DFA HR Forms

NOTICE:
Some internet browsers have a built in PDF viewer that may not be compatible with our forms. Adobe Reader may be required for your browser or you may need to download the form to complete it properly.

New Hiring Freeze 

Title Posted

Hiring Freeze Form

07/28/2023
   

ADA

Title Posted
ADA Employee Request Form 06/20/2019
ADA Medical Questionnaire 10/26/2022

Criminal Background Check

Title Posted
Criminal Background Check Consent 09/20/2022

Discipline

Title Posted
Notice of Disciplinary Action 03/18/2024
Disciplinary Action Violation Templates  
Disciplinary Measures 10/16/2018

 

 

Discrimination/Harassment

Title Posted
DFA Discrimination and Sexual Harassment Complaint 10/26/2022

Ethics and Fraud

Title Posted
Code of Ethics Attachment A 10/16/2018
Code of Ethics and Anti-Fraud Policy 10/16/2018
Code of Ethics Attachment B - Annual Acknowledgement 10/16/2018
Code of Ethics Attachment C - Complaint 10/16/2018

FMLA

Title Posted
Employee Rights and Responsibilities Poster 11/02/2020
Leave Request 02/17/2021
Healthcare Provider for Employee Serious Health Condition 03/21/2024
Healthcare Provider for Family Member Serious Health Condition 03/21/2024
Notice of Eligibility and Rights and Responsibilities 03/21/2024
Designation Notice 03/21/2024
Certification of Qualifying Exigency for Military Family Leave 03/21/2024
Serious Injury or Illness of a Current Servicemember - for Military Family Leave 03/21/2024
Serious Injury or Illness of a Veteran for Military Caregiver Leave 03/21/2024

Grievance

Title Posted
Dispute Resolution Form 10/16/2018


Payroll/Time/Leave

Title Posted
Display Absence Quota Instructions 10/16/2018
Address Change 10/28/2022
Bank Details - Direct Deposit 10/16/2018
Direct Deposit Hardship Exemption Request 05/19/2021
Leave Balance Quota Correction 09/30/2021
Leave Balances for Transferring Employees 10/28/2022
Leave Payout Authorization 09/30/2021
Quota Overview Instructions 10/16/2018
Sick Leave Incentive Program Notice 10/16/2018
Supervisory Leave 10/16/2018
Requested for Approved Leave Without Pay 08/14/2023
Request to Stop Miscellaneous Deductions 10/28/2022

Personnel/Hiring

Title Posted
DFA Performance Evaluation Appeal Form 06/13/2024
Employee Disclosure/Certification and Employment of Family Members Forms 10/04/2023
Emergency Hire Request 10/16/2018
Employee Master Data 08/09/2019
Financial Obligation Policy Receipt 07/22/2019
Hiring Freeze Exception Request 07/28/2023
I9 - Employment Eligibility and Verification 08/07/2023
I9 - Employment Eligibility and Verification Instructions 01/08/2021
Internal Advertising Approval Request 10/16/2018
JVR 12/03/2020
Mandatory Direct Depost Notification 10/16/2018
New Hire Document Checklist 01/20/2021
Position Crossgrade Downgrade 09/22/2020
Proof of Prior Service 04/07/2022
Reference Consent and Release 09/15/2022
State Employee ID Voucher 10/16/2018

Remote Work

Title Posted
DFA Remote Work Agreement 07/05/2023
Job Aid – Alternative Work Site Requirements (IRS Pub. 1075) 07/05/2023

Special Entry Rates

Title Posted
Exceptionally Well Qualified - Special Entry Rate 10/16/2018
Movement of Current Employees to Approved Special Entry Rates 10/16/2018
New Labor Market Rates 10/16/2018
Labor Market Conditions 10/16/2018

Termination

Title Posted
Change In Employment Status 04/20/2021
Separation Memo 10/27/2022

Travel

Title Posted
TR-1 10/16/2018
Travel Authorization 04/24/2023

Vehicle Safety

Title Posted
VSP-1 01/10/2023

Workers Comp

Title Posted
Workers’ Compensation Incident Report 10/16/2018
Company Nurse Poster 10/16/2018
Workers’ Compensation Procedures 05/11/2022