HR Forms and Templates

IMPORTANT

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CLASSIFICATION/COMPENSATION

Date Title Form/Template Number
11/20/19 CAR/PD Form
12/09/19 In-Grade Salary Adjustment Worksheet ASPS/HRD - FA2.01
12/23/19 Salary Change Notification Form ASPS/HRD - FA4.01
09/10/18 Request for Shift Differential ASPS/HRD - FA4.03

STATEWIDE EMPLOYMENT FORMS

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

   Recruitment Forms

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

New Hire Forms Agencies

Date Title Form/Template Number
08/14/18 Personnel Requisition ASPS/HRD - FA3.09
08/31/15 Job Offer Letter Template ASPS/HRD - TA3.01
09/16/19 Request to Pay for Relocating Out-of-State Candidate ASPS/HRD - FA3.03

New Hire Forms Employees 

Date Title Form/Template Number
08/15/18 Disclosure Statement ASPS/HRD - FA5.03
09/17/19 Moving Expenses Agreement ASPS/HRD - FA3.04
10/18/12 Select Service Affidavit ASPS/HRD - FA3.10
09/17/14 Child Support Certification ASPS/HRD - FA3.11
03/23/17 Employee Personal Information ASPS/HRD - FA3.12
12/23/19 W-4 Federal Tax Form - Employee's Withholding Certificate W4(2020)
09/20/18 A-4 State Tax Withholding ADOR 10121 (19)
10/18/15 Overtime Compensation Election ASPS/HRD - FA4.02
10/18/12 Loyalty Oath ASPS/HRD - FA5.06
04/04/16 State Access Agreement ASET F8280

TEMPLATE LETTERS/FORMS/REPORTS

     Leave

     Administrative Leave

Date Title Form/Template Number
06/04/19 Administrative Leave - Administrative Leave Pending Investigation Template Letter ASPS/HRD - TA6.04
04/17/19 Administrative Leave - Administrative Leave Justification ASPS/HRD - FA6.02
06/04/19 Administrative Leave - Administrative Leave Weekly Report ASPS/HRD - FA6.01
06/24/14 Administrative Leave - Return From Administrative Leave ASPS/HRD - TA6.05

     Family and Medical Leave

Date Title Form/Template Number
02/01/18 FMLA Process Flow Chart ASPS/HRD - BA6.01
05/25/18 FMLA Request Form ASPS/HRD - FA6.03
08/14/18 FMLA - DOL Notice of Eligibility and Rights and Responsibilities WH - 381
08/14/18 FMLA - DOL CHCP for Employee WH- 380 - E
08/14/18 FMLA - DOL CHCP for Family Member WH - 380 - F
08/14/18 FMLA - DOL Certification of Qualifying Exigency WH - 384
08/14/18 FMLA - DOL - CHCP for Illness/Injury of Service Member WH - 385
08/14/18 FMLA - DOL CHCP for Illness/Injury of Veteran WH - 385 - V
02/01/18 FMLA - Acknowledgement Template Letter ASPS/HRD - TA6.01
12/27/19 Important Information While on FMLA ASPS/HRD - BA6.02
02/01/18 FMLA - Designation Transmittal Letter ASPS/HRD - TA6.02
08/14/18 FMLA - DOL Designation Notice WH - 382
06/06/18 FMLA - Health Status Update and/or Medical Clearance for Return to Work ASPS/HRD - FA6.04
02/01/18 FMLA - End of FMLA Options Letter ASPS/HRD - TA6.03
06/12/18 FMLA - Request To Receive Donations of Annual Leave ASPS/HRD - FA6.05
02/11/19 FMLA - Reasonable Accommodation Request Form ASPS/HRD - FA.03

     Leave Without Pay (LWOP)

Date Title Form/Template Number
06/24/14 Leave Without Pay - Return or Request Additional Time ASPS/HRD - TA6.07
03/27/19 Leave Without Pay - Expiration of LWOP - Separation Letter ASPS/HRD - TA6.08

     Demotion

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

     Dismissal

Date Title Form/Template Number
07/31/19 ADOA Discipline - Dismissal Review Guidance Worksheet ASPS/HRD - FA8.01A
06/04/19 ADOA Discipline/Dismissal CHRO Review Document ASPS/HRD - FA8.01
10/19/12 Dismissal - Uncovered Employee ASPS/HRD - TA8.14
06/24/14 End of Assignment - Temporary Employee ASPS/HRD - TA3.15
06/24/14 Dismissal - Temporary Employee ASPS/HRD - TA8.15
10/19/12 Dismissal - Covered Original Probationary Employee ASPS/HRD - TA8.01
06/24/14 Notice of Charges - Covered PS Non-FAPO ASPS/HRD - TA8.08
10/19/12 Dismissal - Covered PS Non-FAPO ASPS/HRD - TA8.11
06/24/14 Notice of Charges - Covered PS FAPO ASPS/HRD - TA8.03
10/19/12 Dismissal - Covered PS FAPO ASPS/HRD - TA8.06

     Job Abandonment

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

     Lateral Transfer

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

     Medical

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

     Memorandum of Concern

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

     Promotion

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

     Reprimand

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

     Resignation

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

      Reversion

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

     Special Assignment

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

     Suspension

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