FORMS
The files below are posted in Adobe Acrobat Reader, Microsoft Word, and Microsoft Excel. Adobe Reader files require the free Adobe Reader software. Microsoft Word files require either Microsoft Word or the free Word Viewer software. Microsoft Excel files require Microsoft Excel or the free Excel Viewer.
Workers Comp Forms |
EMPLOYEE HEALTH & BENEFITS FORMS - To be sure you are able to view the most up to date documents we are providing a link directly to the Division of Employee Health & Benefits site.
(VEIP) Voluntary Employee Incentive Program Forms - 2023 - 2025
- Voluntary Employee Incentive Program - Application
- VEIP Porgram Information (How this effects the employee and benefits)
- VEIP - Program Definitions and guidelines
PERFORMANCE MANAGEMENT FORMS - There are two forms that are basically the same except one is more of a Narrative form and the other is more Check Boxes. Please check with your Department Management to determine which form you should use.
Click on the link below and it will send you to the BHR webpage that contains the forms. This is done to ensure you are using the most up to date form available.
PERFORMANCE MANAGEMENT / END OF PROBATION FORMS |
PER119A Performance Management Form Rating Boxes |
PER119B Performance Management Form Narrative |
- 3 Month Probation Evaluation (word)
- Performance Improvement Plan Template (word)
- Performance Improvement Plan Template (excel)
FJA - Administrative Report of Work Content | FJA - Administrative Report of Work Contnent for Project Positions |
FJA-1 | FJA-1P |
- Hiring Justification - (Exemption Form, Required to Post/Fill Positions.) (word)
- Procedures to fill Vacancy
- New Hire Checklist - (word)
- Routing Slip - (Needed for Transfer, New Hire, Promo, etc.) (word)
- Direct Hire Application - (pdf)
- Direct Hire Application - (word)
- State of Maine Vehicle Use Agreement - ( For use by interns and seasonal employees that will operate a State vehicle.)
EMPLOYEE SEPARATION FORMS
- Termination Form - (word)
- Continuation of Benefits - (pdf)
- State of Maine Basic Employee Exit Checklist - (word)
MAINEPERS FORMS
- Change of Address/Name - Retirement - (pdf)
- Dependent Insurance - (pdf)
- Designation of Beneficiary-Preretirment Death Benefits - (pdf)
- Designation of Beneficiary-Life Insurance - (pdf)
- Reduce/Cancel Group Life Insurance - (pdf)
- Request for Additional insurance Coverage. Requires Evidence of Insurability - (pdf)
- Retirment Process Checklist - (Will direct you to the Office of Employee Health & Benefits website.)
ADVANTAGE AND OTHER ACCOUNTING FORMS
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For all current purchasing and contracting forms, please visit the forms section of the website for the Division of Purchases at www.maine.gov/purchases
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For all current accounting, vendor and travel forms, please visit the forms section of the website for the Office of the State Controller at www.maine.gov/osc
OTHER FORMS/POLICIES
DACF Safety Eyewear/Hearing
- For Conservation Employees ONLY - Reimbursement For Prescription Safety Eyewear - (word)
- For Conservation Employees ONLY - Hearing Conservation and Protection Program - (ppt)
REFERENCE MATERIALS
- EEO/Affirmative Action Policy and State Harrassment Policy - (pdf)
- Acknowledgement Form - EEO/Affirmative Action Policy and State's Policy Statement Against Harassment - (word) - (One acknowledgement form for both policies.)
- Employee Handbook - (pdf)
- Internship Guide - (Guide to Internships in Maine State Government.) (pdf)
- New Employee Integration - (Hiring Manager reference to bringing on new employees.) (pdf)
- Supervisor Skills Reference Guide - (pdf)
- Use of State IT Resource Policy
Domestic Violence Policies
- Agriculture, Conservation & Forestry - 2014 (pdf)
- Environmental Protection - 2018 (pdf)
- Inland Fisheries & Wildlife - 2014 (pdf)
- Marine Resources - 2014 (pdf)
- Acknowledgement Form DV Policy - 2018 (doc)
- Appendix Domestic Violence Form - (pdf)
- MCEDV Map - (pdf)
- Wabanaki DV Service Map - (pdf)
July 8, 2024 3:33 PM