HR Forms & Resources

DOA final Pilot Performance Evaluations are due on 1/31/21. These should evaluate employees based on the metrics, measures, and SMART goals initiated on 12/20/19 and worked on throughout this last year.

Additional Resources

• Hiring Manager Resources
• Division of Retirement and Benefits Forms
• New Employee Orientation

Find Forms & Resources

Please note the forms & resources can either be found alphabetically or by subject. They are shown as TITLE (DOCTYPE). The (DOCTYPE) is to show what type of form it is whether excel (XLS), word (DOC or DOCX), or PDF.

By Subject

Select the subject to view forms.

ADA / EEO

• ADA Reasonable Accommodation Department Review and Action Log (PDF)
• ADA Reasonable Accommodation Packet (PDF)
• ADA State Policy Poster
• ADA Temporary restricted duty request (PDF)
• Employment Discrimination Complaint Form (PDF)
• Workplace Modification Request (PDF)

Benefits / Insurance

• Annuity Benefit Election Form (SBS) (Empower Retirement)
• Beneficiary Forms
  • Basic / Select / Voluntary Supplemental Life and AD&D Beneficiary Designation (Benefitfocus)

  Employee Work Schedule

  • Alternate Work Week ACOA
    • Alternate Work Week ACOA - 42-hour / 4-day LOA (PDF)
    • Alternate Work Week ACOA - 42-hour / 4-day Assignment Sheet (PDF)
    • Alternate Work Week CEA Schedule 1 (PDF)
    • Alternate Work Week CEA Schedule 2 (PDF)
    • Alternate Work Week CEA Schedule for Overtime Exempt Employees (PDF)
    • Alternate Work Week GGU LOA (PDF)
    • Alternate Work Week GGU Schedule 1 (PDF)
    • Alternate Work Week GGU Schedule 2 (PDF)
    • Alternate Work Week LTC Agreement 1 (4 Day) (PDF)
    • Alternate Work Week LTC Schedule 1 (4 Day) (PDF)
    • Alternate Work Week LTC Agreement 2 (9 Day) (PDF)
    • Alternate Work Week LTC Schedule 2 (9 Day) (PDF)
    • Alternate Work Week LTC Agreement 3 (7 on / 7 off) (PDF)
    • Alternate Work Week LTC Schedule 3 (7 on / 7 off) (PDF)
    • Alternate Work Week LTC Agreement 4 (14 on / 14 off) (PDF)
    • Alternate Work Week LTC Schedule 4 (14 on / 14 off) (PDF)
    • Alternate Work Week SU Schedule 1 (PDF)
    • Alternate Work Week SU Schedule 2 (PDF)
    • CEA Agreement DocuSign | PDF
    • GGU Agreement DocuSign | PDF
    • LTC Floating Holiday Agreement PDF (DocuSign Coming Soon)
    • Partially Exempt and Excluded Agreement DocuSign | PDF
    • SU Agreement DocuSign | PDF
    • Telework Policy (PDF)
    • Telework Request and Work Agreement (Addendum A) (PDF)
    • Telework Request and Work Agreement (Addendum A) (DOCX)

    Ethics

    • Ethics Disclosure: Confidential Notification of Potential Violation (PDF)
    • Ethics Disclosure: Grants/Contracts/Leases/Loans Notification (PDF)
    • Ethics Disclosure: Notification of Receipt of Gift from Another Government (PDF)
    • Ethics Disclosure: Notification of Receipt of Gift (PDF)
    • Ethics Disclosure: Outside Employment or Services (PDF)

    Layoff / Separation

    • Conditions of Employment Upon Return From Layoff for SU and GGU Employees (DOCX)
    • DCP Distribution / Direct Rollover Request (Empower Retirement)
    • Employee Clearance Form (PDF)
    • Exit Survey
    • Layoff Information Sheets
      • GGU Layoff Information Sheet (PDF)
      • KK Layoff Information Sheet (PDF)
      • LTC Layoff Information Sheet (PDF)
      • SU Layoff Information Sheet (PDF)

