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Human Resources Forms
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Index of Forms
Acting Chief
Activity Report
Allegation of Employee Misconduct
Annual Affidavit of Dependent Status
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Applicant Flow Data
Approval Request Memo
Canal Work Request
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Call In/Call Off
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Crash Report
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(State Vehicle)
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Direct Deposit Authorization
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Disability Agreement
- Wage Advancement
Disability Application
(ADM 4310)
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(ADM 4312)
Disability Supplement
(ADM 4311)
Discrimination Complaint
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Employee Acknowledgement Form
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Expense Report
External Pro Development Activity Request
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Governor's Signature
Grievance Form - Exempt
Grievance Form - FOP
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Health Benefit Enrollment/Change
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Leave Request
License Agreement
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Minimum Qual Conversion
Multiple Theft Report
Nepotism Supplemental
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Operating Request
OPERS Combined Plan Refund Application
OPERS Member Directed Refund Application
OPERS Traditional Plan Refund Application
Oral Reprimand
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Payment Card
Personnel Action
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Posting Request
(PDF Format)
Posting Request
(Word Format)
Pre-Screen Criteria
Prior Service
Property Management Work Request
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Public Manager Program
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Reprimand, Written
Respirator Hazard Assessment Form
Respirator Medical Eval
Respirator Med Eval Periodic
Service of an Order
Sick Leave Conversion
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TWP Notification
TWP Participation Plan
TWP Work Capacity
Theft Report Form
Unclassified Acknowledgement
Union Clerical Review
Union Dental/Vision Enrollment/Change
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Union Life Insurance Beneficiary
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Union Leave Log
Union Professional Review
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Working Out of Classification - OCSEA
Forms for New Hire Employees
New Hire Checklist
Request for Employment Information
Policy and Procedure Acknowledgement
Authorization for Direct Deposit of Pay
ADM 4280
Financial Disclosure Acknowledgment
Declaration Regarding Material Assistance/Non-Assistance to a Terrorist Organization
HLS 0037
Employee E-Pay Notification
Employee Statement for Determination of Municipal Tax Liability
ADM 0328
Employee's Withholding Allowance Certificate
W-4
Employee's Withholding Exemption Certificate - Ohio Dept. of Taxation
Form IT-4
Employment Eligibility Verification - U.S. Department of Justice
Form I-9
Health Care Enrollment
ADM 4717
New Hire (EEO Stat)
DNR1201
Ohio Deferred Compensation Election
Pre-Hire Review
ADM 4174
Prior Service Certification
Ohio Civil Service Application
Social Security Statement
SSA 1945
Supplemental Employment Agreement
ADM 4288
Supplemental Nepotism Statement
ADM 4173
Unclassified Acknowledgment
Employee ID Request Form
DAS OHR Downloadable Forms
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