HR FORMS AND TEMPLATES

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Classification/Compensation

Date Form/ Template Number
10/27/23 CAR / PD Form ASPS/HRD - FA2.02 PDF
12/01/19 Salary Change Notification Form ASPS/HRD - FA4.01 PDF
07/21/19 Request for Shift Differential ASPS/HRD - FA4.03 PDF
11/30/19 In-Grade Salary Adjustment Worksheet ASPS/HRD - FA4.04 PDF

Statewide Employment Forms

Date Form/ Template Number
05/02/24 Agency Request to Modify Its Headcount Cap Google
07/31/18 Personnel Action Form ASPS/HRD - FA1.01 PDF
08/14/18 Disqualification from State Employment Request ASPS/HRD - FA3.14 PDF
06/02/19 Inter-agency Transfer Request Form ASPS/HRD - FA3.16 PDF
10/17/12 Outside (Secondary Employment) ASPS/HRD - FA5.01 PDF

Recruitment Forms

Date Form/ Template Number
06/02/19 Second Chance Hire Process ASPS/HRD - BA3.01 PDF
10/12/24 Application for Employment - (Part 1 of 2) ASPS/HRD - FA3.01 PDF
06/16/20 Application for Employment - (Part 2 of 2) ASPS/HRD - FA3.01 (2) PDF
08/31/19 Agency Request to Pay Interviewing Expenses for an Out-of-State Candidate ASPS/HRD - FA3.02 PDF
02/07/21 Veteran's Hiring Preference Request Form ASPS/HRD - FA3.10 Google PDF Microsoft
01/31/18 Pre-Employment Verification and Reference Check ASPS/HRD - FA3.13 PDF
10/22/18 SPS Workforce Planning Guide ASPS/HRD - FA3.17 PDF
05/09/24 Justification to Fill ASPS/HRD - FA3.18 PDF
02/11/19 Request for Disability Preference ASPS/HRD - FA3.19 PDF

New Hire Forms Agencies

Date Form/ Template Number
08/12/22 Agency Request to Pay Moving and/or Transportation Expenses for an Out-of-State Candidate ASPS/HRD - FA3.03 PDF
09/08/23 Non-Satellite Agency Personnel Requisition ASPS/HRD - FA3.09 PDF
04/14/22 Job Offer Letter (New Hires) ASPS/HRD - TA3.01 Google PDF Microsoft
08/16/23 State Driver Authorization Form RMD 16-001F PDF

New Hire Forms Employees

Date Form/ Template Number
12/31/23 A-4 State Tax Withholding ADOR 10121 (20) PDF
04/03/16 State Access Agreement ASET F8280 PDF
09/16/19 Moving Expenses Agreement ASPS/HRD - FA3.04 PDF
10/17/12 Selective Service Affidavit ASPS/HRD - FA3.10 PDF
09/16/14 Child Support Certification ASPS/HRD - FA3.11 PDF
11/22/20 Employee Personal Information ASPS/HRD - FA3.12 PDF
10/17/15 Overtime Compensation Election ASPS/HRD - FA4.02 PDF
06/25/20 Disclosure Statement ASPS/HRD - FA5.03 PDF
10/17/12 Loyalty Oath ASPS/HRD - FA5.06 PDF
12/31/23 W-4 Federal Tax Form - Employee's Withholding Certificate W4(2024) PDF

Administrative Leave

Date Form/ Template Number
06/03/19 Administrative Leave - Administrative Leave Weekly Report ASPS/HRD - FA6.01 Google PDF Microsoft
04/16/19 Administrative Leave - Administrative Leave Justification ASPS/HRD - FA6.02 PDF
02/08/21 Administrative Leave - Administrative Leave Pending Investigation Template Letter ASPS/HRD - TA6.04 Google PDF Microsoft
02/10/21 Administrative Leave - Return From Administrative Leave ASPS/HRD - TA6.05 Google PDF Microsoft

Civic Duty Leave

Date Form/ Template Number
10/12/24 Civic Duty Leave Worksheet for Serving at a Voting Location ASPS/HRD - FA6.07 PDF

