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Forms

Miscellaneous

Transmittal Slip (CCPS-4)

Employee Time Record (CCPS-5)

Temporary/Contract Employee Time Record (CCPS-5A)

Request for Secondary Employment (CCPS 110)

Policy Review Verification Form (CCPS-56)

Time Inquiry/Change Request Form (CCPS -213)

Employee Relations

Statement of Grievance (CCPS-58)

Response of Supervisor (CCPS-59)

Appeal of Grievance to Division Director (CCPS-59A)

Response of Division Director (CCPS-60)

Appeal of Grievance to Secretary (CCPS-61)

Employee Advisory Committee Report (CCPS-169)

Exit Interview Questionnaire (CCPS-23)

Separation Clearance Checklist (CCPS-190)


 

Recruitment and Selection

Application for Employment (State of NC) (CCPS-107)

Vacancy Announcement Request Form (CCPS-168)

Request for Temporary Employee (CCPS-196)

Reference Checking Form (CCPS-200)

Selection Decision Log (CCPS-185)

Offer Letter (CCPS-165)

 

New Employees

Employee Personal Information (CCPS-202)

Record of Previous Employment (CCPS-72)

Dept. of Crime Control & Public Safety Agreements (CCPS-160)

Acknowledgements of Understanding (CCPS-167)

 

Benefits, Safety & Health

Voluntary Shared Leave Application for Recipient (CCPS-170)

 

Voluntary Shared Leave Application for Donor (CCPS-171)

 

Leave of Absence Request Form (CCPS-210)

 

FMLA Certificate of Health Care Provider (CCPS-173)

 

Bi Annual Building Inspection & Safety Committee Report (CCPS-64)

 

 

Worker's Compensation

Worker's Compensation Employee Handbook

Corvel, WC Authorization, Physicians' Report

Notice of Accident to Employer, Form 18

N.C. Workers' Compensation Employee Statement and Leave Options (CCPS-2)

Notice of Accident to Employer (Form 18)

Report of Employee Injury or Occupational Disease (Form 19)

Body Fluid Exposure Form (CCPS-187)

 

Supervisor's Accident/Incident Investigation Report (CCPS-188)

Fax Request for Sworn Law Enforcement Officer to Perform Limited/Full Duty(CCPS-195)

Fax Request for Employee to Perform Limited/Full Duty (CCPS-195A)

 

 

 

OSHA Forms/Reports

 

Workplace Violence Incident Report (CCPS-203)

 

Log of Work Related Injuries and Illnesses (CCPS-300)

 

Summary of Work Related Injuries and Illnesses (CCPS-300A)

 

Injury and Illness Incident Report (CCPS-301)

 

Antibody Testing Consent and Consent to Release Medical Information (CCPS-180)

 

Motion to Investigate Exposure (CCPS-181)

 

Order to Investigate Exposure (CCPS-182)

 

Order to Test Blood (CCPS-183)

 

Employee Antibody Testing Consent and Authorization to Release Medical Information (CCPS-184)

 

Position Management

Position Description (CCPS-102)

 

Personnel Action Clearance Form (CCPS-133)

 

Authorization for Personnel Action due to Extraordinary Exceptions (CCPS-120)

 

Request for In-Range Salary Adjustment (CCPS-140)

 

Request for Classification Review of In-Range Checklist (CCPS-141)

 

 

Training

Application for Academic Assistance (CCPS-135)

EEOI Participant Registration Form (CCPS-209)

Performance Management/Career Banding

Career Banding Assessment Form (CCPS-142)

Performance Management Work Plan (CCPS-186)

Performance Management, Competency Assessment, and Career Development Plan (CCPS-186CB)

Corrective Action Plan (CCPS-205)

Career Banding Improvement Plan (CCPS-205CB)

Work Plan Additional Goals Addendum (CCPS-206)

Performance Tracking Log (CCPS 207)

Career Banding Tracking Log (CCPS-207CB)

Performance Appraisal Summary Transfer Form (CCPS-175)

 

Fiscal

Electronic Payment Verification Form (CCPS-7)

Reimbursement of Travel and Other Expenses Incurred in the Discharge of Official Duty (CCPS-51) or Automated travel voucher, or SHP's travel form

Employee Advance Request (CCPS-52)

Moving Quotation (CCPS-78)

Budget Division Authorization (CCPS-153)

 

 

Payroll

 

Direct Deposit Enrollment and Change Form (CCPS-1)

 

Payroll Address Change Form (CCPS-3)

 

Internal Revenue Service Employee's Withholding Allowance Certificate
(W-4)


NC Department of Revenue Employee's Withholding Allowance Certificate (NC-4)

« this page last modified 09/03/10 »


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Printed from http://www.nccrimecontrol.org/ on 09/09/2010.