DHHS Division of Human Resources
Department of Health and Human Services
     Search:
 
Forms

*** Interactive PDF s:
With these Adobe PDF forms you can complete the input fields and save the file to your computer.

General Employee Forms
Academic Assistance Immigration and Naturalization Form
BEACON Role Change Request Job Application PD-107
Critical Care List
Direct Care List
NC Flex Forms
Federal IRS Form State Tax Withholding NC-4
Federal Tax Withholding W4 State Retirement Beneficiary Designation Form
Freeze Guidelines State Health Plan Important Forms
Freeze Release Form (Divisions) Separations
Freeze Release Form (Facilities) Work Plan
I-9 Employment Eligibility Vertification  


Classification Compensaton
319 Employee Relationship Questionnaire In-Range Labor Market Form
ADA Checklist Job Description PD102r-92 PDF DOC 
Agency Check Request Form
Job Description PD-OSS93
Analyst Notes Overtime Agreement
Analyst Notes (Career Banding)
Position Description (for Career Banded Positions)  
Analyst Notes OSSOG
Program Evaluation Guide
Contract Approval Form Request to Add Position/Class to On-Call List
Career Banding Pay Dispute Process Form Retention Adjustment Worksheet
Dual Employment CP - 30
Retired Temporary Employees Agreement
FLA Test Executive
Salary Equity Analysis Worksheet
FLSA Test Administrative  
Salary Qualifications Worksheet  
FLSA Test Professional
Salary Exception Worksheet
FLSA Test Creative Professional
Secondary Employment Form
FLSA Test Computer Related
Special Entry Rate Worksheet
Geographic Differential Worksheet
Unofficial Trainee Worksheet
In-Range Equity  Work Against Worksheet
In-Range Job Growth Form  
Employee and Management Development
Application For Academic Assistance Conference Authorization
Academic Assistance Annual Report OSP Professional Skills Course Registration
Continuing Education Units Application EEOI Registration
Continuing Education Units Instructor Credentials Form Extended Academic Leave Request
Continuing Education Units Planning Worksheet Managing Effective Performance
Continuing Education Units Review Staff Development Report


Employee Relations
Employee Disciplinary Action Routing Form Proposed Dismissals, Demotions and Disciplinary Suspensions Form
Employee Grievance Filing Form Program Evaluation Form
Performance Rating Dispute Process Complaint Filing Form Statement of Backpay


Recruitment
Applicant Selection Codes

RIF PLAN Template

Applicant Selection Log (PDF)
Applicant Selection Log (Word)
Reference Check (PDF)
Reference Check (Word)
Job Posting Form (PDF)
Job Posting Form (Word)
Release Form (Word)
Release Form (PDF)
Consent to Disclose Information For Reference Checks


Safety and Benefits
Certificate of Healthcare Provider Family Medical Leave Act / Family Illness Leave Request Form
Consent and Acknowledgement Form for CDL and Reasonable Cause Incident Investigation Report
Criminal Justice Drug Test Applicant Consent Form Return to Work Form
Criminal Record Check Consent Residential Settlement Approval Request Form
Criminal Record Check For Direct Care Employment Consent Form Statistical Report
Criminal Record Check for Direct Care Employment Form State Employee Incentive Bonus Program Routing Form
Criminal Record Check for Direct Care Employment Transmittal Form State Employee Incentive Bonus Program Employee  Suggestion Form
Criminal Record Check for Residential School Employment Transmittal Form Voluntary Shared Leave Application
Death Claim Notice Voluntary Shared Leave Donation
Direct Care Applicant Consent and Acknowledgement Form KRMS Medical Authorization and Prescription Form
Direct Care / Critical Care Request Drug Test Program Release of Information Form


Obsolete Form(s)

f

Last modified: July 17, 2008