      Leave & Pay

      • Application for COLD and Certification of Residency (PDF)
      • Direct Deposit Authorization - Payroll (PDF)
      • Direct Deposit Authorization - Per Diem & Reimbursement (PDF)
      • Family Leave Information
        • Conditional Family Leave Notification (PDF)
        • Your Rights Under FMLA/AFLA (PDF)
        • Certification of Health Care Provider for Employee (PDF)
        • Certification of Health Care Provider for Family (PDF)
        • Certification of Serious Injury or Illness of a Covered Service Member (PDF)
        • Certification of Qualifying Exigency (PDF)
        • Frequently Asked Questions (PDF)
        • Same-sex Partner Affidavit (PDF)
        • Active Duty Form (PDF)
        • Training Duty Form (PDF)
        • Supplemental (PDF)

        New Hire / Employee Information

        • Address Update IRIS ESS
          • Contact Employee Call Center for help
          • Alcohol and Drug Free Workplace Policy Poster (PDF)
          • CDL Policy (PDF)
          • Job Aid Address Update (PDF) (SOA Only)
          • Job Aid Emergency Contact Update (PDF) (SOA Only)
          • Contact Employee Call Center for help
          • I-9 Employment Eligibility Verificaiton Instructions (PDF)
          • Family and Medical Leave Act (PDF)
          • Administrative Order 75 - EEO Policy
          • Administrative Order 81 - Harassment Policy
          • Administrative Order 129 - ADA Policy
          • Administrative Order 195 - Diversity Policy
          • Business Use/Acceptable Use ISP-172 (Personal Use of Office Technology Policy) (PDF)
          • State of Alaska Ethics Information for Public Employees (AS 39.52)
          • Policy on Seat Belts (AO 85)
          • Effects of Violations of Federal or State Law (2 AAC 07.416)

          Position / Class Studies

          Class Studies

          • Class Studies Request Form (DOCX)
          • Maintenance Request Form (DOCX)

          Position

          • Exempt Position, Request to Establish/Modify (docx)
          • Flexible Staffing Plan Worksheet (DOCX)
          • Non Permanent Position, Request to Modify (docx)
          • OPD Submission Checklist PDF / DOCX
          • Position Description(OPD)
          • Position Description - Limited Use Only (DOCX)

          Recruitment

          • Advanced Step Placement Worksheet - Analysis (DOC)
          • Certification of Employment as a Commercial Motor Vehicle Operator (PDF)
          • Drug and Alcohol Test Authorization (PDF)
          • LTC Hire Checklist (PDF)
          • LTC Hire Guidelines (PDF)
          • LTC Request for Referral (PDF / Word)
          • Nepotism Waiver (PDF)
            • Nepotism FAQ (PDF)

            Retirement

            • DCP Distribution / Direct Rollover Request (Empower Retirement)
            • Deferred Compensation Plan Information
            • PERS
              • PERS (Public Employees' Retirement System) Information
              • PERS Defined Contribution Retirement Plan Beneficiary Designation (Tier IV) (Empower Retirement)
              • PERS Verification of Salary (PDF)
              • PERS Verification of Service (PDF)
              • PERS Temporary Service Verification / Claim (PDF)
              • PERS/TRS Defined Benefit Retirement Plan Beneficiary Designation (PERS Tier I, II, III / TRS I, II) (PDF)
              • PERS/TRS Refund Election
                • PERS I, II, III / TRS I, II Refund Election (PDF)
                • PERS IV / TRS III Distribution Election (Empower Retirement)
                • TRS Defined Contribution Retirement Plan Beneficiary Designation (Tier III) (Empower Retirement)
                • TRS Verification of Service (PDF)
                • TRS Verification of Salary (PDF)

                Supervisor

                • Performance Management in AspireAlaska
                  • Rater's Guide (PDF)
                    • Appendix A - Rating Scale (p.19)
                    • Appendix C - Recommended Actions (p.21)
                    • PARF Information

                    Records & User Access

                    • ALDER User Affidavit and Instructions (PDF)
                    • Authorization to Release Confidential Employee Records (PDF)
                    • Confidentiality of Information Acknowledgement Form (PDF)
                    • Employee Records - Business Access Request & Authorization (PDF)
                    • IRIS Access Affidavit (PDF)
                    • IRIS Security Request Form (PDF)

                    Workers' Compensation

                    • Notice to Employee - Workers' Compensation (PDF)
                    • Employee Report of Occupational Injury or Illness (PDF)
                      • Report of Occupational Injury or Illness Procedure Manual (PDF) (SOA Login)
                      • State of Alaska Employer Report of Occupation Injury or Illness Example (PDF) (SOA Login)
                      • Division of Marine Highways Accident/Illness Report (PDF) (SOA Login)
                      • Marine Highways Accident Report (Vehicle) (PDF) (SOA Login)

                      Alphabetical Listing

                      Select the letter to view forms.

