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Employee Information and Resources

Information Tab

Forms

› Employee Policies & Procedures Manual
› Leave Without Pay Form
› Travel Expense Form
› Change of Address
› Cash Advance
› JC Cash Advance
› Application to Donate Annual Leave
› Application to Receive Donated Leave
› Inter-Agency Donation Form (?)
› State Income Tax Withholding Form (WV/IT-104)
› Federal Income Tax Withholding Form - 2013 (W4)
› Direct Deposit Change Form
› Direct Deposit Travel Reimbursement Change Form
› New Employee Check List
› Separating Employee Check List
› Employee Reimbursement Request (non travel)

FMLA

** FMLA forms are provided for informational purposes only. Any employee requesting a leave of absence must first contact the Fiscal Office for a determination as to whether they are eligible for FMLA. **
› Certification of Health Care Provider for Employee's Serious Health Condition - WH 380-E
› Certification of Health Care Provider for Family Member's Serious Health Condition - WH 380-F
› Certification of Qualifying Exigency for Military Family Leave - WH-384
› Certification for Serious Injury or Illness of a Current Servicemember - - for Military Family Leave - WH 385

Safety Manual

› Employee Safety and Loss Control Manual

Asset Management Manual & Forms

› Asset Management Manual
› Annual Certification Cover Sheet
› Annual Certification Of Assigned Equipment
› Equipment Assignment Form
› WV Legislative Equipment Returned Form
› WV Legislative Equipment Returned Removed From Service Form
› Equipment Sign-In/Sign-Out Log
› Physical Inventory Certification


Links

PEIA
› PEIA Online Benefits Administration System
› Mountaineer Flexible Benefits

Auditor's Office
› Online Sign Up Direct Deposit
› MyApps (Wages and Kronos Timekeeping login)

Treasurer's Office
› West Virginia Retirement Plus Forms (457 Deferred Compensation)

Staff Telephone Directory
› Staff Directory


Contact

Kevin Riffe
Legislative Services - Fiscal Division
kevin.riffe@wvlegislature.gov
(304) 347-4862
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