HR Forms & Resources
DOA Performance Evaluation Pilot Due Date
DOA final Pilot Performance Evaluations are due on 1/31/21. These should evaluate employees based on the metrics, measures, and SMART goals initiated on 12/20/19 and worked on throughout this last year.
For more information please go to the Performance Evaluation Pilot Program page.
Posted: 11/25/2020
Additional Resources
Find Forms & Resources
Please note the forms & resources can either be found alphabetically or by subject. They are shown as TITLE (DOCTYPE). The (DOCTYPE) is to show what type of form it is whether excel (XLS), word (DOC or DOCX), or PDF.
Alphabetical Listing
Select the letter to view forms.
A
- ADA Reasonable Accommodation Department Review and Action Log (PDF)
- ADA Reasonable Accommodation Packet (PDF)
- ADA State Policy Poster
- ADA Temporary restricted duty request (PDF)
- Address Authorization/Change (PDF)
- Advanced Step Placement Worksheet - Analysis (DOC)
- Alcohol and Drug Free Workplace Act (PDF)
- ALDER User Affidavit and Instructions (PDF)
- Alternate Work Week ACOA
- Alternate Work Week CEA
- Alternate Work Week GGU
- Alternate Work Week LTC
- Alternate Work Week LTC Agreement 1 (4 Day) (PDF)
- Alternate Work Week LTC Schedule 1 (4 Day) (PDF)
- Alternate Work Week LTC Agreement 2 (9 Day) (PDF)
- Alternate Work Week LTC Schedule 2 (9 Day) (PDF)
- Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
Akutan Airport (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
Akutan Airport (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
Bethel Airport (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
Bethel Airport (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Dalton District Maintenance Stations, and Northern Region Roving and Bridge Crews (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Dalton District Maintenance Stations, and Northern Region Roving and Bridge Crews (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Galena Airport (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Galena Airport (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Maintenance Stations (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Maintenance Stations (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Northern Region Winter Operations (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Northern Region Winter Operations (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
St. Mary's State Equipment Fleet Mechanic (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
St. Mary's State Equipment Fleet Mechanic (PDF)
- Alternate Work Week SU
- Annuity Benefit Election Form (SBS) (Empower Retirement)
- APOC Filing Information (PDF)
- Application for COLD and Certification of Residency (PDF)
- Authorization to Release Confidential Employee Records (PDF)
B
C
D
- DCP Distribution / Direct Rollover Request (Empower Retirement)
- Deferred Compensation Plan Forms
- Deferred Compensation Plan Periodic Payments Brochure
- Designation of Beneficiary for Unpaid Compensation (PDF)
- Direct Deposit Authorization - Payroll (PDF)
- Direct Deposit Authorization - Per Diem & Reimbursement (PDF)
- Drug and Alcohol Test Authorization (PDF)
E
- Emergency Contact (PDF)
- Employee Affidavit Oath of Office (PDF)
- Employee Clearance Form (PDF)
- Employee Eligibility Verification (I-9) (PDF)
- Employee Records - Business Access Request & Authorization (PDF)
- Employment Discrimination Complaint Form (PDF)
- Equal Employment Opportunity Survey (PDF)
- Ethics Disclosure: Confidential Notification of Potential Violation (PDF)
- Ethics Disclosure: Grants/Contracts/Leases/Loans Notification (PDF)
- Ethics Disclosure: Notification of Receipt of Gift from Another Government (PDF)
- Ethics Disclosure: Notification of Receipt of Gift (PDF)
- Ethics Disclosure: Outside Employment or Services (PDF)
- Exit Survey
F
- Family Leave Information
- Firearm Certification New Hire (PDF)
- Firearm Certification Volunteer (PDF)
- Flexible Staffed Position, Request to Establish (DOCX)
- Flex Time: CEA Agreement (PDF)
- Flex Time: GGU Agreement (PDF)
- Flex Time: SU Agreement (PDF)
- Flex Time Tracking: CEA (XLSX)
- Flex Time Tracking: GGU (XLSX)
- Flex Time Tracking: SU (XLSX)
- LOA 21-SS-025 Flex Time Tracking: SU (XLSX) (expires 12/31/20)
- Floating Holiday Agreements
G
I
L
- Layoff Information Sheets
- Leave Slip, Electronic (XLSX)
- Leave Transmittal Individual (XLSX)
- Leave Transmittal Group (XLSX)
- LTC Health Trust Notification Form (PDF)
- LTC Hire Checklist (DOC)
