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#5SMovement
412 South Main Street, Greenville, MS 38701
Phone: 662-334-7000 | Fax: 662-334-7021
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HR FORMS
HR Forms
Employee Rights.pdf
Employment Verification Form.doc
Health Questionnaire for Staff.docx
Requests
Application to Receive Donated Leave.docx
GPSD Employee Transfer Form.doc
Grievance Form.docx
Request to Review or Copy Personnel File.docx
Sick Leave Donation Form.docx
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Voter Registration Application.pdf
COVID-19 INFO
COVID-19 Employee Reporting Form
COVID-19 Documents
GPSD COVID 19 CHECKLIST 10 23 2020.pdf
COVID-19 Protocol Booklet.pdf
COVID 19 Supervisor Reporting Form Revised on November 6, 2020.docx
The GPSD EPSL.docx
Flowchart for Person Who Is Symptomatic for COVID-19 (revised).pdf
Flowchart for Person Who Tests Positive for COVID-19 (revised).pdf
PERS Documents
Change of Information
1B - Beneficiary Designation
1C - Change of Information
Refund
5 - Member Refund Application
Retirement
4B - Reemployment of PERS Service Retiree
9A - Pre-Application for Service Retirement Benefits
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PAYROLL FORMS
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Direct Deposit Form.docx
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Federal Withholding (W4) Form.pdf
MS State Withholding Form.pdf
LEAVE FORMS
Family Medical Leave Act (FMLA)
WH 380E - FMLA (Employee)
WH 380F - FMLA (Family Member)
Temporary Leave