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Forms
Click a category below to locate your form.
Employee Relations
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Discrimination Complaint Form
[
Word
] [
PDF
]
- Witness Identification Form [
Word
] [
PDF
]
Flexible Reimbursement Accounts
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Account Election Form
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Direct Deposit Form
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Medical Necessity Form
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Reimbursement Request Form
Health Benefits
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Appeals Form
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Active Employee Eligibility and Enrollment Form
(Effective through June 30, 2012)
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Active Employee Eligibility and Enrollment Form
(Effective July 1, 2012)
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Extended Coverage/COBRA Change Request Form
(Effective through June 30, 2012)
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Extended Coverage/COBRA Change Request Form
(Effective July 1, 2012)
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2012 Retiree & VSDP/LTD Enrollment Form
Hiring
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Agency Hiring Request Form
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P-14 Authorization for Unit of Work Rate
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Re-Employment Opportunities Pool
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Sample Release of Information Form
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Summary of the Commonwealth of Virginia's Policy on Alcohol and Other Drugs - Certificate of Receipt
Information Technology
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Internet Use Certificate of Receipt
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Registration Form for Access to DHRM's Web Applications
Performance Management
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Acknowledgement of Extraordinary Contribution
- Employee Work Profile
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Notice of Improvement Needed/Substandard Performance
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Physical Demands Worksheet
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Probationary Progress Review
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Interim Evaluation Form
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Written Notice Form
PDF Format
|
Word Format
Telework
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Sample Checklist and Employee Certification Form
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Sample Telecommuting Work Agreement
