Unless otherwise indicated, these forms are provided in MS Office Word format. If you do not have MS Word, you can download a freeware copy of any of the Microsoft Word Viewers which are available from Microsoft. Microsoft provides detailed information with each copy of these programs including instruction for installation and use.
Documents in PDF format can only be viewed and printed by using an Adobe Acrobat Reader.
Electronic forms have to be downloaded onto your hard drive and activated from there. Using these forms may require you to do a one-time download of a 32-bit driver. Complete instructions for the download and installation, as well as suggestions on how to set up your computer files for an easier understanding of the E-form format are available on the menu to the right of this paragraph. Please read these instructions before proceeding to the software download process. REMEMBER: This MUST BE installed on the C DRIVE of your local PC.
ACE or ERA Award
Request for ACE or ERA Award (MSWord - 59 KB)
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Administrative Order / Executive Order
Use these forms when preparing an Administrative / Executive Order:
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Adoption Assistance Application Form
Adoption Assistance Application Form (MSWord - 36 KB) - Use this form to request financial assistance for adoption expenses.
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Affirmative Action Program Quarterly Report
Affirmative Action Program Quarterly Report (MSWord - 58 KB)
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Annual Leave Sharing
Annual Leave Sharing Application Form (MSWord - 68 KB) - This form is used by an employee who wishes to receive donated annual leave.
Annual Leave Sharing Donation Form (MSWord - 68 KB) - This form is used by an employee who wishes to make an annual leave donation.
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Appeal Form
Appeal Form (MSWord - 101 KB) - All appeals to the Personnel Board must be on this form.
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Application Request
Application Request (PDF - 17 KB) - Use this form to request application and application up-date(s) on file.
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Authorization for Returning Retirees
Authorization for Returning Retirees (MSWord - 29 KB)
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Cooperative/Internship Education
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Direct Deposit Form
Direct Deposit Form (PDF - 84 KB) - The direct deposit form must be completed by the financial institution receiving the funds. Voided checks or deposit slips are not acceptable for setting up direct deposit. If you have any questions, contact the Payroll Branch at 502-564-6883.
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Dual Employment
Request for Dual Employment (PDF - 52 KB)
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Educational Achievement Awards
Request for Educational Achievement Awards (Electronic Format - 396 KB)
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Educational Leave Contract
Educational Leave Contract (MSWord - 30 KB) - Please use this form when granting leave of absence for continuing education or training.
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Employee Orientation Acknowledgement Form
Employee Orientation Acknowledgement Form (PDF - 77 KB)
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Employee Performance Evaluation
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Employee Suggestion System
If you think of a way to make state work or services more efficient, more economical, or safer, you can be recognized and rewarded for your good idea by submitting it through the Employee Suggestion System using this form.
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Employee's Affidavit
Employee's Affidavit (PDF - 382 KB)
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First Check Loan Application Form (For New Hires Only)
First Check Loan Application Form (For New Hires Only) (PDF - 38 KB) - This application may be submitted to the credit union of your choice.
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Fair Labor Standards Act
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Grievance Form
Grievance Form (MSWord - 46 KB)
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Insurance Forms (For Personnel Cabinet/Department for Employee Insurance)
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Kentucky Employees Charitable Campaign (KECC) Forms
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Mediation
Request for Mediation Form (MSWord - 36 KB)
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Overtime Compensation Election Form
Overtime Compensation Election Form (Electronic Format - 332 KB)
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Personnel Action Exemption
Request for Personnel Action Exemption (MSWord - 136 KB) - This form can be submitted by email to the Secretary of the Governor’s Executive Cabinet at paa.mailbox@ky.gov. (It replaces the Request for Exemption to Hiring Freeze form.) ^Top
Position Description Worksheet
Position Description Worksheet (MSWord - 74 KB)
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Pre-Termination Hearing Form
Pre-Termination Hearing Form (MSWord - 146 KB)
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Reallocation Form
Reallocation Form (MSWord - 36 KB)
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Records Request Forms
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Reinstatement Certification Form
Reinstatement Certification Form (MSWord - 35 KB)
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Special Testing Accommodation
Request for Special Testing Accommodation (PDF - 59 KB) - The Personnel Cabinet is committed to providing testing accommodations for applicants with disabilities. An applicant with a disability needs to notify the Personnel Cabinet of the special needs. Personnel form P-5 is an internal document which gives us information necessary to provide special accommodations.
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Safety Program Forms
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Sick Leave Sharing
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Signature Authorization Form
- Signature Authorization Form (MSWord - 31 KB) - Agencies must notify the Personnel Cabinet of who within their agency is authorized to sign the following documents: Requests for Personnel/Position Action P-1, Request for Register Certification P-7, Payroll Documents, Notices of Layoffs, Notices of Dismissals, Suspensions, or Disciplinary Fines, or Authorized to Represent the Appointing Authority at Personnel Board Hearings. Please send the completed form to Personnel Cabinet, Division of Employee Management, Processing & Records Branch, State Office Building, 3rd Floor, 501 High Street, Frankfort, KY 40601
- Signature Authorization Revoke Form (MSWord - 27 KB) - In order for us to keep our signature files current and up-to-date, please be sure to send us notice when you have someone who leaves or is no longer authorized to sign any of the above documents. Please send the completed notice to Personnel Cabinet, Division of Employee Management, Processing & Records Branch, State Office Building, 3rd Floor, 501 High Street, Frankfort, KY 40601.
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State Service Request Form
State Service Request Form (MSWord - 36 KB) - Please use this form to request service verification or to have sick leave retained. Please send the request to Carolyn Bruce, Personnel Cabinet, Division of Employee Management, Processing & Records Branch, State Office Building, 3rd Floor, 501 High Street, Frankfort, KY 40601.
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State Employee Travel Information
State Employee Travel Information - This link will take you to the Finance and Administration Cabinet's site for the official travel regulations, reimbursement rates, travel instructions and forms.
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Voluntary Transfer/Demotion/Salary Retention Agreement Form
Voluntary Transfer/Demotion/Salary Retention Agreement Form (MSWord - 43 KB) - The Personnel Cabinet is requiring the submission of this form with all P-1 requests for voluntary transfer/demotion in order to verify the specific action agreed to by both the agency and the employee as well as verifying that the employee has been informed of the regulations relative to retention of salary if that is the case.
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Workers' Compensation Forms
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