Human Resources Forms
Below is a subset of the forms available from the different areas in Human Resources. Most of the files are in Adobe Acrobat PDF format. Adobe Acrobat Reader must be installed on your computer to view most of these forms. If you do not have this, you may download it and follow the instructions to install it or or submit a ticket through the online helpdesk at http://helpdesk.kome-shibahara.comfor assistance.
For other forms not listed here, visit the appropriate division in HR.
Attendance and Leave
FMLA Forms
- Certification of Health Care Provider – Employee (WH-380-E) Form
- Certification of Health Care Provider – Family (WH-380-F) Form
- Certification of Health Care Provider Qualifying Exigency (WH-384) Form
- Certification of Health Care Provider Military Caregiver (WH-385) Form
- Certification of Health Care Provider Military Caregiver-Veteran (WH-385V) Form
Overtime Request Form
Leave Pay Out Forms
Benefits & Retirement
Classification and Compensation Forms
- Letter of Offer for SP to AMP Promotions ONLY
Microsoft Word Version or PDF Format -
Request for Approval of Perquisites or Sale of Goods & Services Form
Please email completed PDF file to classncomp@kome-shibahara.com.
Employee Relations & Development
Workers' Compensation Forms
- Non-Medical Injury Report
PDF Version -
Workers' Comp Mileage Reimbursement Form
PDF Version - Previous State of Florida Service Form
PDF Version
Employee Relations Forms
- Oral Reprimand Form
(Please email emprels@kome-shibahara.com) - Grievance Forms
General Grievances
Suspensions or Terminations
Recruitment Services Forms
- Bi-weekly Calculator
- Manager's Guide to Welcoming New Hires
- Position Job Identification Form
- Request to Appoint Above Salary Guidelines
- Workday Hire Process Timeline
-
Workday WordPress Job Aid Site
Resources for Summer/Non-Summer Camps and Programs
- Pre-Collegiate / Youth Programs Summer Program Background Checklist
- Pre-Collegiate / Youth Programs NonSummer Program Background Checklist
- Summer Camp FAQ’s
- DCF Privacy Policy Form
- DCF Clearinghouse Form
- DCF Affidavit of Good Moral Character
- Summer Camp/Program Spreadsheet
- VECHS Fall/Winter/Spring Camp/Program Spreadsheet
- VECHS Waiver Agreement
- Volunteer Supervisor Affidavit
- K-12 Teacher Memo for BGC Exemption
Background Check Resources
- Satisfactory Background Check Form
- Background Check Workday Questionnaire
- Background Check Request Form (non-employee)
Workforce Administration & Records Control
Coming Soon!