Family and Medical Leave

Date Form/ Template Number
01/05/21 After 3 Call Me PDF
06/15/23 FMLA Process Flow Chart ASPS/HRD - BA6.01 PDF
06/15/23 Important Information While on FMLA ASPS/HRD - BA6.02 Google PDF Microsoft
05/24/18 FMLA Request Form ASPS/HRD - FA6.03 PDF
06/08/18 FMLA - Health Status Update and/or Medical Clearance for Return to Work ASPS/HRD - FA6.04 PDF
10/12/24 Request To Receive Donations of Annual Leave ASPS/HRD - FA6.05 PDF
06/15/23 FMLA - Acknowledgement Template Letter ASPS/HRD - TA6.01 Google PDF Microsoft
02/10/21 FMLA - Designation Transmittal Letter ASPS/HRD - TA6.02 Google PDF Microsoft
02/10/21 FMLA - End of FMLA Options Letter ASPS/HRD - TA6.03 Google PDF Microsoft
06/15/23 Non-FMLA Options Letter ASPS/HRD - TA6.04 Google PDF Microsoft
06/15/23 Treating Medical Provider Clarification ASPS/HRD - TA6.06 Google PDF Microsoft
06/15/23 FMLA Deficiency Notice Template Letter ASPS/HRD - TA6.10 Google PDF Microsoft
07/15/20 FMLA - DOL CHCP for Family Member WH - 380 - F PDF
06/01/20 FMLA - DOL Notice of Eligibility and Rights and Responsibilities WH - 381 PDF
07/15/20 FMLA - DOL Designation Notice WH - 382 PDF
07/15/20 FMLA - DOL Certification of Qualifying Exigency WH - 384 PDF
07/15/20 FMLA - DOL - CHCP for Illness/Injury of Service Member WH - 385 PDF
07/15/20 FMLA - DOL CHCP for Illness/Injury of Veteran WH - 385 - V PDF
07/15/20 FMLA - DOL CHCP for Employee WH- 380 - E PDF

Reasonable Accommodation

Date Form/ Template Number
10/04/23 Reasonable Accommodation Request ASPS/HRD - FA1.03 PDF

Leave Without Pay (LWOP)

Date Form/ Template Number
02/15/21 Leave Without Pay - Return or Request Additional Time ASPS/HRD - TA6.07 Google PDF Microsoft
03/03/21 Leave Without Pay - Expiration of LWOP - Separation Letter ASPS/HRD - TA6.08 Google PDF Microsoft

Demotion

Date Form/ Template Number
05/05/15 Demotion Request - Covered to Covered ASPS/HRD - TA3.05 Google PDF Microsoft
05/05/15 Demotion Request - Covered to Uncovered ASPS/HRD - TA3.06 Google PDF Microsoft
05/05/15 Demotion Request - Uncovered to Uncovered ASPS/HRD - TA3.07 Google PDF Microsoft
04/10/22 Demotion Acceptance - Voluntary - Covered to Covered ASPS/HRD - TA3.08 Google PDF Microsoft
04/13/22 Demotion Acceptance - Voluntary - Covered to Uncovered ASPS/HRD - TA3.09 Google PDF Microsoft
04/14/22 Demotion Acceptance - Voluntary - Uncovered to Uncovered ASPS/HRD - TA3.10 Google PDF Microsoft
06/23/14 Notice of Charges - Covered PS FAPO ASPS/HRD - TA8.03 Google PDF Microsoft
04/10/22 Demotion - Involuntary - Covered PS - FAPO ASPS/HRD - TA8.05 Google PDF Microsoft
06/23/14 Notice of Charges - Covered PS Non- FAPO - Demotion ASPS/HRD - TA8.08 Google PDF Microsoft
04/10/22 Demotion - Involuntary - Covered PS - Non-FAPO ASPS/HRD - TA8.10 Google PDF Microsoft
04/10/22 Demotion - Involuntary - Uncovered Employee ASPS/HRD - TA8.13 Google PDF Microsoft

Dismissal

Date Form/ Template Number
04/19/22 ADOA Discipline/Separation CHRO Review Document ASPS/HRD - FA8.01 PDF
07/29/19 ADOA Discipline - Dismissal Review Guidance Worksheet ASPS/HRD - FA8.01A PDF
06/23/14 End of Assignment - Temporary Employee ASPS/HRD - TA3.15 Google PDF Microsoft
10/18/12 Dismissal - Covered Original Probationary Employee ASPS/HRD - TA8.01 Google PDF Microsoft
06/23/14 Notice of Charges - Covered PS FAPO ASPS/HRD - TA8.03 Google PDF Microsoft
10/18/12 Dismissal - Covered PS FAPO ASPS/HRD - TA8.06 Google PDF Microsoft
06/23/14 Notice of Charges - Covered PS Non-FAPO ASPS/HRD - TA8.08 Google PDF Microsoft
10/18/12 Dismissal - Covered PS Non-FAPO ASPS/HRD - TA8.11 Google PDF Microsoft
10/18/12 Dismissal - Uncovered Employee ASPS/HRD - TA8.14 Google PDF Microsoft
06/23/14 Dismissal - Temporary Employee ASPS/HRD - TA8.15 Google PDF Microsoft

