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For questions about individual forms, please contact this agency's forms coordinator, Marcia Bolin at 317-234-6995.
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|Title and State Form Number||Download as...|
|Acknowledgement of Agency Policies and Procedures - 54116|
|Acknowledgement of Standardized Policies and Employee Handbook - 54115|
|Applicant Background Record Checklist - 53390||pdf | doc|
|Applicant Disclosure and Release for Consumer and Investigative Consumer Reports - 51334||pdf | doc|
|Attending Physician's Statement - 45547||doc|
|Civil Service Complaint Form - 54707|
|Employee Attendance Report (A-4) - 14304||pdf | xls|
|Employee Compensatory Time Worksheet - 42386|
|Employee's Authorization for Release of Medical Information - 50107||pdf | doc|
|Employee's Claim Statement - 45544||doc|
|Employee Work Profile and Performance Appraisal Report - 52403||pdf | doc|
|Employer's Report of Claim - 45548||doc|
|Evaluation of Training - 45910||doc|
|Family - Medical Leave (FML) Request - 54307||pdf | doc|
|Indiana State Employee Suggestion Program Submission - 922|
|Instructions for Submission of a Disability Claim - 50106||pdf | doc|
|Interim Performance Appraisal -52404||pdf | doc|
|Job Analysis Questionnaire (PAT, COMOT, LTC, POLE, & SAM Categories) - 43434||doc|
|Job Description - 52468||pdf | doc|
|Classified Working Test Appraisal - 53740||pdf | doc|
|New Hire Nurse Worksheet - 53516|
|Options Statement - 50108||pdf | doc|
|Position Date Change Worksheet - 53665|
|Request and Approval for Temporary Voluntary Unpaid Leave - 54154|
|State Employee Community Service Program Request for Leave and Verification of Services Provided - 49044|
|Verification of Dependent Disability - 53388||doc|
|Waiver of Privilege to Have Coworker Witness Present at Pre-Deprivation Meeting- 54118|
|Work Improvement Plan - 52405||pdf | doc|
|Written Counseling - 54117|
|Written Reprimand - 54119|