                      A

                      • ADA Reasonable Accommodation Department Review and Action Log (PDF)
                      • ADA Reasonable Accommodation Packet (PDF)
                      • ADA State Policy Poster
                      • ADA Temporary restricted duty request (PDF)
                      • Address Update IRIS ESS
                        • Contact Employee Call Center for help
                        • Alcohol and Drug Free Workplace Policy Poster (PDF)
                        • Alternate Work Week ACOA - 42-hour / 4-day LOA (PDF)
                        • Alternate Work Week ACOA - 42-hour / 4-day Assignment Sheet (PDF)
                        • Alternate Work Week CEA Schedule 1 (PDF)
                        • Alternate Work Week CEA Schedule 2 (PDF)
                        • Alternate Work Week CEA Schedule for Overtime Exempt Employees (PDF)
                        • Alternate Work Week GGU LOA (PDF)
                        • Alternate Work Week GGU Schedule 1 (PDF)
                        • Alternate Work Week GGU Schedule 2 (PDF)
                        • Alternate Work Week LTC Agreement 1 (4 Day) (PDF)
                        • Alternate Work Week LTC Schedule 1 (4 Day) (PDF)
                        • Alternate Work Week LTC Agreement 2 (9 Day) (PDF)
                        • Alternate Work Week LTC Schedule 2 (9 Day) (PDF)
                        • Alternate Work Week LTC Agreement 3 (7 on / 7 off) (PDF)
                        • Alternate Work Week LTC Schedule 3 (7 on / 7 off) (PDF)
                        • Alternate Work Week LTC Agreement 4 (14 on / 14 off) (PDF)
                        • Alternate Work Week LTC Schedule 4 (14 on / 14 off) (PDF)
                        • Alternate Work Week SU Schedule 1 (PDF)
                        • Alternate Work Week SU Schedule 2 (PDF)

                        B

                        • Beneficiary Forms
                          • Basic / Select / Voluntary Supplemental Life and AD&D Beneficiary Designation (Benefitfocus)

                          C

                          • Class Studies Request Form (DOCX)
                          • CDL Forms
                            • Certification of Employment as a Commercial Motor Vehicle Operator (PDF)
                            • CDL Policy Acknowledgement Form (PDF)
                              • CDL Policy (PDF)
                              • Job Aid Address Update (PDF) (SOA Only)
                              • Job Aid Emergency Contact Update (PDF) (SOA Only)

                              D

                              • DCP Distribution / Direct Rollover Request (Empower Retirement)
                              • Deferred Compensation Plan Information
                              • Designation of Beneficiary for Unpaid Compensation (PDF)
                              • Direct Deposit Authorization - Payroll (PDF)
                              • Direct Deposit Authorization - Per Diem & Reimbursement (PDF)
                              • Drug and Alcohol Test Authorization (PDF)

                              E

                              • Emergency Contact Update IRIS ESS
                                • Contact Employee Call Center for help
                                • I-9 Employment Eligibility Verification Instructions (PDF)

                                F

                                • Family Leave Information
                                  • Conditional Family Leave Notification (PDF)
                                  • Your Rights Under FMLA/AFLA (PDF)
                                  • Certification of Health Care Provider for Employee (PDF)
                                  • Certification of Health Care Provider for Family (PDF)
                                  • Certification of Serious Injury or Illness of a Covered Service Member (PDF)
                                  • Certification of Qualifying Exigency (PDF)
                                  • Frequently Asked Questions (PDF)
                                  • Same-sex Partner Affidavit (PDF)
                                  • CEA Agreement DocuSign | PDF
                                  • GGU Agreement DocuSign | PDF
                                  • LTC Floating Holiday Agreement PDF (DocuSign Coming Soon)
                                  • Partially Exempt and Excluded Agreement DocuSign | PDF
                                  • SU Agreement DocuSign | PDF