Job Abandonment

Date Form/ Template Number
05/16/19 Job Abandonment ASPS/HRD - TA10.01 Google PDF Microsoft

Lateral Transfer

Date Form/ Template Number
04/10/22 Transfer - Covered to Covered ASPS/HRD - TA5.01 Google PDF Microsoft
04/10/22 Transfer - Covered to Uncovered ASPS/HRD - TA5.02 Google PDF Microsoft
04/10/22 Transfer - Uncovered to Uncovered ASPS/HRD - TA5.03 Google PDF Microsoft

Medical

Date Form/ Template Number
06/23/14 Medical Certification Requirement ASPS/HRD - TA7.01 Google PDF Microsoft
05/20/19 Fitness for Duty Evaluation ASPS/HRD - TA7.02 Google PDF Microsoft
05/20/19 Order for Medical Examination ASPS/HRD - TA7.03 Google PDF Microsoft

Memorandum of Concern

Date Form/ Template Number
06/11/14 Memorandum of Concern - Covered Permanent Status Employee ASPS/HRD - TA8.16 Google PDF Microsoft
06/23/14 Memorandum of Concern - Uncovered Employee ASPS/HRD - TA8.17 Google PDF Microsoft

Promotion

Date Form/ Template Number
04/10/22 Promotion - Covered to Covered ASPS/HRD - TA3.02 Google PDF Microsoft
04/10/22 Promotion - Covered to Uncovered ASPS/HRD - TA3.03 Google PDF Microsoft
04/10/22 Promotion - Uncovered to Uncovered ASPS/HRD - TA3.04 Google PDF Microsoft

Reprimand

Date Form/ Template Number
06/23/14 Reprimand - Covered PS Employee ASPS/HRD - TA8.18 Google PDF Microsoft
06/23/14 Reprimand - Uncovered Employee ASPS/HRD - TA8.19 Google PDF Microsoft

Resignation

Date Form/ Template Number
06/23/14 Resignation Letter ASPS/HRD - TA10.03 Google PDF Microsoft
05/06/19 Acceptance of Verbal or Written Resignation ASPS/HRD - TB10.04 Google PDF Microsoft

Reversion

Date Form/ Template Number
05/14/19 Failure to Complete Promotional Probation ASPS/HRD - TB2.01 Google PDF Microsoft

Special Assignment

Date Form/ Template Number
12/02/12 Special Assignment Notification - Same or Lower Grade ASPS/HRD - TA3.11 Google PDF Microsoft
12/02/12 End of Special Assignment - Same or Lower Grade ASPS/HRD - TA3.13 Google PDF Microsoft
12/02/12 End of Special Assignment - Higher Grade ASPS/HRD - TA3.14 Google PDF Microsoft
03/18/21 Special Assignment Notification – Higher Grade ASPS/HRD – TA3.12 Google PDF Microsoft

Suspension

Date Form/ Template Number
06/23/14 Notice of Charges - Covered PS FAPO ASPS/HRD - TA8.03 Google PDF Microsoft
06/23/14 Notice of Charges - Covered PS Non-FAPO ASPS/HRD - TA8.08 Google PDF Microsoft
10/18/12 Suspension - Covered PS FAPO – 40 Hours or Less ASPS/HRD – TA8.02 Google PDF Microsoft
10/18/12 Suspension - Covered PS FAPO – Greater than 40 Hours ASPS/HRD – TA8.04 Google PDF Microsoft
10/18/12 Suspension - Covered PS Employee Non-FAPO – 80 Hours or Less ASPS/HRD – TA8.07 Google PDF Microsoft
02/22/18 Suspension - Covered PS Employee Non-FAPO – Greater than 80 Hours ASPS/HRD – TA8.09 Google PDF Microsoft
10/18/12 Suspension - Uncovered Employee ASPS/HRD – TA8.12 Google PDF Microsoft