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  DOT > Human Resources > Forms
 
Forms
 
PERSONNEL FORMS

State Application Forms:

State Application Forms

Careerbanding, SBP, CBP Forms

Click here and search using sbp or cbp.

CB-102 - Career Banding Position Description word

Drug & Alcohol Forms
ALCRDG-01 - Request/Consent Info from previous Employer pdf
ALCDRG-02 - CDL Acknowledgement of Receipt pdf
ALCDRG-03 - Observed Behavior Reasonable Suspicion pdf
ALCDRG-04 - NCDOT Acknowledgement of Receipt pdf
ALCDRG-05 - Employee Information for CDL Testing pdf
ALCDRG-06 - Background Statement pdf

Electronic Forms Page

Quickfind Forms Page

Employee Action Forms
Advanced Leave Request Approval Form with Process pdf
Employment References Authorization and Release Form pdf
Employee Notice/Request for FMLA PDF
Employer Response to Employee Notice/Request for FMLA PDF
Employee Request for Family Illness Leave pdf
Employer Response to Employee Request for Family Illness Leave pdf
PD135 - Longevity Request pdf
Pl-82 - Parental Leave Request pdf
PO800 - Verification of Education pdf
Seasonal & Temporary Work Agreement
Certificate of Health Care Provider (WH-380) pdf

Employee Suggestion Forms

Employee Suggestion Forms

General Personnel Forms
Adverse Weather Time Make-up (Adverse) EXCEL
Authorization and Consent for Disclosure of Health Informationpdf
Candidate Selection Form pdf
Confidentiality Statementpdf
DOTVSL-1 Recipient Shared Leave Form pdf
DOTVSL-2 Donor Shared Leave Form pdf
Employment Eligibility Verification (Form I-9) PDF
Engineering Assoc. & Co-op Supervisors Evaluation Form pdf
Exit Interview Checklist Form pdf
Expenditure Request Form pdf
Expense Voucher (Form 600) pdf
Mediation Request Form (Part 2) pdf
Internet and E-mail Policy and Procedures pdf
Overtime Compensation Agreement pdf
PD136 - Educational Assistance pdf
Performance Management Form pdf
PO-102 - Request for Secondary Employment pdf
PO-102D - Dual Employment pdf
PO500 - Vacancy Posting pdf
Reasonable Accommodation Based on Disability pdf
Statement of Understanding pdf
Telephone Usage Procedures (Phone Use) pdf
Unlawful Harassment Policy Statement pdf
Workplace Violence Incident Report pdf

Payroll Forms
Blank Timesheet EXCEL
FR24 - Change of County for Paycheck Distribution pdf

PR26 - Cancel Optional Insurance Deductions pdf
PR31 - Notice of Home Address Change pdf

Position Action Forms
PD-105SBP - Skilled Base Pay Program pdf
Position Description Form Instructions(PD-102R-92-I) pdf
Position Description Form (PDOSS93) pdf
Position Description Form (PD-102R-92)word

Retirement Forms

Employee Retirement Forms

Tax Forms

NC 4 Tax Form pdf
W4 Federal Tax Withholdingpdf

Worker's Compensation Forms
Form 19 - Worker's Compensation Employee Injury Report word
Form 19S - Supplemental Report of Injury word
Form 25P - Itemized statement of charges for drugs word
Form 25T - Itemized statement of charges for travel word
FR26 - Worker's Comp. Employee Use of Leave Options pdf
REFstrT2 - Worker's Compensation Refusal of Treatment pdf
WC93RI - Release of Medical Information pdf


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Staff Directory

For any questions about this page, please contact:
Robin Hicks -- RHicks@dot.state.nc.us
(919)733-9260 Extension: 213