New Employee Orientation Checklist Template

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New Employee Orientation
CONTENTS / CHECKLIST
Form #
1.1000
Employee Name:____________________________
Date of Hire:_______________________
Job Title: __________________________________
Unit / Office Location: _______________________
Agency Information / Welcome
1.1001
Cover Page With Administrative Label
1.1002
Agency Mission Statement, Vision and Values
1.1003
Agency Overview - The Department in Brief
1.1004
Welcome Letter From Director of Human Resources
State Employment Forms
2.1000
CO-931 Designation of Retirement System Form
2.1001
I-9 Employment Eligibility Verification Form
2.1002
CO-1300 Enrollment Form for Retiree Health Fund
2.1003
CT-W4 Connecticut State Tax Withholding Certificate
2.1004
W-4 Employee's Federal Withholding Certificate
2.1005
Notice of Change - Emergency Contact Information
2.2000
Retirement Credit Purchasing Forms Link
http://www.osc.ct.gov/agencies/forms/retire/index.html#Purchasing
2.2001
CO-1040 Direct Deposit Authorization
2.2002
CO-9911 Retirement Credit Purchase Request
2.2003
ePay Introduction letter
2.2004
Core-CT Login Epay Instructions
Employee Benefits
3.1000
Health Care Options Planner
3.1001
Personal HEP Checklist (Health Enhancement Plan)
3.1002
Personal Chronic Condition Checklist (Health Enhancement Plan)
3.1003
Supplemental Benefits
3.1004
Progressive Benefit Solutions - Dependent Care Program
3.1005
Connecticut State Employees Credit Union - Welcome page
3.1006
CSECU - Directory / Locations
3.1007
ING Deferred compensation
3.1008
Progressive Benefit Solutions - Medical Flexible Spending Account - MEDFLEX
3.1009
Progressive Benefit Solutions - Qualified Transportation Account Program
3.1010
CHET - Connecticut Higher Education Trust
3.1011
Employee Assistance Program Brochure - Page 1
3.1012
Employee Assistance Program Brochure - Page 2
BENEFITS FORMS
3.2000
CO-1314 Health Enhancement Program Enrollment Form
New Employee Orientation
CONTENTS / CHECKLIST
Form #
1.1000
Employee Name:____________________________
Date of Hire:_______________________
Job Title: __________________________________
Unit / Office Location: _______________________
Agency Information / Welcome
1.1001
Cover Page With Administrative Label
1.1002
Agency Mission Statement, Vision and Values
1.1003
Agency Overview - The Department in Brief
1.1004
Welcome Letter From Director of Human Resources
State Employment Forms
2.1000
CO-931 Designation of Retirement System Form
2.1001
I-9 Employment Eligibility Verification Form
2.1002
CO-1300 Enrollment Form for Retiree Health Fund
2.1003
CT-W4 Connecticut State Tax Withholding Certificate
2.1004
W-4 Employee's Federal Withholding Certificate
2.1005
Notice of Change - Emergency Contact Information
2.2000
Retirement Credit Purchasing Forms Link
http://www.osc.ct.gov/agencies/forms/retire/index.html#Purchasing
2.2001
CO-1040 Direct Deposit Authorization
2.2002
CO-9911 Retirement Credit Purchase Request
2.2003
ePay Introduction letter
2.2004
Core-CT Login Epay Instructions
Employee Benefits
3.1000
Health Care Options Planner
3.1001
Personal HEP Checklist (Health Enhancement Plan)
3.1002
Personal Chronic Condition Checklist (Health Enhancement Plan)
3.1003
Supplemental Benefits
3.1004
Progressive Benefit Solutions - Dependent Care Program
3.1005
Connecticut State Employees Credit Union - Welcome page
3.1006
CSECU - Directory / Locations
3.1007
ING Deferred compensation
3.1008
Progressive Benefit Solutions - Medical Flexible Spending Account - MEDFLEX
3.1009
Progressive Benefit Solutions - Qualified Transportation Account Program
3.1010
CHET - Connecticut Higher Education Trust
3.1011
Employee Assistance Program Brochure - Page 1
3.1012
Employee Assistance Program Brochure - Page 2
BENEFITS FORMS
3.2000
CO-1314 Health Enhancement Program Enrollment Form
3.2001
CO-1315 ER-COPAY Waiver
3.2002
CO-1318 Guardianship Verification
3.2003
CO-1319 Change in Marital Status
Policies and Helpful Information
4.1000
Tier III - State Employees Retirement Plan Booklet
4.2000
Acceptable Use of State Systems Policy
4.2002
Employee Responsibilities
4.2003
State Email Policy update
4.2004
Drug Free Workplace Policy
4.2005
Political Activities Under Federal & State Law
4.2006
Guidelines for Employee Attendance and Tardiness
4.2007
Frequently use Time & Attendance Codes
4.2008
Time Off Request Form-W643A
4.3000
Proper Work Attire
4.3001
Worker Health and Safety
4.3002
Staph Infection
4.3003
Selling in the Workplace
4.3004
Chemical Sensitivity Policy
4.3005
Smoke Free Workplace
4.3006
Smoking In State Vehicles Policy
4.3007
Code of Ethics
4.3008
Guide to the Code of Ethics for State Employees
4.3009
Nursing Mother's Room Policy
4.4000
2013 Holidays Calendar
5.0001
Violence In The Workplace Prevention Policy-1999 Executive Order 16
5.0002
Workplace Violence Procedures
5.0003
The Full Guide - Workplace Violence Procedures
5.0004
Life Safety Workplace Accommodation
6.0000
Workers Compensation Program
6.0001
CT-HR-12 Application for Examination or Employment
Directories
10.2000
DSS Offices
Telephone / Fax / E-mail directories
10.2001
DSS webpage phone book
10.2002
Outlook address book
10.2003
HR directory
I understand that as a State of Connecticut employee with the Department of Social Services, It is my
responsibility to familiarize myself with and abide by all State and Federal Laws, Employment Policies and
State Personnel Regulations. I affirm with my signature below that I have received and / or been advised
of the information noted above and will uphold my responsibility as a State of CT and DSS employee.
Employee Signature: ___________________________________________
Date:_______________

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