Employee/Employer Forms
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DMA 002 State Active Duty Pay Authorization *
DMA 5.3-1-R & 5.3-2-R Authorization for Release of Health Care Information *
DMA 5.3-R Occupational Health Medical History Form *
DMA 5.3-4-R MASO Physical Readiness Test Pre-Hire, Annual and Return-to-Work
DMA 8 Authorization For Disclosure or Exchange of Confidential Medical Records
DMA 12-E-R Position Action Request*
DMA 23-E Request for Approval of Outside Employment
DMA 35 DMA State Employee Performance Evaluation
DMA 38-E DMA State Training Traveling Request/Authorization
DMA 39 Request for FLSA Exempt OverTime
DMA 171 DMA SSID and Facility Access Request
DMA 172 JFHQ-WI Facility Access Request EAL
DMA 217 Disability Self-Identification
DOA 6125 Physicians Certification
DOA 15100 Veterans New Hire Information
DOA 15104 Reasonable Accommodation Request Form
DOA 15302 Position Description
DOA 15308 Leave Without Pay (LWOP) Request/Authorization
DOA 15330 Justification for Discretionary Merit, Equity or Retention Award (DMC/DERA)
DOA 15336 Fitness For Duty Certification – Return To Work Release
DOA-15519 Limited Term Employment Acknowledgment
DOA 15802 Adverse Employment Action Employee Grievance
DOA 15805 Condition of Employment - Employee Grievance Report
USCIS I-9 Form Employment Eligibility Verification
DMA Form Employee Work Rules Receipt
**Please review the Memorandum and the WHRH Chapters 408 and 410 linked in the memorandum and below prior to signing the Employee Work Rules Receipt Form** DMA Form Self-Reporting Derogatory Information
DMA Form Confidentiality Non Disclosure Agreement
Workers Compensation Forms
DOA-6058 Employee Workplace Injury or Illness ReportDOA-6437 Supv & Safety Coord Investigation Report for Injury or Illness
DOA-15336 Fitness For Duty Certification – Return To Work Release
Employee Workplace Injury or Illness Report Guidelines
WKC-12-E Employer's First Report of Injury or Disease
Family Medical Leave Forms (FMLA)
DOA 15336 Fitness For Duty Certification – Return To Work ReleaseDOL WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition
DOL WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition
DCLR-201 Family and Medical Leave - Employee Request
