Employee/Employer Forms
- DMA 5.3-R – Occupational Health Medical History Form
- DMA 5.3-1-R & 5.3-2-R – Authorization for Release of Health Care Information
- DMA 8 — Authorization For Disclosure or Exchange of Confidential Medical Records
- DMA 23-E — Request for Approval of Outside Employment
- DMA 38-E — DMA State Training Traveling Request/Authorization
- DMA 172 — JFHQ-WI Facility Access Request EAL
- DMA 3000 – Policy Acknowledgement
- DMA 3100 – Hiring Justification
- DMA 3101 – Off-boarding, Recruiting and New Hire Process Checklist
- DMA 3102 – Requirements for Posting a Position
- DMA-3105 – Reclassification Justification
- DMA 3106 – Interview Schedule Planning
- DMA 3200 – Retirement/Resignation Notice
- DMA 3250 – Military Leave of Absence Request (Exceeds 30 days)
- DMA 3401 – Supplemental Pay Request for Exempt Employees
- DMA 3501 – Security Officer Physical Readiness Test Record of Results
- DMA 3502 – Fire Crash Rescue Specialist Physical Agility Assessment Record of Results
- DMA 4100 — DMA Form Request
- DMA 9006 – Single Source Identification Card (SSID) and Facility Access Request
- DOA 15100 – Veterans New Hire Information
- DOA 15302 – Position Description
- DOA 15104 – Reasonable Accommodation Request Form
- DOA 15308 – Leave Without Pay (LWOP) Request/Authorization
- DOA 15330 – Justification for Discretionary Merit, Equity or Retention Award (DMC/DERA)
- DOA 15336 – Fitness For Duty Certification – Return To Work Release
- DOA-15519 – Limited Term Employment Acknowledgment
- DOA 15802 – Adverse Employment Action Employee Grievance
- DOA 15805 – Condition of Employment – Employee Grievance Report
- DMA Form – Self-Reporting Derogatory Information
- Foreign Travel Report
- International Travel Addendum
- Policy Template
- USCIS I-9 Form Employment Eligibility Verification
- Voluntary Self-Identification of Disability (CC-305)
- WRS Additional Contributions Election Form
Workers Compensation Forms
- DOA 6058 — Employee Workplace Injury or Illness Report
- DOA 6437 — Supv & Safety Coord Investigation Report for Injury or Illness
- DOA 15336 — Fitness For Duty Certification – Return To Work Release
- Employee Workplace Injury or Illness Report Guidelines
- WKC 12 E — Employer’s First Report of Injury or Disease
Family and Medical Leave Act (FMLA)
- DOA 15322 — FAMILY AND MEDICAL LEAVE (FMLA) REQUEST
- DOA 15336 Fitness For Duty Certification – Return To Work Release
- DOL WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition
- DOL WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition
- Family and Medical Leave Act (FMLA) Portal