Displaying 121 - 140 of 212
Return to Work Authorization GCPER31
Updated:
| Attachment | Size |
|---|---|
| Return to Work Authorization - GCPER31 (185.24 KB) | 185.24 KB |
Physician Certification of a Serious Health Condition GCPER30
Updated:
| Attachment | Size |
|---|---|
| Physician Certification of A Serious Health Condition GCPER30 (275.75 KB) | 275.75 KB |
Coordination of Benefits While on a Leave Form
Updated:
| Attachment | Size |
|---|---|
| Coordination of Benefits (125.94 KB) | 125.94 KB |
Leave Request Form GCPER14
Updated:
| Attachment | Size |
|---|---|
| Leave Request Form GCPER14 (179.83 KB) | 179.83 KB |
Catastrophic Leave Request Form
Updated:
| Attachment | Size |
|---|---|
| Catastrophic Leave Request Form (47.71 KB) | 47.71 KB |
Employee Tax Withholding Form
Updated:
| Attachment | Size |
|---|---|
| Federal - W-4 2024 (185.47 KB) | 185.47 KB |
| State - DE4 (192.19 KB) | 192.19 KB |
Salary Redirection Agreement
Updated:
| Attachment | Size |
|---|---|
| Salary Redirection Agreement (92.12 KB) | 92.12 KB |
Predesignation of Personal Physician WC - DWC Form 9783
Updated:
| Attachment | Size |
|---|---|
| Predesignation of Personal Physician WC - DWC Form 9783 (45.78 KB) | 45.78 KB |
Personnel Action Form (PAF)
Updated:
| Attachment | Size |
|---|---|
| GCPER 37 - Pay Action Form (197.16 KB) | 197.16 KB |
Independent Contractor Questionnaire
Updated:
| Attachment | Size |
|---|---|
| Independent Contractor Questionnaire (308.33 KB) | 308.33 KB |
Health and Human Services Agency New Employee Checklist
Updated:
| Attachment | Size |
|---|---|
| HHSA New Employee Checklist (Supervisor) (564.17 KB) | 564.17 KB |
Health and Human Services Agency Employee Departure Checklist
Updated:
| Attachment | Size |
|---|---|
| HHSA Employee Departure Checklist (549.2 KB) | 549.2 KB |