Department of Human Resources Development

Below you will find links to all of the forms created and maintained by the Department of Human Resources Development:

• Certification of Significantly Disabled Individual for Selective State Employment Program Eligibility
• Compensation Program for EMCP Forms – (Salary Matrix, Professional Growth In-Grade Adjustment, Retention In-Grade Adjustment, Internal Alignment In-Grade Adjustment)
• EMCP Performance Evaluation Forms
• Estimated Functional Capacities Form
• Fingerprinting Application Form
• Form MAB 1- Merit Appeals Board Form – This form is what you must fill out to file an appeal with the Merit Appeals Board.
• HRD Internal Complaint Form
• HRD-1 Form – Position Action Form
• HRD Form 259 – Request for Administrative Review of Classification Action 
• HRD Form 276 – Request for Administrative Review of Initial Pricing Action
• HRD Form 282 – Request for Exemption of Contractual Service 
• HRD Form 282_ – Request for Exemption of Contractual Service – Form Instructions
• HRD Form 282A – Request for Exemption of Contractual Services – Attachment A
• HRD Form 282B – Request for Exemption of Contractual Services – Attachment B
• HRD Form 282C – Request for Exemption of Contractual Services – Attachment C
• HRD Form 282D – Request for Exemption of Contractual Services – Attachment D
• HRD Form 282E – Request for Exemption of Contractual Services – Attachment E
• HRD Form 282R – Renewal Certification Statement
• HRD Form 282R_ – Renewal Certification Statement – Form Instructions
• HRD Form 282V – Departmental Notification of Vendor Selected  
• HRD Form 282V_ – Departmental Notification of Vendor Selected – Form Instructions
• HRD Form 282VE – Departmental Notification of Vendor Selected – For *Emergency Contract
• HRD Form 282VE_ – Departmental Notification of Vendor Selected – For *Emergency Contract – Form Instructions
• HRD Form 283 – Selective Certification Requirements – Form and Instructions for Authorizing Selective Certification Requirements for Clinical Laboratory Specialist/Medical Technologist License
• HRD 319 – Hawaii State Residency Questionnaire
• HRD 319a – Certification of Hawaii Residency
• HRD 319b – Hawaii Residency Requirement Form 
• Instructions for HRD 319a and 319b
• HRD 324a – Authorization Certificate for Release of Employment Information 
• HRD 330 – Applicant Data Survey 
• HRD 395 – Request for Approval of Appointment Above the Minimum Pay Rate
• HRD Form 395a – Delegated – Request for Approval of Appointment Above the Minimum Pay Rate
• HRD Form 395d – Flexible Hiring Rates for BU 3, 4 and 13 (rev. 7/01/23)
• HRD Form 396 Request for Approval of 89 Day Appointment
• HRD Form 397 – Request for 89-day Non-Civil Service Appointment Approval
• HRD Form 397a – Request for Non-Civil Service Temporary Appointment Outside the List Approval
• HRD Form 410 (fillable) – For HRD Sponsored Course Registration
• To be used by Departments when seeking approval for an employee to attend training sponsored by DHRD.
• HRD Form 410 (text version) – For HRD Sponsored Course Registration
• HRD Form 411 – Out-Service Training Request
  This form is to be used by Departments when seeking approval for an employee to attend Out-Service Training.
• HRD Form 412 – Time off for Treatment of Industrial Injury
• HRD Form 413 – Travel Expenses for Industrial Injury
• HRD Form 414 – Supervisor’s Accident Investigation Form and Instructions
• HRD Form 414a – Supervisor’s Accident Investigation – Witness Statement
• HRD Form 416 – Employee’s Report of Workplace Violence
• HRD Form 417 – Investigator’s Summary Record
• HRD Form 530 – Department-Directed Leave Report
  When reporting a Department-Directed Leave this form must be filled out and submitted to the DHRD Director’s Office along with supporting documentation per P&P 501.002
• HRD FORM 613 – Discrimination Complaint Form
  This form is to be used to document a complaint of discrimination or harassment per P&P 601.001
• HRD G-1 – Application for Leave of Absence
  This form is to be used by current  Executive Branch employees to request a leave of absence.
• HRD G-1/DR – Application for Leave to Provide Disaster Relief Services
  This form is used to apply for leave to help provide disaster relief services with the American Red Cross per P&P 501.005
• HRD Form OPF-l – Designation of Custodian of Records
• HRD Form OPF-2 – Official Personnel Folders Physical Security
• HRD Form OPF-3 – Employee Certification Privacy Training
• HRD Form OPF-4 – Request for Access to Official Personnel Folder 
• HRD Form OPF-5 – Personnel Files Access Log
• HRD Form PTC-1 – Application for Parent-Teacher Conference Leave
  This form must be used along with a G-1 to apply for Parent-Teacher Conference Leave per P&P 501.004
• HRD Form T23 – Job Related Desirable Qualification(s)
• HRD Form T25 (fillable) – Location Code Request
• HRD Form T25 – Location Code Request – Instructions
• HRD Form VP-1 – Application for Victims Protections-Victims Leave
  This form is to be filled out when requesting leave under the Victims Protections P&P 501.006
• HRD Form VP-2 – Application of Victims Protections – Reasonable Accommodations
  This form is to be filled out when requesting Reasonable Accommodations under the Victims Protections P&P 501.006
• Incentive and Service Awards Nomination Forms
  This form is to used by an individual seeking to nominate a State employee(s) for employee, manager and/or team of the year.
• Information Technology Broadbanding Pilot Project Forms (Civil Service) – (Position Description Template, Salary Matrix, Reallocation/Rebanding Adjustment, In-band Adjustments)
• Licensed Health Care Professionals Pilot Project Forms – (Salary Matrix, Reallocation Exception, Retention In-band Adjustment, Internal Alignment In-band Adjustment, Professional Growth In-band Adjustment, In-band Compensation Appeal)
• Light Duty Report
• Mental Residual Functional Capacity Assessment
• Notification of Employee Separation
• Performance Appraisal System (PAS) Forms
• Position Description Template
  For Departments’ use when preparing position descriptions.
• Request for Statewide Job Search Assistance
• Supplement to Position Description
  For Departments’ use for describing working conditions for the position descriptions.

Go Back