                                  G

                                  • GGU Health Trust Notification Form
                                  • GGU Health Trust Insurance Deferral Form
                                  • GGU Seasonal OT/Comp Time Option Form (PDF)

                                  H/I

                                  • Hazard Pay Worksheet (xls)
                                  • IRIS Access Affidavit (PDF)
                                  • IRIS Security Request Form (XLSM)

                                  L

                                  • Layoff Information Sheets
                                    • GGU Layoff Information Sheet (PDF)
                                    • KK Layoff Information Sheet (PDF)
                                    • LTC Layoff Information Sheet (PDF)
                                    • SU Layoff Information Sheet (PDF)

                                    M/N/O

                                    • Maintenance Request Form (DOCX)
                                    • Military Leave Benefit Election
                                      • Active Duty Form (PDF)
                                      • Training Duty Form (PDF)
                                      • Nepotism FAQ (PDF)

                                      P

                                      • Performance Management in AspireAlaska
                                        • Rater's Guide (PDF)
                                          • Appendix A - Rating Scale (p.19)
                                          • Appendix C - Recommended Actions (p.21)
                                          • PERS I, II, III / TRS I, II Refund Election (PDF)
                                          • PERS IV / TRS III Distribution Election (Empower Retirement)
                                          • PARF Information

                                          R/S

                                          • Rater's Guide (PDF)
                                            • Appendix A - Rating Scale (p.19)
                                            • Appendix C - Recommended Actions (p.21)
                                            • Family and Medical Leave Act (PDF)
                                            • Administrative Order 75 - EEO Policy
                                            • Administrative Order 81 - Harassment Policy
                                            • Administrative Order 129 - ADA Policy
                                            • Administrative Order 195 - Diversity Policy
                                            • Business Use/Acceptable Use ISP-172 (Personal Use of Office Technology Policy) (PDF)
                                            • State of Alaska Ethics Information for Public Employees (AS 39.52)
                                            • Policy on Seat Belts (AO 85)
                                            • Effects of Violations of Federal or State Law (2 AAC 07.416)

                                            T

                                            • Timesheets
                                            • Telework
                                              • Telework Policy (PDF)
                                              • Telework Request and Work Agreement (Addendum A) (PDF)
                                              • Telework Request and Work Agreement (Addendum A) (DOCX)
                                              • Supplemental (PDF)

                                              U/W

                                              • Union Notification for ASEA (GGU) (PDF)
                                              • Union Notification Information (PDF)
                                              • W4 Employee's Withholding Allowance Certificate (PDF)
                                              • Warrant Status Change Request (PDF)
                                              • Work Permit (PDF)
                                              • Workplace Alaska Certification Form (DOCX)
                                              • Workplace Modification Request (PDF)
                                              • Workers' Compensation
                                                • Notice to Employee - Workers' Compensation (PDF)
                                                • Employee Report of Occupational Injury or Illness (DOC)
                                                  • Report of Occupational Injury or Illness Procedure Manual (PDF) (SOA Login)
                                                  • State of Alaska Employer Report of Occupation Injury or Illness Example (PDF) (SOA Login)

                                                  DOPLR Resources

                                                  • Employee Form Packets
                                                  • HR Forms & Resources
                                                  • Mandatory Employment Posters
                                                  • Newsletters

                                                  Mission Statement

                                                  Personnel

                                                  Provide policy, consultative guidance, and direct human resource services to State of Alaska Executive Branch agencies.

                                                  Labor Relations

                                                  Our mission is to achieve the purposes of the Public Employment Relations Act by acting as the executive branch representative in contract negotiations and contract administration matters.

                                                  State of Alaska Department of Administration
                                                  Division of Personnel and Labor Relations

                                                  Mailing Address:
                                                  PO Box 110201
                                                  Juneau, AK 99811

                                                  Physical Address:
                                                  (No US mail delivery)
                                                  10th Fl. State Office Building
                                                  333 Willoughby Ave., Juneau, AK

                                                  Phone: (907) 465-4430
                                                  Fax: (907) 465-3415