HR Forms

Mandatory Employment Related Posters

AK Employment Center

• AK Employment Center Guidelines (PDF)
• AK Employment Center Hire Approval Checklist (Word)

State of Alaska Internship Program

• Internship Program Guidelines, version 8/2008 (pdf)
• Internship Training Plan and Evaluation Criteria (doc)
• Internship Program Evaluation (doc)
• WPA Prior to Post Checklist - Internship (doc)
• WPA Request for Hire Approval - Internship (doc)
  

Local 71 Labor Trades & Crafts (LTC)

• LTC Hire Guidelines (PDF)
• LTC Hire Checklist (Word)
• LTC Request for Referral: PDF/Word

Workplace Alaska (WPA)

• Workplace Alaska Guidelines (PDF)
• WPA Prior to Post (Word)
• WPA Request for Hire Approval (Word)

DVR Provisional Hires

• DVR Provisional Hire, Request for Hire Approval (Word)
• State of Alaska Provisional Hire Program (PDF)

• Employee Form Packets (current employees only)

Select form packet... Board and Commissioner Members Hire Board and Commissioner Members Separation Current State Employee Position Change Family Medical Leave GGU Separating IBU Separating KK Separating Layoff Long Term Non Perm Separating LTC Separating MEBA Separating Military Leave (To) Military Leave (Return from) MMP Separating PSEA Separating PX/EX Hiring Packet PX/EX Separating Return from Seasonal Leave Without Pay Short Term Non Perm Separating Status Change SU Separating To Seasonal Leave Without Pay Troopers Separating Transfer out of Dept

For a complete listing of forms from the Division of Retirement and Benefits click here

A

• ADA Accessibility Checklist
• ADA Employee Release
• ADA Grievance Procedures
• ADA Health Care Provider Information
• ADA How to File a State of Alaska ADA Complaint
• ADA Reasonable Accommodation Request
• ADA State of Alaska Supervisor's Guide to Title I of the Americans with Disabilities Act
• ADA State Policy Poster
• ADA Temporary restricted duty request
• ADA Workplace Modification Request
• Address Authorization/Change
• Admin Order 75 Equal Opportunity Employer
• Admin Order 81 Policy on Discriminatory Harassment
• Admin Order 129 Americans with Disabilities Act
• Admin Order 195 Diversity Program
• Advanced Step Placement Worksheet - Analysis
• AKPAY Certifying Officer & User Affidavit
• AKSAS Certifying Officer Affidavit
• Alternate Work Week CEA - Assignment Sheet
• Alternate Work Week CEA - LOA 07-KK-220 amended
  
• Alternate Work Week GGU Schedule 1
• Alternate Work Week GGU Schedule 2
• Alternate Work Week LTC - LOA 09-LL-163
• Alternate Work Week SU
• Alternate Work Week SU, Option 3
• Alternate Work Week Master Agreement GGU
• Alternate Work Week Master Agreement LTC
• Annuity Benefit Election Form (SBS)
• Applicant Certification
• Application for COLD and Certification of Residency

B

• Basic & Optional Life Insurance Enrollment/Change Form
• Beneficiary Forms

C

• CEA Assignment Forms
• Certification of Employment as a Commercial Motor Vehicle Operator
• Classification Maintenance Request
  • Form
  • Procedure
• Classification Study Request
  • Form
  • Procedures
• Conditions of Employment Upon Return From Layoff - GGU
• Conditions of Employment Upon Return From Layoff - SU
• Confidentiality of Information Acknowledgement Form

D

• DCP Benefit Payment Election form (W-4P included)
• Declaration of Familial Relationships and Nepotism Waiver
• Deferred Compensation Plan Forms
• Deferred Compensation Plan Periodic Payments Brochure
• Direct Deposit Authorization
• Drug-free Workplace Act

