Statewide HR

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• I-9 Form - Employment Eligibility Verification Form

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

• Travel - Employee Voucher Form - OSC Form CO-17XP-A - Revised January 2004

  Form used in conjunction with the OSC Form CO-17XP-PR employee voucher

• 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 Information Systems

  Schedule for disposition of information system records

• 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)

• Statutes - Connecticut General Statutes - State Employees - State Personnel Act - Chapter 67

  Chapter 67 of the Connecticut General Statutes - the State Personnel Act

• Regulations - State Employees - State Personnel - Title 5

  Title 5 of the State Personnel Regulations

• Travel Authorization Request Form - OSC Form CO-112

  Form used by an employee to request travel expense reimbursement from his/her agency

• Travel Reimbursement Reference Chart

  Provides travel reimbursements by labor unit

• Military Service - USERRA - Uniformed Services Employment and Reemployment Rights - A Non-Technical Resource Guide

  Information about the application of the Uniformed Services Employment and Reemployment Rights

• 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.

• Military Service - USERRA - Uniformed Services Employment and Reemployment Rights - United States Department of Labor USERRA Page

  References for questions pertaining to USERRA

• 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.

• 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

• Retirement - Hybrid Summary Plan Description