- LTC Hire Guidelines (PDF)
- LTC Request for Referral (PDF / Word)
M/N/O
P
- Performance Evaluation Report (DOC)
- PERS Defined Contribution Retirement Plan Beneficiary Designation (Tier IV) (Empower Retirement)
- PERS Verification of Salary and Service (PDF)
- PERS Temporary Service Verification / Claim (PDF)
- PERS/TRS Defined Benefit Retirement Plan Beneficiary Designation (PERS Tier I, II, III / TRS I, II) (PDF)
- PERS/TRS Refund Election
- Personnel Action Request Form (PARF) (PDF / Excel)
- Position Description - Limited Use Only (DOCX)
- Pre-Employment Certification (PDF)
- Prior Service Verification (PDF)
- Public Employees' Retirement System (PERS) Information (PDF)
- PX and XE Current Employment Appointment Information (PDF)
- PX and XE NEO Appointment Information (PDF)
R/S
- Rater's Guide (PDF)
- Residency Affidavit (DOCX)
- SBS Annuity Plan Beneficiary Form (Empower Retirement)
- SBS Optional Benefits Beneficiary Form (Life, AD&D, Survivor) (PDF)
- SBS/AlaskaCare Enrollment Packet
- Seasonal Employee Leave Retention Form GGU/LTC/SU (PDF)
- Separating Employee Health Insurance Notice (PDF)
- Social Security Form SSA-1945 (PDF)
- Social Security Verification Authorization (DOCX)
- State Employee Identification Card Application
- Statewide Policy Acknowledgement Form (PDF)
- Family and Medical Leave Act (PDF)
- Administrative Order 75 - EEO Policy
- Administrative Order 81 - Harassment Policy
- Administrative Order 129 - ADA Policy
- Administrative Order 195 - Diversity Policy
- Business Use/Acceptable Use ISP-172 (Personal Use of Office Technology Policy) (PDF)
- State of Alaska Ethics Information for Public Employees (AS 39.52)
- Policy on Seat Belts (AO 85)
- Effects of Violations of Federal or State Law (2 AAC 07.416)
Supervisor Checklist- Replaced by Employee Required Document Checklists- Supervisors Guide to a New Employee Orientation (DOC)
T
U/W
- Union Notification for ASEA (GGU) (PDF)
- Union Notification Information (PDF)
- W4 Employee's Withholding Allowance Certificate (PDF)
- Warrant Status Change Request (PDF)
- Work Permit (PDF)
- Workplace Alaska Certification Form (DOCM)
- Workplace Modification Request (PDF)
- Workers Compensation
- Notice to Employee - Workers Compensation (PDF)
- Employee Report of Occupational Injury or Illness (DOC)
- Employer Report of Occupational Injury or Illness (DOC)
- Supervisor Accident Investigation Report (PDF) (SOA Login)
- Division of Marine Highways Accident/Illness Report (PDF) (SOA Login)
- Marine Highways Accident Report (Vehicle) (PDF) (SOA Login)
Alaska Marine Highways Specific Forms
By Subject
Select the subject to view forms.
ADA / EEO
Benefits / Insurance
- Annuity Benefit Election Form (SBS) (Empower Retirement)
- Beneficiary Forms
- Designation of Beneficiary for Unpaid Compensation (PDF)
- GGU Health Trust Notification Form
- GGU Health Trust Insurance Deferral Form
- LTC Health Trust Notification Form (PDF)
- SBS Annuity Plan Beneficiary Form (Empower Retirement)
- SBS Optional Benefits Beneficiary Form (Life, AD&D, Survivor) (PDF)
- SBS/AlaskaCare Enrollment Packet
Employee Work Schedule
- Alternate Work Week ACOA
- Alternate Work Week CEA
- Alternate Work Week GGU
- Alternate Work Week LTC
- Alternate Work Week LTC Agreement 1 (4 Day) (PDF)
- Alternate Work Week LTC Schedule 1 (4 Day) (PDF)
- Alternate Work Week LTC Agreement 2 (9 Day) (PDF)
- Alternate Work Week LTC Schedule 2 (9 Day) (PDF)
- Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
Akutan Airport (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
Akutan Airport (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
Bethel Airport (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
Bethel Airport (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Dalton District Maintenance Stations, and Northern Region Roving and Bridge Crews (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Dalton District Maintenance Stations, and Northern Region Roving and Bridge Crews (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Galena Airport (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Galena Airport (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Maintenance Stations (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Maintenance Stations (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
DOT&PF Northern Region Winter Operations (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
DOT&PF Northern Region Winter Operations (PDF) - Alternate Work Week LTC Agreement (7 Days on/7 Days Off)