E

• Employee Affidavit Oath of Office
• Employee Clearance Form
• Employee Eligibility Verification (I-9)
• Equal Employment Opportunity Survey
• Ethics Disclosure: Confidential Notification of Potential Violation
• Ethics Disclosure: Grants/Contracts/Leases/Loans Notification
• Ethics Disclosure: Notification of Receipt of Gift from Another Government
• Ethics Disclosure: Notification of Receipt of Gift
• Ethics Disclosure: Outside Employment or Services Notification
• Exit Survey

F

• Family Leave Information
  • Family Leave Packet
  • Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave
  • Certification of Qualifying Exigency for Military Family Leave
• Firearm Certification New Hire
• Firearm Certification Volunteer
• Flex Time: CEA Agreement
• Flex Time: GGU Agreement
• Flex Time: SU Agreement
• Flex Time Tracking: CEA
• Flex Time Tracking: GGU
• Flex Time Tracking: SU
• Floating Holiday Agreements
  • CEA Agreement
  • EX and PX Agreement
  • GGU Agreement
  • SU Agreement

G

• GGU Health Trust Notification Form
• GGU Health Trust Insurance Deferral Form
• GGU/LTC/SU Seasonal Employee Leave Retention Form
• GGU Seasonal OT/Comp Time Option Form

L

• Logon ID Request
• LTC Hire Checklist
• LTC Hire Guidelines
• LTC Request for Referral: PDF/Word

M/N/O

• Master Alternate Work Schedule
• Military Leave Benefit Election Form
• Nepotism Waiver
• Net Pay Estimator - Semi-Monthly
• Net Pay Estimator - Bi-Weekly
• Non Permanent Position Extension Form (please use OPD)
• Non Permanent Position Request Form (please use OPD)
• Notice of Pay Problem

P

• Performance Evaluation Report
  • Rater's Guide
• PERS Defined Contribution Retirement Plan Beneficiary Designation (Tier IV)
• PERS/TRS Defined Benefit Retirement Plan Beneficiary Designation (PERS Tier I, II, III / TRS I, II)
• PERS/TRS Refund Election
  • PERS I, II, III / TRS I, II Refund Election
  • PERS IV / TRS III Distribution Election
• Personnel Action Request Form (PARF) PDF/Word
• Personal Use of Office Technology Policy
• Position Description (OPD)
  • Click here for more information...
• Position Description Classification Request Questionnaire
• Post Hire Questionnaire for Second Injury Fund Qualification
• Prior Service Verification
• Public Employees' Retirement System (PERS) Information
• PX and XE Current Employment Appointment Information
• PX and XE NEO Appointment Information

R/S/T

• Records - Routine Access to Records
• Residency Affidavit
• Retiree Rehire Policy/HB 161 Analysis Worksheet PDF/Word
• SBS Annuity Plan Beneficiary Form
• SBS Optional Benefits Beneficiary Form (Life, AD&D, Survivor)
  
• SBS/Select Benefits Enrollment Packet
• Select Benefits Health Dependent Enrollment Form (not for GGU)
• Social Security Form SSA-1945
• State Employee Identification Card Application
• Statewide Policy Acknowledgement Form
• Supervisor Checklist/Current Employee Forms
• Supervisor Checklist/New Employee Forms
• Supervisor Responsibility
• Supervisor's Worksheet for Department Specific Information to Provide to new Employees
• Term Leave Payoff Tax Option Form
• Travel Questionnaire
  • Supplemental
• TRS Defined Contribution Retirement Plan Beneficiary Designation (Tier III)

U/W

• Union Notification for ASEA (GGU)
• Union Notification Information
• U.S. Savings Bond Authorization
• W4 Employee's Withholding Allowance Certificate
• Warrant Status Change Request
• Work Permit
• Worksafe Donor Referral
• Worksafe - Preemployment Donor Referral
• Workers' Compensation: Division of Marine Highways Accident/Illness Report
• Workers' Compensation: Employee's/Master Report of Maritime Injury or Illness
• Workers' Compensation: Marine Highways Accident Report (Vehicle)
• Workers' Compensation: Notice to Employee
• Workers' Compensation: Report of Occupational Injury or Illness
  • Report of Occupational Injury or Illness Procedure Manual
• WPA System Access