Human Resources

Forms

Submit Employment Application
You may complete an online application here. You may apply for jobs 24/7.

2016 W-4 Form
Applicant Summary
Authorization for Release of Information
Cafeteria Plan Reimbursement Form
Chronic Form
Direct Deposit Form
Donated Leave Form
Submit Employment Application
Entry and Exit Checklist
First Report of Injury or Illness Form
FMLA Certification Form
Form I-9, Employment Eligibility Verification
Form P-1, "Request to Recruit for Employment"
Form P-2, "Employment, Promotion or Transfer Request"  
Form P-3, "Termination of Employment"
Grievance Form
Health Insurance Plan Application for Coverage
Leave Form
MDE Contract Worker Background Acknowledgement
Mississippi State Tax Form
Monthly Time Report
Performance Appraisal Forms

PERS
                 PERS Beneficiary Designation
                 PERS Change of Information
                 PERS Membership Application

Physicians' Certification for Donated Leave
Request for Donated Leave
Telephone Reference Check
Workers' Compensation Packet



Accounting Forms

Consultant
Consultant Services Authorization Form
Consultant Services Travel Voucher (OCTE use only)
Consultant Services Travel Voucher for Non-Employees
Contract Time Sheet
Deed of Gift Form
Domestic Meal Reimbursement Rates - Out of State

Travel 
         Employee Travel Authorization Form
         Employee Travel Voucher

Equipment Receipt 
Furniture Equipment Disposition Form
Invoice for Services
Lost or Stolen Property Affidavit
Map Mileage Chart
Minority Vendor Self Certification Form
Property Contact Agreement 
Rental Agreement
Request for Funds
Request for Services or Goods
Return of Good Form
Special Circumstances Approval Form
Travel Voucher Checklist
Trip Number Request Form

Office of Human Resources    P.O. Box 771     Jackson, MS 39205-0771     Phone: (601) 359-3511     Fax: (601) 576-2185

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