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| Form Name and Number | PDF Format |
| Application for Leave to Appeal to the Employment Relations Board CS-1743 (rev. 8/22) | CS1743.pdf |
| Beneficiary Designation Change CS-1781 (rev. 4/25) | CS1781.pdf |
| Brief in Response to Application for Leave to Appeal to the Employment Relations Board CS-1754 (rev. 8/22) | CS1754.pdf |
| Civil Service Position Description CS-214 (rev. 11/13) Instructions for CS-214.pdf CS214.doc |
CS214.pdf |
| Claim of Appeal as of Right to the Employment Relations Board CS-1756 (rev. 9/22) |
CS1756.pdf |
| Dependent Care Flexible Spending Account Mid-Year Enrollment CS-1774 (rev. 12/23) |
CS1774.pdf |
| Disability Accommodation Request by Employee CS-1668 (rev. 11/23) |
CS1668.pdf |
| Disclosure of Interest CS-1783 (rev. 4/07) |
CS1783.pdf |
| DMO Leave Application CS-1838 (rev. 5/25) This Form is for Disability Management Office Use Only |
CS1838.pdf |
| Final Compensation Beneficiary Designation CS-140 (rev. 6/24) |
CS140.pdf |
| Flexible Spending Accounts Life Event/Election Change CS-1784 (rev. 3/25) |
CS1784.pdf |
| FMLA Certification Employee Relative CS-1807 (New 1/09) |
CS1807.pdf |
| FMLA_Leave of Absence Request_Response CS-1810 (rev. 7/19) |
CS1810.pdf |
| Grievance Form CS-100 (rev. 8/22) |
CS100.pdf |
| Group Appeal Contact Information CS-1793 (rev. 4/15) |
CS1793.pdf |
| Health Care Flexible Spending Account Mid-Year Enrollment CS-1773 (rev. 12/23) |
CS1773.pdf |
| Health Care Flexible Spending Account Continuation of Coverage CS-1814 (rev. 10/20) |
CS1814.pdf |
| HIPAA Disclosure Authorization CS-1786 (rev. 5/04) |
CS1786.pdf |
| HIPAA Privacy Complaint Form CS-1782 (rev. 2/17) |
CS1782.pdf |
| Life Insurance and Accidental Duty Death Enrollment and Beneficiary Form CS-1717 (rev. 9/17) This Form is for Judicial State Employees Use Only |
CS1717.pdf |
| Non-FMLA Medical Certification by Physician CS-1835 (rev. 4/17) |
CS1835.pdf |
| OEAI Application and Affidavit CS-1833 (rev. 1/25) |
CS1833.pdf |
| Petition for Election CS-1760 (rev. 8/22) |
CS1760.pdf |
| Pregnant Worker Accommodation Request (rev. 5/24) | CS1667.pdf |
| Proof of Service to Other Parties to the Employment Relations Board CS-1740 (rev. 4/15) |
CS1740.pdf |
| QTFB Reimbursement Claim CS-1779 (rev. 2/17) |
CS1779.pdf |
| Recall Election Form CS-1848 (New 1/19) |
CS1848.pdf |
| Request to Order Witnesses to Appear or Produce Documents CS-1747 (rev. 9/15) |
CS1747.pdf |
| Technical Complaint Form CS-212 (rev. 9/22) |
CS212.pdf |
| Unclassified Position Description CS-133 (rev. 7/13) |
CS133.pdf |
| Verification of Eligibility CS-1830 (rev. 2/17) |
CS1830.pdf |
| FORMS FOR MANAGERS & PERSONNEL STAFF |
| Form Name and Number | PDF Format |
| Civil Service Position Description CS-214 (rev. 11/13) Instructions for CS-214.pdf CS214.doc |
CS214.pdf |
| Discriminatory Harassment Work Rule (rev. 8/07) |
Harass.pdf |
| Employee Departure Report CS-301 (rev. 2/19) |
CS301.pdf |
| Employee Personal Data CS-1785 (rev. 12/16) This Form is for Human Resource Offices Use Only |
CS1785.pdf |
| Employment History File Correction Request CS-1705 (rev. 4/17) |
CS1705.pdf |
| Evaluation of Disability Accommodation CS-1670 (rev. 8/07) |
CS1670.pdf |
| Final Compensation Beneficiary Affidavit CS-140a (rev. 6/24) |
CS140a.pdf |
| Interim Employee Rating CS-375 (rev. 6/18) |
CS375.pdf |
| Oath of Office CS-314 (rev. 8/07) |
CS314.pdf |
| Plan C - Leave of Absence CS-1788 (rev 2/25) |
CS1788.pdf |
| Position Request CS-1795 (rev. 4/17) |
CS1795.pdf |
| Response to Pregnant Worker Accommodation Request (rev. 6/24) | CS1667a.pdf |
| Request for Credential Review CS-153 (rev. 7/09) Credential Review Procedures.pdf Prescreen Procedures.pdf |
CS153.pdf |
| Request for Prior Employment History CS-1704 (rev. 1/12) |
CS1704.pdf |
| Response to Disability Accommodation Request CS-1669 (rev. 11/23) |
CS1669.pdf |
| Senior Executive Management Assistant Service (SEMAS) Limited-Term Employment Agreement CS-1738 (rev. 7/13) |
CS1738.pdf |
| Senior Executive Service Limited-Term Employment Agreement CS-1720 (rev. 7/13) |
CS1720.pdf |
| Unclassified Position Description CS-133 (rev. 7/13) |
CS133.pdf |
