Division of Administrative Services

Division of Administrative Services

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Employee Relations

Areas of Responsibility:

Application Reviews
FMLA
Leave Returns
Medical Leave
Military Leave
Parental Leave
Personal Leave
Postings
Settlements
Suspensions
Unauthorized Leave
Unemployment
Worker's Compensation

Forms:

Military Leave Checklist

Functional Capacity Form

FMLA Packet-Family Member Serious Health Condition

FMLA Packet-Employee Serious Health Condition

DOP-L1 Leave with Pay

DOP-L2 Leave of Absence without Pay

DOP-L3 Physician's/Practitioner's Statement

DOP-L10 Designation Notice

DOP-L9 Notice of Eligibility and Rights and Responsibilities

DAS Leave of Absence Cover Sheet

Kronos Leave Conversion from Minutes to Payroll Decimal Hours

Application to Receive Donated Leave

Unauthorized Leave Letter Template

Personal Leave Without Pay Letter Template

Medical Leave Without Pay Letter Template

FMLA Letter Template

Encova Insurance Injury Kit

REsources:

FMLA - https://personnel.wv.gov/employees/leave/fmla/pages/default.aspx

Military Leave - https://personnel.wv.gov/agencies/pages/militaryleave.aspx

Sample Letters - https://personnel.wv.gov/rules/samples/pages/default.aspx

Donated Leave (Forms are located at the bottom of Policy in Link) - https://personnel.wv.gov/employees/Leave/leavedonation/Pages/leavedonationguidelines.aspx

Encova (Worker's Compensation) - https://www.encova.com

NEOGOV Access Form - https://forms.gle/Uhs2BnTfR77mGWSY7

NEOGOV Additional Names Form - https://forms.gle/o5iSH694XAxLRoDL9

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