NOTICE

The best way to protect yourself against EBT theft is to call 1-888-328-2666 to change your PIN number before the start of each month.

Due to renovations the DSS Manchester office will be temporarily closed. A new temporary location opened Monday, Jan. 27 at 146 Hartford Road, Manchester. 

Human Resources

Documents/Forms

New Hire Orientation Information & Forms


Workers’ Compensation Forms

Internal Workers' Comp Process

WC 207- DAS First Report of Injury

Security/Safety Incident Report - Form W-6

207 Addendum #2

WC 207-1 Incident Review Report (Supervisor)

WC 208 Worker Status Report

WC 211 – DAS Third Party Liability Form

WC Form 1A – Filing Status & Exemption

WC 715 – Request for Use of Accrued Leave

General Contact Information

 

DSS-Specific Workplace Violence Prevention Policy

DSS Workplace Violence Prevention Policy

Workplace Violence Incident Reporting Form

Incident/Threat Aftercare Checklist

Threat Assessment Checklist

DAS Statewide Workplace Violence Policy

 

Family and Medical Leave Act (FMLA)

DAS General Letter 39 - Family Medical Leave

FMLA Employee Medical Certificate P-33A

FMLA Caregiver Medical Certificate P-33B

FMLA Employee Request Form - FMLA-HR-1

FMLA - Employee's Intent to Return to Work Form - FMLA-HR-3

Top