS/HRD - TA3.01 Job Offer Letter (New Hires) Google PDF Microsoft
09/01/19 ASPS/HRD - FA3.03 Agency Request to Pay Moving and/or Transportation Expenses for an Out-of-State Candidate PDF

New Hire Forms Employees 

Date Form/Template Number Title
10/18/12 ASPS/HRD - FA3.10 Selective Service Affidavit PDF
09/17/14 ASPS/HRD - FA3.11 Child Support Certification PDF
11/23/20 ASPS/HRD - FA3.12 Employee Personal Information PDF
06/26/20 ASPS/HRD - FA5.03 Disclosure Statement PDF
10/18/15 ASPS/HRD - FA4.02 Overtime Compensation Election PDF
10/18/12 ASPS/HRD - FA5.06 Loyalty Oath PDF
09/17/19 ASPS/HRD - FA3.04 Moving Expenses Agreement PDF
01/01/21 ADOR 10121 (20) A-4 State Tax Withholding Website
12/23/20 W4(2021) W-4 Federal Tax Form - Employee's Withholding Certificate Website
04/04/16 ASET F8280 State Access Agreement Website

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 PDF Microsoft
04/17/19 ASPS/HRD - FA6.02 Administrative Leave - Administrative Leave Justification PDF
06/04/19 ASPS/HRD - FA6.01 Administrative Leave - Administrative Leave Weekly Report PDF
02/11/21 ASPS/HRD - TA6.05 Administrative Leave - Return From Administrative Leave Google PDF Microsoft

     Family and Medical Leave

Date Form/Template Number Title
01/06/21 After 3 Call Me PDF
02/01/18 ASPS/HRD - BA6.01 FMLA Process Flow Chart PDF
05/25/18 ASPS/HRD - FA6.03 FMLA Request Form PDF
07/16/20 WH - 381 FMLA - DOL Notice of Eligibility and Rights and Responsibilities Website
07/16/20 WH- 380 - E FMLA - DOL CHCP for Employee Website
07/16/20 WH - 380 - F FMLA - DOL CHCP for Family Member Website
07/16/20 WH - 384 FMLA - DOL Certification of Qualifying Exigency Website
07/16/20 WH - 385 FMLA - DOL - CHCP for Illness/Injury of Service Member Website
07/16/20 WH - 385 - V FMLA - DOL CHCP for Illness/Injury of Veteran Website
02/08/21 ASPS/HRD - TA6.01 FMLA - Acknowledgement Template Letter Google PDF Microsoft
02/08/21 ASPS/HRD - BA6.02 Important Information While on FMLA Google PDF Microsoft
02/11/21 ASPS/HRD - TA6.02 FMLA - Designation Transmittal Letter Google PDF Microsoft
07/16/20 WH - 382 FMLA - DOL Designation Notice Website
06/06/18 ASPS/HRD - FA6.04 FMLA - Health Status Update and/or Medical Clearance for Return to Work PDF
02/11/21 ASPS/HRD - TA6.03 FMLA - End of FMLA Options Letter Google PDF Microsoft
06/12/18 ASPS/HRD - FA6.05 FMLA - Request To Receive Donations of Annual Leave PDF
02/11/19 ASPS/HRD - FA1.03 FMLA - Reasonable Accommodation Request Form PDF

     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 PDF Microsoft
03/04/21 ASPS/HRD - TA6.08 Leave Without Pay - Expiration of LWOP - Separation Letter Google PDF Microsoft

     Demotion

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

     Dismissal

Date Form/Template Number Title
07/30/19 ASPS/HRD - FA8.01A ADOA Discipline - Dismissal Review Guidance Worksheet PDF
10/20/20 ASPS/HRD - FA8.01 ADOA Discipline/Dismissal CHRO Review Document PDF
10/19/12 ASPS/HRD - TA8.14 Dismissal - Uncovered Employee Google PDF Microsoft
06/24/14 ASPS/HRD - TA3.15 End of Assignment - Temporary Employee Google PDF Microsoft
06/24/14 ASPS/HRD - TA8.15 Dismissal - Temporary Employee Google PDF Microsoft
10/19/12 ASPS/HRD - TA8.01 Dismissal - Covered Original Probationary Employee Google PDF Microsoft
06/24/14 ASPS/HRD - TA8.08 Notice of Charges - Covered PS Non-FAPO Google PDF Microsoft
10/19/12 ASPS/HRD - TA8.11 Dismissal - Covered PS Non-FAPO Google PDF Microsoft
06/24/14 ASPS/HRD - TA8.03 Notice of Charges - Covered PS FAPO Google PDF Microsoft
10/19/12 ASPS/HRD - TA8.06 Dismissal - Covered PS FAPO Google PDF Microsoft

     Job Abandonment

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

     Lateral Transfer

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

     Medical

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

     Memorandum of Concern

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

     Promotion

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

     Reprimand

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

     Resignation

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

      Reversion

Date Form/Template Number Title
05/15/19 ASPS/HRD - TB2.01 Failure to Complete Promotional Probation Google PDF Microsoft

     Special Assignment

Date FORM/TEMPLATE NUMBER Title
12/03/12 ASPS/HRD - TA3.11 Special Assignment Notification - Same or Lower Grade Google PDF Microsoft
03/19/21 ASPS/HRD – TA3.12 Special Assignment Notification – Higher Grade Google PDF Microsoft
12/03/12 ASPS/HRD - TA3.13 End of Special Assignment - Same or Lower Grade Google PDF Microsoft
12/03/12 ASPS/HRD - TA3.14 End of Special Assignment - Higher Grade Google PDF Microsoft

     Suspension

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