Workers Comp Forms Basic Workers Comp Guidelines (pdf) Employees Report of Injury - (word) Supervisors Report of Injury - (word) Medical Release Form - (word) Vendor Form - (Will take you to the OSC site.) Benefits/Leave Options Form - (word) Witness Form - (word) (if needed) Reimbursement Form - (word) (if needed)

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.

• Employee Health & Benefits Forms
• Computer/VDT Eye Exam & Lense Reimbursement Form

Voluntary Employee Incentive Program Forms -

• Voluntary Employee Incentive Program (Voluntary Cost Savings) 2021-2023
• Voluntary Employee Incentive Program Policy/Practice/Rules

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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

• Instructions for the Performance Management Forms
  

• 3 Month Probation Evaluation (word)
• Performance Improvement Plan Template (word)
• Performance Improvement Plan Template (excel)

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FJA - Administrative Report of Work Content	FJA - Administrative Report of Work Contnent for Project Positions
FJA-1	FJA-1P

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• 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 - (word - 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

• 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

• 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