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... law. [See Due
Diligence Certification for Agency Head Form (DOC)]
Upon initial employment, DHS employees who are involved ... this law. [See Employee Code of Conduct Certification Form (DOC)]
Annually, Agency Heads and DHS employees who are ...
Date:
October
04, 2024
... and attached to an
Asset Tag Removal Certification Form
(DOC).
•
DHS must periodically conduct complete physical inventories of ... staff)
•
DHS Serialized State Property Tax Removal Certification Form
(DOC) (Asset Tag Removal Certification
Form)
[Title]
4
•
Property ...
Date:
October
02, 2024
... see application form for guidance): Example Informed Consent Form (DOC) Academic Endorsement Form (PDF) IRB Annual Project Update Form (DOC)
Additional resources
Which projects require IRB review? DHS ...
Description: To make certain private data is released only when authorized and to provide oversight for certain research projects, the Institutional Review Board reviews and evaluates research projects.
Date:
March
11, 2016
... workplace.
Form(s) that apply
•
Discrimination/Harassment Complaint Form
(DOC)
•
Employee Request for Reasonable Accommodation Form
(DOC)
Related policies and reference(s)
•
Prohibition of General ...
Date:
September
12, 2024
... employee) must complete the
CERP Initial
Service Date Form
(DOC) attach a position description and submit the request ... coverage.
Forms that Applies:
•
CERP Initial Service Date Form
(DOC)
Legal Authority:
Minnesota Statute Chapter 352, State Retirement ...
Date:
October
04, 2024
... DHS Privacy Office using the
Privacy Incident
Reporting Form
(DOC) or to MN.IT (651-297-1111), if ... 144.198).
[Title]
2
Forms:
•
Privacy Incident Reporting Form
(DOC)
Related Policies and Reference(s):
•
Minnesota Department of ...
Date:
December
11, 2024
... DHS Privacy Office using the
Privacy Incident
Reporting Form
(DOC) or to MN.IT (651-297-1111), if ... 144.198).
[Title]
2
Forms:
•
Privacy Incident Reporting Form
(DOC)
Related Policies and Reference(s):
•
Minnesota Department of ...
Date:
October
23, 2024
... 8/1/2022 Individual Abuse Prevention Plan (IAPP) Form (DOC) MN Statutes 245A.65, subd.2(b) and ... Packet (DOCX) 8/1/2022 Medication Setup Record (DOC) 10/31/2013 Notice of Service Termination Form (DOCX) 8/1/2022 Notice of Temporary Service ...
Date:
July
21, 2025
... of Medical Information
(DOC)
•
Employment Discrimination/Harassment Complaint Form
(DOC)
Related Policies and Reference(s):
•
Reasonable Modification in ...
Date:
September
12, 2024
... or plan.
Forms that Apply:
Respectful Workplace Violation Form (DOC)
Related Policies and Reference(s):
•
Nondiscrimination
•
Sexual Harassment
•
...
Date:
December
02, 2025
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