Connecticut Department of Administrative Services Forms

This form is used for requesting to hold a classified position in accordance with C.G.S. Section 5-248(F) in the state of Connecticut. It is specifically for individuals who wish to keep their classified position despite not meeting the required qualifications.

This Form is used for requesting a vehicle in the state of Connecticut.

This form is used for administrative assistant managers in Connecticut. It may include employee information, job responsibilities, and performance evaluations.

This Form is used for reporting criminal convictions in the state of Connecticut.

This form is used for certifying that a person is a Public Service Agreement (PSA) contractor who is currently employed by the state of Connecticut.

This spreadsheet contains information about agency consolidations in the state of Connecticut. It provides an overview of the organizations that have merged or consolidated their operations.

This form is used for verifying the statutory definition of a managerial employee in the state of Connecticut.

This form is used for supervisors in Connecticut to report and document accidents that occur in the workplace. It helps to investigate the cause of the accident and take necessary steps for prevention in the future.

This form is used for physicians in Connecticut to report on the workers' status.

This form is used for entering into a personal service agreement or requesting a waiver of classified service in the state of Connecticut.

This Checklist is used by Human Resources professionals in Connecticut to assess and prevent workplace violence incidents.

This document is used for requesting placement on the statewide transfer list in Connecticut.

This form is used for requesting a provisional appointment in the state of Connecticut.

This form is used for reporting burn injuries that occur in the state of Connecticut. It is a document that individuals or healthcare professionals can use to report information about burn injuries, including the cause, severity, and treatment of the injury. The form helps in gathering data on burn injuries in Connecticut and assists in developing prevention strategies and providing appropriate medical care.

This form is used for reporting the first injury occurring at the workplace in Connecticut.

This form is used for filing grievances and appeals in the state of Connecticut. It provides a packet of information and instructions for individuals who want to challenge a decision or action taken by a government agency or organization.

This form is used for reporting third-party liability in cases of concurrent employment in Connecticut. It is used to provide information on any potential liability of a third party in a workers' compensation claim.

This Form is used for requesting a schedule change under the Voluntary Schedule Reduction Program (VSRP) in Connecticut.

This form is used for completing a questionnaire for the Temporary Worker Retiree Pool in Connecticut. It is designed to gather information from individuals who are interested in participating in this program.

This document is for enrolling in the Management Sick Leave Bank and participating in it for employees in Connecticut.

This Form is used for transferring or rehiring employees within an agency in Connecticut.

This form is used for coding medical leave, family leave, or military family leave in Connecticut.

This form is used for employees in Connecticut who are on a Family and Medical Leave Act (FMLA) leave and are intending to return to work.

This document is used to notify employees in Connecticut about their eligibility, rights, and responsibilities when requesting medical leave, family leave, or military family leave under the Family and Medical Leave Act (FMLA).

This form is used for verifying the qualifying family relationship for family leave or military family leave in the state of Connecticut.

This form is used for notifying employees in Connecticut about the designation of their request for medical leave, family leave, or military family leave under the Family and Medical Leave Act (FMLA).

This document is used to report a vehicle incident or accident in the state of Connecticut. It provides a detailed account of the incident and is necessary for insurance claims and legal purposes.

This form is used for employee service rating in the P5 union in Connecticut.

This form is used for providing optional comments and ratings for employee service in the Administrative and Residual unit in Connecticut.

This form is used for requesting dual employment in the state of Connecticut.

This form is used for requesting a medical exemption for the Covid-19 vaccination in the state of Connecticut.

This form is used for requesting a religious or spiritual exemption from receiving the Covid-19 vaccination in the state of Connecticut.