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Academic Assistance 
(OSP)
Federal IRS Forms (IRS)
Federal Tax Withholding W4 (PDF, 224KB)
I-9 Employment Eligibility Verification (USCIS)
Immigration and Naturalization Form (USCIS)
Job Application (OSP)
NC Flex Forms (PDF, 98KB)
New Employee Orientation Checklist (PDF, 41KB)
Separation Forms
State Tax Withholding NC-4 (DOR)
State Retirement Beneficiary Designation Form (PDF, 974KB)
State Health Plan Important Forms (State Health Plan)
Excels Values Definitions, Roles and Key Actions (DOC, 236KB)
Work Performance Plan Forms (for FY 2013-2014)
Certificate of Health Care Provider for Employee’s Serious Health Condition (Form WH-380-E) (US DOL)
Certificate of Health Care Provider for Family Member’s Serious Health Condition (Form WH-380-F) (US DOL)
Certificate of Qualifying Exigency for Military Family Leave (US DOL)
Certification for Serious Injury or Illness of Covered Service member for Military Family Leave (US DOL)
Family Medical Leave Act / Family Illness Leave Request Form (PDF, 201KB)
Family Medical Leave Provisional Designation Letter (DOC, 31KB)
Family Medical / Family Illness Leave Denial Letter (PDF, 30KB)
Voluntary Shared Leave Application (PDF, 157KB)
Voluntary Shared Leave Donation (DOC, 53KB)
319 Employee Relationship Questionnaire (PDF, 908KB)
ADA Checklist (PDF, 115KB)
Agency Check Request (DOC, 48KB)
Analyst Notes (General) (PDF, 501KB)
Analyst Notes (Career Banding) (DOC, 96.9KB)
Analyst Notes (OSSOG) (PDF, 311KB)
Contract Approval (PDF, 111KB)
Career Banding Forms
Career Banding Pay Dispute Process (PDF, 71KB)
Dual Employment (Instructions PDF, 84KB)
FLA Test Executive (PDF, 367KB)
FLSA Test Administrative (PDF, 358KB)
FLSA Test Professional (PDF, 259KB)
FLSA Test Creative Professional (PDF, 359KB)
FLSA Test Computer Related (PDF, 362KB)
Freeze Release (Divisions)(DOC, 162KB)
Freeze Release (Facilities) (DOC, 149KB)
In-Range Equity (DOC, 47KB)
In-Range Job Growth (DOC, 47KB)
In-Range Labor Market (DOC, 43KB)
Job Description (DOC, 85KB)
Mentor Pay Authorization (DOC, 59KB)
Nurse Sign On Bonus PAF (PDF, 68KB)
Nurse Weekend Option Day Memorandum (DOC, 41KB)
Nurse Weekend Option Night Memorandum (DOC, 41KB)
Overtime/On Call/Call Back Agreement (PDF, 89KB)
Position Spreadsheet (XLS, 54KB)
Program Evaluation Guide (PDF, 478KB)
Request to Add Position/Class to On-Call List (PDF, 196KB)
Retention Adjustment Worksheet (PDF, 50KB)
Retired Temporary Employees Agreement (PDF, 246KB)
Salary Decision Worksheet (Career Banding) (DOC, 64KB)
Salary Equity Analysis Worksheet (XLS, 41KB)
Salary Overpayment Collection (Instructions DOC 29k) (Form DOC 44k)
Salary Exception Worksheet (PDF, 53KB)
Secondary Employment Form (DOC, 49KB)
Sleep Policy Agreement (PDF, 86KB)
Unofficial Trainee Worksheet (PDF, 61KB)
Work Against Worksheet (PDF, 359KB)
Employee Disciplinary Action Routing Form (PDF, 287KB)
Employee Grievance Filing Form (PDF, 276KB)
Performance Rating Dispute Process Complaint Filing Form (PDF, 338KB)
Proposed Dismissals, Demotions and Disciplinary Suspensions Form (PDF, 175KB)
Program Evaluation Form (PDF, 364KB)
Statement of Backpay (PDF, 261KB)
Application For Academic Assistance (OSP)
Academic Assistance Annual Report (PDF, 44KB)
Continuing Education Units Application (PDF, 148KB)
Continuing Education Units Instructor Credentials Form (PDF, 141KB)
Continuing Education Units Planning Worksheet (PDF, 109KB)
Continuing Education Units Review (PDF, 86KB)
Conference Authorization (PDF, 442KB)
OSP Professional Skills Course Registration (OSP)
EEOI Registration (PDF, 18KB)
Extended Academic Leave Request (PDF, 44KB)
Training Requirements Acknowledgement (PDF, 17KB)
Freeze Guidelines (PDF, 141KB)
Job Posting Form (PDF, 105KB)
GS 126 RIF PLAN Template (DOC, 64KB)
GS 126 RIF Worksheet (XLS, 17KB)
GS 115C RIF PLAN Template (DOC, 44KB)
GS 115C RIF Worksheet (XLS, 17KB)
Reference Check (PDF, 106KB)
Release Form (PDF, 111KB)
Safety and Health Director's Accident/Injury Investigation Form (DOC, 186KB)
Confined Space Survey (DOC, 320KB)
Confined Space Permit (DOC, 95KB)
Ergonomic Assessment (DOC, 134KB)
Ergonomic Assessment (Supervisor)(DOC, 910KB)
Fire Equipment Inspection (DOC, 131KB)
Indoor Air Quality Inspection (PDF, 292KB)
Medical Provider Opinion (DOC, 47KB)
Medical Surveillance Questionnaire (DOC, 175KB)
OSHA Log (XLS, 646KB)
Quarterly Statistical Report Form (XLS, 293KB)
Safety Inspection Checklist (DOC, 112KB)
Safety Training Evaluation (DOC, 59.5KB)
Safety Training Participation (DOC, 42KB)
Applicant Consent and Acknowledgement Form (DOC, 37.5KB)
Consent and Acknowledgement for CDL (PDF, 121KB)
Consent and Acknowledgement Form for Random and Reasonable Cause (PDF, 91KB)
Criminal Justice Drug Test Applicant Consent Form (PDF, 245KB)
Criminal Record Check Consent (PDF, 83KB)
Criminal Record Check Letter (PDF, 137KB)
Criminal Record Check Request (PDF, 270KB)
Criminal Record Check Transmittal (PDF, 125KB)
Direct Care / Critical Care Request (PDF, 253KB)
Direct Care List
Critical Care List
Statistical Report (PDF, 271KB)
CorVel Medical Authorization and Prescription Form (DOC, 90KB)
Death Claim Notice (PDF, 244KB)
DHHS Witness Statement (DOC, 40KB)
Employee Injury Report (DOC, 71KB)
Supervisor Investigation Form (DOC, 54KB)
Leave Option Form (DOC, 38KB)
Return to Work with Restricted Duties (DOC, 44KB)
Separation for Unavailability--WC Conference Letter
Separation for Unavailability--WC Separation Letter--Return to Work
Separation for Unavailability--WC Separation Letter--No Return to Work
Supplemental Leave Schedule (DOC, 26KB)
Settlement Approval Request Form (DOC, 60KB)
Statement of Charges for Travel (NCIC 25T)
Statement of Days Worked and Earnings of Injured Employee (NCIC 22)
