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

State Application - MS 100
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

Computer Equipment Forms

DGS - Property Pass 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

Health Benefit Forms

Enrollment Form-Active & Satellite Employee 2009-2010

Enrollment Form-Direct Pay 2009-2010

Enrollment form Retirees 2009-2010

Affidavit of status for all dependent children

Affidavit for Domestic Partners

Disabled Dependent Certification Form

HIPPA Authorization Form

Mail Order Prescription Form

Met Life Life Insurance Beneficiary Designation Form

Met Life AD & D Plan Beneficiary Designation Form

Met Life Statement of Health Form

SHPS Dependent Care Spending Account Claim Form

SHPS Health Care Spending Account Claim 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
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
State of Maryland Domestic Violence Policy

Accommodations for Persons With Disabilities Forms

Voluntary Request for Reasonable Accommodation

Telework & Compressed Work Week Forms

Department of Natural Resources Telework Policy
Maryland State Teleworking Agreement
Department of Natural Resources Teleworking Agreement
Monthly Telework Reporting Form
Telework Hours Reporting Form
Telework Laptop Sign-Out Sheet
Guidelines for Signing out Teleworking Laptops
Department of Natural Resources Compressed Work Week Agreement
Telework Eligibility Checklist
Telework Schedule

Financial Disclosure Forms

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

Training Forms

EDTI Training Registration Form
Application For Out Service Training Authorization - 551 form
Career Development Plan
Tuition Reimbursement - OS2

Acting Capacity and Vacancy Fill Forms

Designation Of Employee To Function In An Acting Capacity - MS 345 New
Interview Form
Memo to Vacant Position Revised Form
DBM Hiring Freeze Exception Request

Grievance & Disciplinary

Individuals Delegated to Act on Behalf of the Appointing Authority
Confidential EAP Supervisory Referral Form
Mediation
Notice of Disciplinary Action
Unsatisfactory report of service

State Personnel Management System Appeal and Grievance Form

Notice of Termination

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
Original PEP Forms
Management Employees (Exec)
Non-Supervisory Employees (Exec)
Supervisory Employees (Exec)
Performance Improvement Plan
Supervisor Feedback Instrument

Staffing, Recruitment and Cutoff Forms

Employment Cut-off (Internal Form)

Probationary Evaluations

State of Maryland Performance Planning and Evaluation Program Probationary Evaluation Form

Hiring Appointment Package

New Hire Appointment Package Check-off Form
Interview Form
Reference Check Form
DNR 1 Transaction Form
Verification of Qualifications Form
Maryland New Hire Registry
Offer of Employment Letter

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
Summary of Service
DNR 1 Transaction Form
Verification of Qualifications Form
Interview Form
Memo to Vacant Position Revised Form

Contractual Hire Documentation

Contractual Check-Off Form
VFR Document
Position Announcement Contractual Master
Position Announcement Template - Seasonal Contractual
Newspaper Ad Master
Interview Form
Reference Check Form

VFR Hiring Package

VFR Check-Off List for Regular Hire
Position Announcement Form
Interview Form
Memo to Vacant Position Revised Form

Reclassification Forms

MS 44 Reclass Question
MS 2024 Reclass Request Form
State Application - MS 100
Instructions for Completing Position Description Form MS 22
MS 22
Employee Factor Evaluation
Managerial Employee Affidavit
Supervisory Employee Affidavit
DNR 1 Transaction Form (Reclass, Transfer)
DNR Reclass Screening Report
DNR Reclass Check List
Eligibility Criteria Form

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 October 01, 2009