This area contains a collection of documents for downloading.
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Advertising Information
Burlington Free Press, Times Argus and Rutland Herald Ad Placement Information - PDF Format
Career Builder Ad Placement Information - PDF Format
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Alternative Work Schedule Form
PDF Format |
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Behavioral Health Appeals Process
PDF Format |
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Child Care Reimbursement Program Application
PDF Format |
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Cigna Claim Form
PDF Format |
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Delegation of Authority
PDF Format
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Domestic Partner Application and Policy
PDF Format
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Elder Care Reimbursement Application
PDF Format |
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Equal Employment Opportunity Employee Data Form
PDF Format |
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Family and Medical Leave Act
Employee Request for Parental or Family Leave
PDF Format
Word Format
Employer Response to Request for Parental or Medical Leave
PDF Format
Word Format
Certification Health Care Provider - Employee
PDF Format
Word Format
Certification Health Care Provider - Family Members
PDF Format
Word Format
Family and Medical Leave Act Information Sheet
PDF Format
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Express Scripts Claim Form
PDF Format |
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Exempt Salary Approval Form
Exempt Salary Approval Form |
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Health Benefits Enrollment Form
PDF Format
Word format |
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Health Coverage Declaration Form
PDF Format
Word Format
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HRMS Access Request
PDF Format
Word format |
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Life Insurance Coverage
PDF Format
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Life Insurance Beneficiary Form
PDF Format
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Medical Appeals Process
PDF Format |
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Merit Bonus Log Report - Form
M-001
Word Format |
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Payroll Forms
Employee Request for Direct Deposit (PDF)
Deferred Compensation Form (PDF)
Federal W-4 Form (PDF)
Vermont W-4 Form (PDF)
Federal W-5 (Earned
Income Credit) Form (PDF)
Special Check Request Form (PDF)
Salary Advance Form (PDF)
I-9 Form (PDF)
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Performance Evaluation Report (AA-PER -6C)
PDF Format
Word format |
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Pharmacy Benefit Clinical Appeal Process
PDF Format |
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Prior Service Credit Applications
Temporary Credit Application (MS Word format)
Classified Credit Application (MS Word format)
Exempt Credit Application (MS Word format) |
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Request for Reasonable Accommodation
PDF Format
Word Format |
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Request for Review - Form A
Word format
This form is to be used to request classification of a position (filled or vacant) when the duties have been changed and to request the creation of a new job class/title (for a filled, vacant or new position).
This form must be used in departments/agencies where there is a classification committee to request review of filled, vacant, or new positions. If you are not sure if your department/agency has a classification committee, please contact your personnel administrator for guidance.
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Request for Review - Form B
Word Format
This form is to be used by management to request the reallocation of a filled position within an existing job series. If your department/agency has a classification committee, please use Form A above. If you are not sure if your department/agency has a classification committee, please contact your personnel administrator for guidance.
Please note, if you are not sure if the position is in a job series, contact any Classification Analyst, or the Classification Manager.
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Request for Review - Form C
Word Format
This form is to be used by management to request the allocation of a new position, or reallocation of a vacant position, to an EXISTING class title. If your department/agency has a classification committee, please use Form A above. If you are not sure if your department/agency has a classification committee, please contact your personnel administrator for guidance.
Please note, if you are not sure if the position is in an existing class, contact any Classification Analyst, or the Classification Manager
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Position (Pool) Request Form
This form is used to request a position from the Position Pool.
Word Format |
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Limited Service (JFO) Position Request Form
This form is used to request a grant funded, limited service position through the Joint Fiscal Committee review process.
Word Format |
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Request for Temporary Position
Word Format |
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Safety and Health Complaint Form
PDF Format |
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Sick Leave Bank Request Forms
Corrections Unit - PDF Format
Management Unit - PDF Format
Non-Management Unit - PDF Format
Supervisory Unit - PDF Format
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Tuition Reimbursement
Tuition Reimbursement (PDF format)
You will find tuition reimbursement instructions, form and career plan sheet. |
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State of Vermont Temporary Employment Application Form
PDF Format |
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Vision Claim Form
Vision Claim Form |
