Human Resources
Chapter 6 BENEFITS ADMINISTRATION
Sections in this Chapter:
Related Department Rules:
| None |
Related Performance & Development Solutions Training Available:
| None |
Forms Referenced in This Chapter:
| Application for Education Leave and/or Education Financial Assistance 552-0304 | PDF | Word Document |
| Donated Leave for Catastrophic Illness Application 552-0611 | |
| Donated Leave for Catastrophic Illness Contribution 552-0612 | |
| Donated Leave for Catastrophic Illness Request 552-0620 | PDF | Word Template |
| Donated Leave for Catastrophic Illness Tracking 552-0628 | |
| Donated Leave for Catastrophic Illness Immediate Family Member Application 552-0639 | |
| Donated Leave for Catastrophic Illness Immediate Family Member Contribution 552-0640 | |
| Donated Leave for Catastrophic Illness Immediate Family Member Request 552-0641 | PDF | Word Template |
| Donated Leave for Catastrophic Illness Immediate Family Member Tracking 552-0642 | |
| Family and Medical Leave Act (FMLA) Application 552-0599 | PDF | Word Template |
| Family and Medical Leave Act (FMLA) Required Posting from the US Department of Labor | |
| Family and Medical Leave Act (FMLA) Certification of Health Care Provider 552-0610 | PDF | Word Template |
| Family and Medical Leave Act (FMLA) Employer Response 552-0627 | PDF | Word Template |
| Family and Medical Leave Act (FMLA) Leave Retention 552-0649 | PDF | Word Template |
| Servicemember Family Leave Application | PDF | Word Template |
| Servicemember Family Leave Response | PDF | Word Template |
| Servicemember Family Leave Tracking | PDF |Excel Spreadsheet |
| Workers' Compensation Benefit Election 552-0568 | PDF | Word Document |
| Workers' Compensation Wage Statement 552-0679 | PDF | Word Document |
| Workers' Compensation Status Report 552-0678 | PDF | Word Document |
| Workers' Compensation Travel Reimbursement Request 552-0680 | PDF | Word Document |
| Workers' Compensation First Report of Injury or Illness | |
| Agreement for Recouping Recruitment, Retention, Education and Relocation Payments 552-0707 | Word Template |
| Sick Leave Insurance Program Enrollment Form 552-0713 | Word Document |
| SLIP Calculation Estimate Form | Excel |
| Group Insurance Direct Pay Continuation Form 552-0442 | Word Document |
| SLIP Checklist for PAs | Word Document |
| Vacation Payout for 2008 Form 552-0714 | Word Template |
Updated 10/2008
The Human Resources Enterprise of the Department of Administrative Services provides a wide variety of resources for use by department managers and supervisors, state employees, applicants, and others. We will be making those resources available on the Internet through this page in the coming months. Most of these resources will be provided in PDF format and will require the use of an Adobe Acrobat reader. If you do not have this software on your computer, you may download a free copy here:
