Statewide HR A-Z Listing External Links

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• Retirement - Tier I Summary Plan Description

• Retirement - Tier IIA Summary Plan Description

• Retirement - Tier III Summary Plan Description

• Retirement - Hybrid Summary Plan Description

• Reimbursement - Employee Payroll Reimbursements Form - OSC Form CO-17XP-PR - Revised December 2003

  For use to reimburse state employees for expenses incurred in the service of the State of CT

• FMLA - Military Family Leave - Med Certificate for Veteran Family Member - WH-385V

  Form to be completed by an employee and then health care provider when the employee seeks military caregiver leave under the FMLA leave due to a serious injury or illness of a covered veteran; this certification must provide sufficient facts to support the request for leave.

• FMLA - Military Family Leave - Med Certificate for Military Family Member - WH-385

  Form to be completed by an agency, employee and then health care provider when an employee requests leave under the FMLA to care for a family member who is a current member of the Regular Armed Forces, the National Guard, or the Reserves who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list for a serious injury or illness.

• Tuition Reimbursement Application Form - CO-101

  Form used for employees fo apply for tuition reimbursement. Must be submitted to agency tuition reimbursement officer no later than two weeks prior to the start of the course.

• FMLA - Military Family Leave - Med Certificate for Veteran Family Member - WH-385V

  Form to be completed by an employee and then health care provider when the employee seeks military caregiver leave under the FMLA leave due to a serious injury or illness of a covered veteran; this certification must provide sufficient facts to support the request for leave.

• Records Retention Schedules - General for State Agencies - CT State Library

  General Records Retention Schedules for agencies that are part of the State Records Management Program (state agencies in the executive department and certain quasi-public agencies)

• FMLA - Military Family Leave - Med Certificate for Military Family Member - WH-385

  Form to be completed by an agency, employee and then health care provider when an employee requests leave under the FMLA to care for a family member who is a current member of the Regular Armed Forces, the National Guard, or the Reserves who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list for a serious injury or illness.

• Ethics - Guide for Public Officials and State Employees

  Guidelines for conducting business as a state employee and/or public official

• I-9 Form - Employment Eligibility Verification Form

  Form used to comply with Federal requirements to establish employment authorization and identity

• FMLA - Military Exigency for Family Form - WH-384

  Form to be completed by agency and then employee seeking FMLA leave due to a qualifying exigency due to a military member’s covered active duty or call to covered active duty status

• Retirement - Tier II Summary Plan Description