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View Dept. of Human Resource Management Expenditures

DHRM Organization Chart




Forms

Click a category below to locate your form.

- Employee Programs Brochure[PDF]

- Discrimination Complaint Form [Word] [PDF]
- Witness Identification Form [Word] [PDF]

Forms Beginning July 1, 2012

- Appeals Form
- Active Employee Eligibility and Enrollment Form- Effective through June 30, 2013
- Active Employee Eligibility and Enrollment Form - Effective July 1, 2013
- Extended Coverage/COBRA Change Request Form- Effective through June 30, 2013
- Extended Coverage/COBRA Change Request Form - Effective July 1, 2013
- 2012 Retiree & VSDP/LTD Enrollment Form
- 2013 Retiree & VSDP/LTD Enrollment Form

- Agency Hiring Request Form
- P-14 Authorization for Unit of Work Rate PDF Format MS Word Format
- Re-Employment Opportunities Pool
- Sample Release of Information Form
- Summary of the Commonwealth of Virginia's Policy on Alcohol and Other Drugs - Certificate of Receipt

- Internet Use Certificate of Receipt
- Registration Form for Access to DHRM's Web Applications


- Acknowledgement of Extraordinary Contribution
- Employee Work Profile PDF Format Word Format
-
Notice of Improvement Needed/Substandard Performance PDF Format Word Format
- Physical Demands Worksheet
- Probationary Progress Review PDF Format Word Format
- Interim Evaluation Form
- Written Notice Form PDF Format | Word Format

- Sample Checklist and Employee Certification Form
- Sample Telecommuting Work Agreement