DHR Forms
A
- Acceptable Use Policy/Acknowledgement Statement
- American With Disabilities Act (ADA)
- Aetna Dependent Child Coordination of Benefits Form
- Agreement to Comply and Acknowledgment of Receipt - Benefit Eligible Employees
- Agreement to Comply and Acknowledgment of Receipt - Casual/Seasonal or Non-Benefit Eligible Employees
- Alternative Work Arrangement (AWA) Agreement Form
- Annual Leave Carryover Form
- Annual Leave Carryover Guidelines
- Authorization for Release of Protected Health Information (PHI)
- Automobile Accident Report Form
C
- Call-back Pay Daily Record
- Casual/Seasonal Employment Statement
- Civil Union: Certification of Tax Dependent Status for a Civil Union Spouse/Children
- Classification and Compensation
- Classification Request Form
- Advanced Starting Salary Request Form
- Casual Seasonal Exception Request Form
- Dual Incumbency (DI) Request Form
- Hazardous Duty (HD) Pay Analysis Request Form
- Labor Relations Compensation Request Form
- Leave of Absence from Merit System Request Form
- Leave from Merit DHR Agency Direct Request
- Straight-Time Overtime (STOT) Request Form for FLSA Exempt Employees
- Computer: Registration Form - Del Tech Owens Campus
- Computer: Registration Form - Del Tech Stanton/Wimington Campus
- Computer: Registration Form - Del Tech Terry Campus
- Confidentiality Agreement - Internal
- Conflict Resolution: Request for Facilitation
D
- Deferred Compensation 457(b): Beneficiary Designation Form
- Deferred Compensation 457(b): Distribution Due to Unforeseeable Emergency Withdrawal Form
- Deferred Compensation 457(b): Double-Limit Catch-up Certifcation of Eligibility Form
- Deferred Compensation 457(b): Enrollment Form
- Deferred Compensation 457(b): Participant Agreement Form
- Deferred Compensation 457(b): Sick/Vacation Deferral Form
- Deferred Compensation 457(b): State Pension Buy-in
- Deferred Compensation 457(b): Transfer/Roll-Over Form
- Direct Deposit Authorization Form & Instructions
- Donated Leave: Request for Donated Leave (DL-1)
- Donated Leave: Request to Make a Direct Donation (DL-2)
- Donated Leave: Application to Make a Donation to the Donated Leave Bank (DL-3)
- Donated Leave: Authorization to Release Information for Solicitation Purposes (DL-4)
- Drug-Free Workplace Policy Statement Acknowledgment Form (Non-DLC users only)
E
- Employee Information Form
- Employment Eligibility Verification (I-9/E-Verify)
F
- Fleet Services: Authorized Driver Designation Application
- Fleet Services: Automobile Accident Report
- Flexible Spending Account (FSA)
- Family and Medical Leave Act (FMLA)
- FMLA General Employee Rights and Responsibilities Requirement
- FMLA Eligibility
- FMLA Designation Notice
- FMLA Medical Certification for Employee
- FMLA Certification for Exigency Leave
- FMLA Medical Certification for Family Member
- FMLA Medical Certification for Military Caregiver
- FMLA Certification for Veteran Caregiver
- Frontline Leadership Program: Program Application
- Full-Time Student Certification Form
H
- Health, Dental, and Vision Enrollment/Change Form
- Highmark Delaware (BCBS): Customer Claim Form
- Highmark Delaware (BCBS): Disabled Child Application
- HIPAA: Form to Describe Complaint Regarding Handling of Protected Health Information
M
- Merit Employee Relations Board (MERB): Employee Classification Appeal Form
- Merit Grievance Form
- Military Serious Illness/Injury - Employee Request
- Military Serious Illness/Injury - Employee Statement Upon Return
- Military Serious Illness/Injury - Physician's Statement Requesting Paid Leave
N
O
P
- Paid Volunteer Leave Request Form
- Parental Leave Request Form
- Pension Actuarial Form: P-1
- Pension Contributions Form: Designate or Change Beneficiary
- Performance Plan
- Performance Review
- Pregnancy Related Alternate Duty Request Form
- Pre-Tax Commuter Benefit Program: Transit/Parking Claim Form
- Printing and Publishing: Work Order Form
R
- Recognition
- Religious Accommodation Form
- Relocation Assistance Form
- Respectful Workplace and Anti-Discrimination Complaint Form
- Request to Fill Form
S
- Salary Request Memo for Division Director
- Standards of Conduct Complaint Form
- Statement of Support Form
- Surplus Property: Excess Property Declaration Form
V
W
- W-4 Federal Tax Withholding Form
- W-4 State of Delaware Tax Withholding Form
- Worker's Compensation: Employer's Modified Duty Availability Report
- Worker's Compensation: Injury/Illness Report
- Worker's Compensation: Medical Records Release Authorization
- Worker's Compensation: Physician's Report of Worker's Compensation Injury
- Workforce Planning - Career Development Plan
- Workforce Planning - Communications Strategy Template
- Workforce Planning - Knowledge and Skills Form
- Workforce Planning Status Check - Agency Self-Assessment