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Form Name and Number Microsoft Office 2003 Format

PDF Format

Application for Leave to Appeal to the Employment Relations Board CS-1743
Revised 8/2022

CS1743

CS1743.pdf
Beneficiary Designation Change CS-1781
Revised 5/2010
CS1781 CS1781.pdf
Brief in Response to Application for Leave to Appeal to the Employment Relations Board CS-1754
Revised 8/2022
CS1754 CS1754.pdf
Civil Service Position Description CS-214
Instructions for CS-214.doc
Instructions for CS-214.pdf
Revised 11/2013
CS214 CS214.pdf
Claim of Appeal as of Right to the Employment Relations Board CS-1756
Revised 8/2022
CS1756 CS1756.pdf
Dependent Care Flexible Spending Account Mid-Year Enrollment CS-1774
Revised 2/2017
CS1774 CS1774.pdf
Disability Accommodation Request by Employee CS-1668
Revised 7/2020
CS1668 CS1668.pdf
Disclosure of Interest CS-1783
Revised 4/2007
CS1783 CS1783.pdf
DMO Leave Application CS-1838
This Form is for Disability Management Office Use Only
Revised 9/2020
CS1838 CS1838.pdf
Final Compensation Beneficiary Designation CS-140
Revised 8/2007
CS140 CS140.pdf
Flexible Spending Accounts Life Event/Election Change CS-1784
Revised 10/2020
CS1784 CS1784.pdf
FMLA Certification Employee Relative CS-1807
New 1/2009

CS1807

CS1807.pdf
FMLA_Leave of Absence Request_Response CS-1810
Revised 7/2019
CS1810 CS1810.pdf
Grievance Form CS-100
Revised 8/2022
CS100 CS100.pdf
Group Appeal Contact Information CS-1793
Revised 4/2015
CS1793 CS1793.pdf
Health Care Flexible Spending Account Mid-Year Enrollment CS-1773
Revised 10/2020
CS1773 CS1773.pdf
Health Care Flexible Spending Account Continuation of Coverage CS-1814
Revised 10/2020
CS1814 CS1814.pdf
HIPAA Disclosure Authorization CS-1786
Revised 5/2004
CS1786 CS1786.pdf
HIPAA Privacy Complaint Form CS-1782
Revised 2/2017
CS1782 CS1782.pdf
Life Insurance and Accidental Duty Death Enrollment and Beneficiary Form CS-1717
This Form is for Judicial State Employees Use Only
Revised 9/2017
CS1717 CS1717.pdf
Non-FMLA Medical Certification by Physician CS-1835
Revised 4/2017
CS1835 CS1835.pdf
OEAI Application and Affidavit CS-1833
Revised 10/2020
CS1833 CS1833.pdf
Petition for Election CS-1760
Revised 8/2022
CS1760 CS1760.pdf
Proof of Service to Other Parties to the Employment Relations Board CS-1740
Revised 4/2015
CS1740 CS1740.pdf
QTFB Reimbursement Claim CS-1779
Revised 2/2017
CS1779 CS1779.pdf
Recall Election Form CS-1848
New 1/2019
CS1848 CS1848.pdf
Request to Order Witnesses to Appear or Produce Documents CS-1747
Revised 9/2015
CS1747 CS1747.pdf
Technical Complaint Form CS-212
New 8/2022
CS212 CS212.pdf
Unclassified Position Description CS-133
Revised 7/2013
CS133 CS133.pdf
Verification of Eligibility CS-1830
Revised 2/2017
CS1830 CS1830.pdf
 
FORMS FOR MANAGERS & PERSONNEL STAFF
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Form Name and Number Microsoft Office 2003 Format

PDF Format

Civil Service Position Description CS-214
Instructions for CS-214.doc
Instructions for CS-214.pdf
Revised 11/2013
CS214 CS214.pdf
Discriminatory Harassment Work Rule
Revised 8/2007
Harass Harass.pdf
Employee Departure Report CS-301
Revised 2/2019
CS301 CS301.pdf
Employee Personal Data CS-1785
This Form is for Human Resource Offices Use Only
Revised 12/2016
CS1785 CS1785.pdf
Employment History File Correction Request CS-1705
Revised 4/2017
CS1705 CS1705.pdf
Evaluation of Disability Accommodation CS-1670
Revised 8/2007
CS1670 CS1670.pdf
Final Compensation Beneficiary Affidavit CS-140a
Revised 8/2007
CS140a CS140a.pdf

Group Four and Senior Executive Service Performance Management and Competency Rating Form CS-1719
Competency and Rating Scales for Group 4 and Senior Executive Service.doc
Competency and Rating Scales for Group 4 and Senior Executive Service.pdf
Revised 3/2016

CS1719 CS1719.pdf
Group One Employees Performance Management and Competency Evaluation Form CS-1750
Group One Behaviorally Anchored Rating Scales.doc
Group One Behaviorally Anchored Rating Scales.pdf
Revised 3/2016
CS1750 CS1750.pdf

Group Three Managers Performance Management and Competency Rating Form CS-1761
Group Three Managers Competency Rating Scales.doc
Group Three Managers Competency Ratings Scales.pdf
Revised 3/2016

CS1761 CS1761.pdf
Group Three Supervisors Performance Management and Competency Rating Form CS-1752
Group Three Supervisor Competencies Behaviorally Anchored Rating Scales.doc
Group Three Supervisor Competencies Behaviorally Anchored Rating Scales.pdf
Revised 10/2010
CS1752 CS1752.pdf
Group Two Employees Performance Management and Competency Evaluation Form CS-1751
Group Two Behaviorally Anchored Rating Scales.doc
Group Two Behaviorally Anchored Rating Scales. pdf
Revised 3/2016
CS1751 CS1751.pdf
Interim Employee Rating CS-375
Revised 6/2018
CS375 CS375.pdf
Oath of Office CS-314
Revised 8/2007
CS314 CS314.pdf
Plan C Leave of Absence Form CS-1788
This Form is for Employee Benefits and Human Resource Offices Use Only
Revised 2/2017
CS1788 CS1788.pdf
Position Request CS-1795
Revised 4/2017
CS1795 CS1795.pdf
Request for Credential Review CS-153
Credential Review Procedures.pdf
Prescreen Procedures.pdf
Revised 7/2009
CS153 CS153.pdf
Request for Prior Employment History CS-1704
Revised 1/2012
CS1704 CS1704.pdf
Response to Disability Accommodation Request CS-1669
Revised 7/2020
CS1669 CS1669.pdf
Senior Executive Management Assistant Service (SEMAS) Limited-Term Employment Agreement CS-1738
Revised 7/2013
CS1738 CS1738.pdf
Senior Executive Service Limited-Term Employment Agreement CS-1720
Revised 7/2013
CS1720 CS1720.pdf
Unclassified Position Description CS-133
Revised 7/2013
CS133 CS133.pdf