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HR Forms


  • Application for Tuition Reimbursement Form and Instructions(CO-101)
  • Admin. Asst. Manager's Form (PER-2)
  • Agency Certification of Employee Eligibility to Participate in the Reemployment and SEBAC Placement and Training Programs Forms (CT-HR-1)   Instructions and Fillable PDF version
  • Application for Examination or Employment (CT-HR-12 PDF version)
  • Addendum to the Application Form for Examination and Employment – Criminal Convictions (CT-HR-13)
  • ATC Certification Documentation form (CT-HR-2)
  • Certification for PSA with Current State Employee (CT-HR-10)
  • Consolidation Spreadsheet
  • DAS HR Management - Documenting Managerial Employee (CT-HR-3)
  • Dual Employment Request Form (CT-HR-25)
  • Duties Questionnaire Form (CT-HR-14)
  • Employment Eligibility Verification Form (I-9)
  • Examination Data Form (CT-HR-9)
  • Grievance and Appeal Packet (PER-144)

  • HR Workplace Violence Check List
  • Objective Job Evaluation Questionnaire (OJE)
  • Placement on Statewide Transfer List Request Form (CT-HR-5)
  • Promotional Examination Score/Application Request Form (CT-HR-26)
  • Provisional Appointment Request Form (PER-4)
  • Request for Waiver of Classified Service Form (CT-HR-4)
  • Request to Hold Classified Position (CT-HR-28)
  • Request for Training (SEBAC) (CT-HR-29)
  • Request to Waive Exam Form (CT-HR-27)
  • Rescind Resignation Request Form (CT-HR-6)
  • Telecommuting Proposal: Appendix A
  • Telecommuting Arrangement: Appendix B
  • Temporary Service in Higher Class Request Form (P-CB-1)
  • Temporary Worker Retiree Pool Form (CT-HR-21)
  • Transfer/Rehire Form for Agency Use (CT-HR-17)
  • Travel Authorization Request Form (CO-112)
  • Voluntary Schedule Reduction Program Request Form (CT-HR-7)
  • Manager's Sick Bank Info / Enrollment Form
  • Application for Use Management Sick Leave Bank / Sick Leave Bank Guidelines

    • Performance Evaluation Forms

  • Administrative & Residual Service Rating Form (PER 127)) PDF Version
  • Administrative & Residual Service Rating Form (PER 127) WORD Version
  • Clerical Service Rating Form (PER 126) PDF Version
  • Clerical Service Rating Form (PER 126) WORD 97-2003 Version
  • Clerical Service Rating Form (PER 126) Word 6 Version
  • Maintenance Service Rating Form (PER 148) PDF Version
  • Maintenance Service Rating Form (PER 148) WORD Version
  • Performance Appraisal (PER 125) PDF Version
  • Performance Appraisal (PER 125) WORD Version
  • Performance Appraisal (PER-DCF-P2) PDF Version
  • Performance Appraisal (PER-DCF-P2) WORD Version
  • 1199 Service Rating Form PDF Version


    • PARS Forms

  • Performance Assessment and Recognition System (PARS) (PER 132) PDF Version
  • Performance Assessment and Recognition System (PARS) (PER 132) MSWord Version

    • Medical / FMLA Forms

  • Employee Med Cert Form (P-33A)
  • Caregiver Med Cert Form (P-33B)
  • FMLA-HR1
  • FMLA-HR2a
  • FMLA-HR2b
  • FMLA-HR2c
  • FMLA-HR3

    • Military Forms

  • DOL-WH384: Certification for Qualifying Exigency for Military Family Leave
  • DOL-WH385: Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave
  • DOL-WH385-V:  Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave  (Federal FMLA only)

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