office worker bured in forms

HRS Forms

Below are the official forms available from DNR's Human Resource Service.

  • To open a form, double-click on it.
  • To copy a form, right-click the form you wish to download
  • Choose: "Save Target As" and choose a location in which to save the file.
  • Save the form to your hard drive.
  • To print a form, without saving, click on the printer icon on your tool bar, or select "Ctrl" and while holding down Ctrl, select "P"
  • Please submit all forms to your Unit Contact.
     

Application and Position Forms

Position Description Form - MS 22
Instructions for Completing an MS22 - MS-21
Seasonal Position Application Form

State Employees Leave Donation & Leave Bank Programs

Office of Personnel Services and Benefits - Leave Bank
Leave of Absence without Pay Request
artwork reads:NEWLeave of Absence without Pay Request Form

Computer Equipment Forms

DGS - Property Pass Form

Miscellaneous

Form I-9, Employment Eligibility Verification
Emergency Contact Information Form

Family Medical Leave Act (FMLA)

DNR FMLA Fast Facts - Information Sheet
DNR FMLA Supervisor's Guide
DNR FMLA Request & Review Form
DNR Medical Certification for FMLA

DNR FMLA Covered Service Members Form 385

DNR FMLA Certification of Qualifying Exigency for Military Leave Form 384

Health Benefit Forms

Enrollment Form-Active & Satellite Employee July 2012 - June 2013

Enrollment Form-Direct Pay July 2012 - June 2013

Enrollment form Retirees July 2012 - June 2013

Affidavit for Dependent Eligibility Tax Status

Affidavit of Domestic Partnership

Disabled Dependent Certification Form

HIPPA Authorization Form

Met Life Life Insurance Beneficiary Designation Form

Met Life AD & D Plan Beneficiary Designation Form

Met Life Statement of Health Form

Employee Assistance Program

Employee Assistance Program
Confidential EAP Supervisory Referral Form

Employee Safety & Risk Management Forms

Employee's Claim Form C-1 - Workers' Compensation Commission
IWIF Accident Leave Request Form
Accident Leave Policy
Emergency Contact Form (optional)
Temporary Prescription Services ID Important Benefit Information
Crosswalk Incident Report
Accident Follow-up Report

First Report of Injury or Illness

Employee Report of Injury (English)

Employee Report of Injury (Spanish)
Workplace Potential Hazard Report
artwork reads:NEWErgonomic Assessment Request Form
State of Maryland Domestic Violence Policy

Accommodations for Persons With Disabilities Forms

Voluntary Request for Reasonable Accommodation

Telework & Compressed Work Week Forms

artwork reads:NEWState of Maryland Telework Policy
artwork reads:NEWMaryland Telework Agreement and Telework Acknowledgement Form
artwork reads:NEWTelework Schedule
artwork reads:NEWTelework Work Plan and the Weekly Assignments and Hourly Work Log
artwork reads:NEWTelework Eligibility Checklist Form
Department of Natural Resources Compressed Work Week Agreement

Financial Disclosure Forms

Receipt of Disclosure Forms
     More info at http://ethics.gov.state.md.us/

Travel & Training Forms

Application For Out Service Training Authorization - Form 551
Individual Request for Out of State Travel
Out of State Travel Process and Procedures
Career Development Plan
Tuition Reimbursement - OS2

Acting Capacity Forms

artwork reads:NEWDesignation Of Employee To Function In An Acting Capacity - MS 345
Word doc icon artwork reads:NEWActing Capacity Justification Form

Grievance & Disciplinary

Individuals Delegated to Act on Behalf of the Appointing Authority
Mediation
Notice of Disciplinary Action

Disciplinary Guidance

State Personnel Management System Appeal and Grievance Form

Change in Bargaining Status

Managerial Employee Affidavit
Supervisory Employee Affidavit
Confidential Employee Affidavit

Performance Planning and Evaluation Program

Revised PEP Forms: Skilled and Professional Positions
artwork reads:NEWGuidelines & Instructions
artwork reads:NEWManagement Employees (Exec)
artwork reads:NEWNon-Supervisory Employees (Exec)
artwork reads:NEWSupervisory Employees (Exec)
artwork reads:NEWPerformance Improvement Plan
artwork reads:NEWSupervisor Feedback Instrument
artwork reads:NEWProbationary Evaluation Form
artwork reads:NEWTemplate for Mid-Cycle Memo

Staffing, Recruitment and Cutoff Form

Cut-Off Form for Separations

Hiring Appointment Package

artwork reads:NEW New Hire Appointment Package Check-off Form
artwork reads:NEW Memo to Vacant Position Revised Form
Interview Form
DBM Hiring Freeze Exemption Request (HFE)
Reference Check Form
Verification of Qualifications Form
DNR 1 Transaction Form
Maryland New Hire Registry
artwork reads:NEW Offer of Employment Letter
artwork reads:NEW Offer of Employment Letter - Bargaining Unit Employees

Recruitment Information

Position Announcement for Contractuals
Position Announcement (PIN)
Position Announcement (Seasonal)
artwork reads:NEW Information about Seasonal Hires
Position Announcement (Position Specific)
Position Announcement (Preferred Experience)

Contractual Conversion Package

artwork reads:NEW Contractual Conversion Check-Off Form
VFR Document for Contractual Conversion Only
artwork reads:NEW Interview Form
Summary of Service
DNR 1 Transaction Form
Verification of Qualifications Form
artwork reads:NEW Reference Check Form
artwork reads:NEW Offer of Employment Letter
artwork reads:NEW Offer of Employment Letter - Bargaining Unit Employees

Contractual Hire Documentation

Contractual Check-Off Form
Position Announcement Contractual Master
Position Announcement Template - Seasonal Contractual
Newspaper Ad Master
artwork reads:NEW Interview Form
artwork reads:NEW Memo to Vacant Position Revised Form
artwork reads:NEW Verification of Qualifications
artwork reads:NEW Reference Check Form
artwork reads:NEW Offer of Employment Letter

Reclassification Forms

artwork reads:NEW DNR Reclass Check Off List
artwork reads:NEW MS 44 Reclass Position Questionnaire - Revised 8/1/2011
Word Document artwork reads:NEWNew State Employment Application Procedure
Instructions for Completing Position Description Form MS 22
MS 22
DNR 1 Transaction Form (Reclass, Transfer)

State Transportation Forms

State Employee Transportation Survey
Free State Employee Transportation Policy

Change of Address Forms

Change of Address (DNR/HRS form)
  Change of Address (Central Payroll Bureau form)
Change of Address (Health Benefits)

Travel Management

Travel Management
Expense Account Form 2009 27.5 cents per mile
Expense Account Form 2009 55 cents per mile

NOTES:

1- Both the DNR/HRS and Central Payroll Bureau forms must be completed.

2- If you are enrolled in any health benefits, complete the Health Benefits Change Address form below.

3- All forms should be submitted to HRS for processing and routing to appropriate entities.


Human Resource Service
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This Page Updated on March 13, 2013