St. Mary's State Equipment Fleet Mechanic (PDF) - Alternate Work Week LTC Schedule (7 Days on/7 Days Off)
St. Mary's State Equipment Fleet Mechanic (PDF)
- Alternate Work Week SU
- Flex Time: CEA Agreement (PDF)
- Flex Time: GGU Agreement (PDF)
- Flex Time: SU Agreement (PDF)
- Flex Time Tracking: CEA (XLSX)
- Flex Time Tracking: GGU (XLSX)
- Flex Time Tracking: SU (XLSX)
- LOA 21-SS-025 Flex Time Tracking: SU (XLSX) (expires 12/31/20)
- Floating Holiday Agreements
- Telework
Ethics
- Ethics Disclosure: Confidential Notification of Potential Violation (PDF)
- Ethics Disclosure: Grants/Contracts/Leases/Loans Notification (PDF)
- Ethics Disclosure: Notification of Receipt of Gift from Another Government (PDF)
- Ethics Disclosure: Notification of Receipt of Gift (PDF)
- Ethics Disclosure: Outside Employment or Services (PDF)
Layoff / Separation
- Conditions of Employment Upon Return From Layoff for SU and GGU Employees (DOCX)
- DCP Distribution / Direct Rollover Request (Empower Retirement)
- Employee Clearance Form (PDF)
- Exit Survey
- Layoff Information Sheets
- Separating Employee Health Insurance Notice (PDF)
- Terminal Leave Payoff Tax Option Form (PDF)
Leave & Pay
- Application for COLD and Certification of Residency (PDF)
- Direct Deposit Authorization - Payroll (PDF)
- Direct Deposit Authorization - Per Diem & Reimbursement (PDF)
- Family Leave Information
- GGU Seasonal OT/Comp Time Option Form (PDF)
- Leave Slip, Electronic (XLSX)
- Leave Transmittal Individual (XLSX)
- Leave Transmittal Group (XLSX)
- Military Leave Benefit Election Form (PDF)
- Net Pay Estimator (XLS)
- Notice of Pay Problem (PDF)
- Seasonal Employee Leave Retention Form GGU/LTC/SU
- Travel Questionnaire
- Warrant Status Change Request (PDF)
New Hire / Employee Information
- Address Authorization/Change (PDF)
- Alcohol and Drug Free Workplace Act (PDF)
- APOC Filing Information (PDF)
- Emergency Contact (PDF)
- Employee Affidavit Oath of Office (PDF)
- Employee Eligibility Verification (I-9) (PDF)
- Equal Employment Opportunity Survey (PDF)
- Firearm Certification New Hire (PDF)
- Firearm Certification Volunteer (PDF)
- Social Security Form SSA-1945 (PDF)
- Social Security Verification Authorization (DOCX)
- Statewide Policy Acknowledgement Form (PDF)
- Family and Medical Leave Act (PDF)
- Administrative Order 75 - EEO Policy
- Administrative Order 81 - Harassment Policy
- Administrative Order 129 - ADA Policy
- Administrative Order 195 - Diversity Policy
- Business Use/Acceptable Use ISP-172 (Personal Use of Office Technology Policy) (PDF)
- State of Alaska Ethics Information for Public Employees (AS 39.52)
- Policy on Seat Belts (AO 85)
- Effects of Violations of Federal or State Law (2 AAC 07.416)
- Union Notification for ASEA (GGU) (PDF)
- Union Notification Information (PDF)
- W4 Employee's Withholding Allowance Certificate (PDF)
Position
Recruitment
- Advanced Step Placement Worksheet - Analysis (DOC)
- Certification of Employment as a Commercial Motor Vehicle Operator (PDF)
- Drug and Alcohol Test Authorization (PDF)
- LTC Hire Checklist (PDF)
- LTC Hire Guidelines (PDF)
- LTC Request for Referral (PDF / Word)
- Nepotism Waiver (PDF)
- Pre-Employment Certification (PDF)
- Prior Service Verification (PDF)
- PX and XE Current Employment Appointment Information (PDF)
- PX and XE NEO Appointment Information (PDF)
- Residency Affidavit (DOCX)
- Work Permit (PDF)
- Workplace Alaska Certification Form (DOCM)
Retirement
- Deferred Compensation Plan Forms
- PERS
- PERS (Public Employees' Retirement System) Information
- PERS Defined Contribution Retirement Plan Beneficiary Designation (Tier IV) (Empower Retirement)
- PERS Verification of Salary and Service (PDF)
- PERS Temporary Service Verification / Claim (PDF)
- PERS/TRS Defined Benefit Retirement Plan Beneficiary Designation (PERS Tier I, II, III / TRS I, II) (PDF)
- PERS/TRS Refund Election
- TRS
Supervisor
- Performance Evaluation Report (DOC)
- Personnel Action Request Form (PARF) (PDF / Excel)
- State Employee Identification Card Application
Supervisor Checklist- Replaced by Employee Required Document Checklists- Supervisors Guide to a New Employee Orientation (DOC)
Records & User Access
Worker's Compensation
- Notice to Employee - Workers Compensation (PDF)
- Employee Report of Occupational Injury or Illness (PDF)
- Employer Report of Occupational Injury or Illness (DOC)
- Supervisor Accident Investigation Report (PDF) (SOA Login)
- Alaska Marine Highways Specific Forms