Personnel Office

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North Carolina Department of Public Safety

Personnel Office

Photo of Shore Building, Raleigh NC - Home of DOC personnel office

Please See the
DPS Human Resources
page for the latest personnel information and forms

Benefits

Community Service Leave	Dental Insurance	Voluntary Shared Leave
Disability	Other Insurance	Worker's Comp/Salary Continuation
Family Medical Leave	Memorial Program	401K / Deferred Comp
NCFlex Benefits	Retirement
State Health Plan Insurance Options	Military Leave
Insurance Forms and Job Aids	Family Illness Leave

Classification & Salary Administration

Career Banding: Class Specs, Competency Profiles, & Posting Ranges	Forms:	Other:
Engineering	Education & Work History Worksheet	Salary Grade Rate Schedule *(Revised 07/12)*
Fiscal	Clerical Job Description Form	Career Banded Rate Schedule *(Revised 07/12)*
Information Technology	Job Description Form
Library	Job Description Instructions
Nursing	Education & Work History Worksheet
Pharmacy	Clerical Job Description Form
Career Banding: Forms & Information	Job Description Form
Career Banding Competency Assessment Form	Career Banded Job Description Form
Instructions for Completing the Competency Assessment Form	Position Action Form *(Revised 06/03/10)*
Career Banded Job Description Form	Position Action Change Form *(Revised 06/03/10)*
Career Banding Salary Administration Plan	On-Call Request Form
Career Banding Posting Summary
Career Banding Posting Procedures
Promotional Priority Policy Changes
Career Banding Changes & Definitions

Policy

Personnel Policy Manual:	Administrative Memos:	Other:
Personnel Policy Manual	2000 Administrative Memos	2011 and 2012 Holiday Schedules
Policy Revision Memos	2001 Administrative Memos	2013 Holiday Schedule
	2002 Administrative Memos	2014 Holiday Schedule
	2003 Administrative Memos	Sample AWL memo
	2004 Administrative Memos
	2005 Administrative Memos
	2006 Administrative Memos
	2007 Administrative Memos
	2008 Administrative Memos
	2009 Administrative Memos
	2010 Administrative Memos
	2011 Administrative Memos

Training / TAP / Employee Relations

HR Training:	Performance Management (TAP):	Employee Relations:	Mediation
Staff Contact Information	TAP Forms	Staff Contact Information	For information on filing an appeal for TAP, Disciplinary Actions, & Administrative Grievances, select below:
Training Course Catalog	TAP Performance Standards		Step (1) Appeal - Mediation
	TAP Performance Cycles (Performance discussions due-date cheat sheet)		Step (2) Appeal
	General TAP Info (Handout for New Employees during the Work Plan Discussion)
	TAP Dispute Resolution (click here for information on filing a TAP Dispute)

Operations

List of Criminal Justice Certified Positions (03/08/11) Please refer to the "Certified New Hire Checklist" when compiling new hire packages for classifications found on this list. For classifications that are NOT on this list, please refer to the "Non-Certified New Hire Checklist" when compiling new hire packages. New Hire Checklists: Certified New Hire Checklist (12/11)- Contains a list of forms/documents required for a new hire certified package. Non-Certified New Hire Checklist (12/11) - Contains a list of forms/documents required for a new hire non-certified package.
Forms:
Request to Hire Form	TitleVII: Interview Team Summary Form (required for DOP Title VII classes)
Vacancy Posting Announcement	Form F-5A: Application for Certification
Applicant Interview Record Form	Form F-5C: Reinstatement of Certification
Conditional Offer	Form F-5D: Notice of Transfer
DC-154: Personnel Action Report (Rev 10/11)	Form F-1: Medical History Statement
DC-154-Banded (Rev 10/11)	Form F-2: Medical Examination Report
DC-730VS: Applicant Verification Stmt	Request for Probationary Certification Extension
DC-154S: Permanent Separation	Request for Secondary Employment Form
DC-154L: Leave of Absence	Foreign National Info System Data Form
Leave of Absence Request Form Leave of Absence Guide	Form I-9: Employment Eligibility Form *(Revised 08-09)* Instructions for Form I-9
AA-100: Applicant Recruitment Report	Employee Statement: Criminal Conviction(s) that Subjects an Individual to Firearms Prohibitions
Prior Service Form	Processing Guidelines for NC Felony Firearms Act Gun Ban
Employment Statements Form
RIF Verification Form (Rev 10/11)
RIF Explanation Form (Rev 10/11)
Degree Verification Form
Notification Form for Criminal Offenses
Personal Data Change Form
DC-700 Delayed Salary Increase Request Form
Temporary/Reup Request Form *(Revised 10-09)*
Retiree Temporary Employment Statement
*Direct Deposit Forms* Direct Deposit Enrollment & Change Form Direct Deposit Exemption Request Form Mandatory Direct Deposit Notification (for New Hires)	Posters : Right To Work - English E-Verify Employer - English Right To Work - Spanish E-Verify Employer - Spanish Federal Minimum Wage Poster - (also visit www.dol.gov/esa/whd/regs/compliance/posters/flsa.htm )
*State & Federal Tax Withholding Forms* NC-4 State Tax Withholding Form W-4 Federal Tax Withholding Form

Americans with Disabilities (ADA) Forms

*ADA Forms*	*ADA Letters*	*In-Service*
DC-730: Request for Accommodation	Letter #1: Initial letter to physician requesting medical information	In-Service Essential Job Functions (CPR)
DC-730-T: Request for Accommodation (Basic Training Only)	Letter #2: First follow-up letter to physician	In-Service Essential Job Functions (Batons, Restraints, CRDT)
Form provided to employee acknowledging receipt of the DC-730	Letter #3 Letter to employee when first follow-up letter mailed to physician	In-Service Essential Job Functions (Firearms - DOP)
Info about ADA - Provided to employee upon receipt of DC-730	Letter #4 Second follow-up letter to physician	In-Service Essential Job Functions (Firearms - DCC)
ADA Coordinator's Log	Letter #5 Letter to physician requesting additional information
ADA Regional Coordinator's Checklist	Letter #6 Letter to employee requesting an updated application

DOC Jobs

DOC Vacancy List	How to find a Job with DOC	Potential Disqualifiers for Employment
State Vacancy List		State Application Form (PD-107)

Department of Correction Personnel
214 West Jones St , 4203 MSC
Raleigh, NC 27699-4203

Phone (919)716-3700
Fax (919)716-3955

THE NORTH CAROLINA DEPARTMENT OF CORRECTION DOES NOT DISCRIMINATE ON THE BASIS
OF RACE, COLOR, SEX, RELIGION, NATIONAL ORIGIN, AGE, OR DISABILITY.