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 Leave 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 Ergonomic 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 State of Maryland Telework Policy Maryland Telework Agreement and Telework Acknowledgement Form Telework Schedule Telework Work Plan and the Weekly Assignments and Hourly Work Log Telework 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 Designation Of Employee To Function In An Acting Capacity - MS 345 Acting 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 Guidelines & Instructions Management Employees (Exec) Non-Supervisory Employees (Exec) Supervisory Employees (Exec) Performance Improvement Plan Supervisor Feedback Instrument Probationary Evaluation Form Template for Mid-Cycle Memo Staffing, Recruitment and Cutoff Form Cut-Off Form for Separations Hiring Appointment Package New Hire Appointment Package Check-off Form 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 Offer of Employment Letter Offer of Employment Letter - Bargaining Unit Employees Recruitment Information Position Announcement for Contractuals Position Announcement (PIN) Position Announcement (Seasonal) Information about Seasonal Hires Position Announcement (Position Specific) Position Announcement (Preferred Experience) Contractual Conversion Package Contractual Conversion Check-Off Form VFR Document for Contractual Conversion Only Interview Form Summary of Service DNR 1 Transaction Form Verification of Qualifications Form Reference Check Form Offer of Employment Letter 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 Interview Form Memo to Vacant Position Revised Form Verification of Qualifications Reference Check Form Offer of Employment Letter Reclassification Forms DNR Reclass Check Off List MS 44 Reclass Position Questionnaire - Revised 8/1/2011 New 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 DNR InTRAnet Home DNR Employees DNR Internet Home General Public Check out the Payroll Unit Pages This Page Updated on March 13, 2013
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 Leave 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 Ergonomic 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 State of Maryland Telework Policy Maryland Telework Agreement and Telework Acknowledgement Form Telework Schedule Telework Work Plan and the Weekly Assignments and Hourly Work Log Telework 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 Designation Of Employee To Function In An Acting Capacity - MS 345 Acting 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 Guidelines & Instructions Management Employees (Exec) Non-Supervisory Employees (Exec) Supervisory Employees (Exec) Performance Improvement Plan Supervisor Feedback Instrument Probationary Evaluation Form Template for Mid-Cycle Memo Staffing, Recruitment and Cutoff Form Cut-Off Form for Separations Hiring Appointment Package New Hire Appointment Package Check-off Form 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 Offer of Employment Letter Offer of Employment Letter - Bargaining Unit Employees Recruitment Information Position Announcement for Contractuals Position Announcement (PIN) Position Announcement (Seasonal) Information about Seasonal Hires Position Announcement (Position Specific) Position Announcement (Preferred Experience) Contractual Conversion Package Contractual Conversion Check-Off Form VFR Document for Contractual Conversion Only Interview Form Summary of Service DNR 1 Transaction Form Verification of Qualifications Form Reference Check Form Offer of Employment Letter 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 Interview Form Memo to Vacant Position Revised Form Verification of Qualifications Reference Check Form Offer of Employment Letter Reclassification Forms DNR Reclass Check Off List MS 44 Reclass Position Questionnaire - Revised 8/1/2011 New 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 DNR InTRAnet Home DNR Employees DNR Internet Home General Public Check out the Payroll Unit Pages
Below are the official forms available from DNR's Human Resource Service.
Application and Position Forms
State Employees Leave Donation & Leave Bank Programs
Computer Equipment Forms
Miscellaneous
Family Medical Leave Act (FMLA)
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 Statement of Health Form
Employee Assistance Program
Employee Safety & Risk Management Forms
Accommodations for Persons With Disabilities Forms
Telework & Compressed Work Week Forms
Financial Disclosure Forms
Travel & Training Forms
Acting Capacity Forms
Grievance & Disciplinary
Disciplinary Guidance
State Personnel Management System Appeal and Grievance Form
Change in Bargaining Status
Performance Planning and Evaluation Program
Staffing, Recruitment and Cutoff Form
Hiring Appointment Package
Recruitment Information
Contractual Conversion Package
Contractual Hire Documentation
Reclassification Forms
State Transportation Forms
Change of Address Forms
Travel Management
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 DNR InTRAnet Home DNR Employees DNR Internet Home General Public Check out the Payroll Unit Pages
This Page Updated on March 13, 2013
Leave of Absence without Pay Request Form