Personnel-Related Forms

Unless otherwise indicated, these forms are provided in MS Office Word format.  If you do not have MS Word, you can download a freeware copy of any of the Microsoft Word Viewers which are available from Microsoft. Microsoft provides detailed information with each copy of these programs including instruction for installation and use.

Documents in PDF format can only be viewed and printed by using an Adobe Acrobat Reader.

Electronic forms have to be downloaded onto your hard drive and activated from there. Using these forms may require you to do a one-time download of a 32-bit driver. Complete instructions for the download and installation, as well as suggestions on how to set up your computer files for an easier understanding of the E-form format are available on the menu to the right of this paragraph. Please read these instructions before proceeding to the software download process. REMEMBER: This MUST BE installed on the C DRIVE of your local PC.

Appeal Form (MSWord - 101 KB)

Authorization for Returning Retirees replaced by Member and Employer Certification Regarding Reemployment (PDF - 17 KB)

Classification and Compensation Related Forms

• Non-Merit Information Sheet (MSWord- 24 KB)
  • Example of KRS 12:040 letter (PDF - 17 KB)
  • Example of KRS 12:050 letter (PDF - 18 KB)
  • Example of KRS 12:010 letter (PDF - 15 KB)

• Position Description Worksheet (Electronic Format - 404 KB)

• Reallocation Form (MSWord - 36 KB)

• Reorganization Forms (Administrative and Executive Orders)
  • Budget From-To List [Crosswalk] (MSWord - 124 KB)
  • Chart of Accounts From-To List [Crosswalk] (MSWord - 123 KB)
  • Checklist of Changes Relating to Reorganization (MSWord - 127 KB)
  • Position From-To List [Crosswalk] (MSWord - 90 KB)
  • Structural From-To List [Crosswalk] (MSWord - 188 KB)

Cooperative/Internship Education

• KY Cooperative/Internship Education Application Supplement (MSWord - 59 KB)
• Coop-Intern Program Performance Evaluation Form (MSWord - 84 KB)
• Coop-Intern Program Performance Evaluation Form (PDF - 72 KB)

Educational Leave Contract (MSWord - 30 KB)

Fair Labor Standards Act Info and Forms

• Instructions for Completing Excel FLSA Exempt Test
• FLSA Exempt Test and Form (MSExcel - 114 KB)
• FLSA Exempt Test (MSWord - 52 KB)
• FLSA Exempt Form (MSWord - 32 KB)
• FLSA Exempt Test (PDF - 72 KB)
• FLSA Exempt Form (PDF - 53 KB)

Overtime Compensation Election Form (Electronic Format - 332 KB)

Pre-Termination Hearing Form (MSWord - 146 KB)

Previous State Service Certification Form (MSWord - 28 KB)

Records Request Forms

• Employee-Applicant Request for Inspection of Records (MSWord - 40 KB)
• Request to Inspect or Copy Public Records (MSWord - 46 KB)

Request for Dual Employment (PDF - 52 KB)

Request for ACE or ERA Award (MSWord - 59 KB)

Request for Approval of Multilingual Premium Per 101 KAR 2:034 Section 9 (3) (MSWord - 31 KB)

Request for Educational Achievement Awards (Electronic Format - 396 KB)

Request for Personnel Action Exemption (MSWord - 131 KB)

Signature Authorization Forms

• Signature Authorization Form (MSWord - 31 KB)
• Signature Authorization Revoke Form (MSWord - 27 KB)

State Service Request Form (MSWord - 36 KB)

Voluntary Transfer/Demotion/Salary Retention Agreement Form (MSWord - 43 KB)