North Carolina Division of Public Health Resources

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Main Phone: 919-707-5450
Fax: 919-870-4830

Mailing Address:
Division of Public Health
1930 Mail Service Center
Raleigh, NC 27699-1930

Physical/Shipping Address:
5605 Six Forks Rd
Raleigh, NC 27609

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OSP Policy Disclaimer (Applies to "OSP" policies linked below)

Forms	Policies	Links/Information
DHHS Orientation Day 1: DHHS Forms		DHHS New Employee Orientation Checklist DPH Employee Toolkit: New Staff Orientation Materials
Go to: Benefits \| Benefits Summary

Forms	Policies	Links/Information
Acknowledgement Form - Alcohol and Drug Free Workplace Policy Certificate of Health Care Provider Computer Usage Conflict of Interest Credentials Verification Creditable State Service Direct Deposit Emergency Contact Employee Work Schedule (DOC, 25 KB) Family Medical Leave Request Form I-9 U.S. Employment Eligibility Verification ID/Card Building Access Badge Request (DPH Six Forks Campus) (PDF, 22 KB) N.C. Flex Form Overtime Agreement Personnel Profile Acknowledgement of Responsibility for Repayment of Monies Owed Retirement System Forms State Health Plan Enrollment State Tax Withholding Form NC-4 Training Acknowledgement Travel Reimbursement Direct Deposit Voluntary Shared Leave Application Voluntary Shared Leave Donation W-4 Federal Withholding	OSP: Leave Policy OSP: Employee Benefits and Awards DHHS: Alcohol and Drug Free Workplace Policy DHHS: Smoking Policy DPH: Fire and Life Safety Training DPH Basic Privacy and Security Awareness Training (Presentations and Training Records / Acknowledgement Forms)	DHHS Beacon Updates DHHS Work and Leave Options Descriptions NC 401K NC Flex State Health Plan Plan Comparisons, Enrollment Information, and Forms on DHHS New Employee Orientation web site (To enroll in a state health plan, the appropriate form must be completed and submitted to HR within 30 days of hire date.) Work and Leave Options
Go to: Benefits \| Benefits Summary

Forms	Policies	Links/Information
ADA Checklist (PDF, 28 KB) Employee Action Request * PDF (89 KB) Word (145 KB) Freeze Release Form * PDF (162 KB) Word (57 KB) Job Description (PD102R92) PDF DOC Office Support Classification Job Description (OSSG93) Position Action Request * PDF (65 KB) Word (151 KB)	OSP: Classification DHHS: Human Resources Policies	DHHS: Career-Banding Critical Care Positions Direct Care Positions Job Specification Sheets
Call Dick Miller first at 919-707-5458. Note*: These forms are needed for any employee or position action due to budget restrictions.
Go to: Classification & Compensation

Forms	Policies	Links/Information
Academic Assistance Application Dual Employment Employee Action Request PDF (89 KB) Word (145 KB Freeze Release Form PDF (162 KB) Word (57 KB) Position Action Request PDF (65 KB) Word (151 KB) Secondary Employment	OSP: Academic Assistance Program Policy OSP: Salary Administration	OSP: Compensation Salary Schedule Career Banding Rates
Go to: Classification & Compensation

Forms	Policies	Links/Information
Acknowledgement Form for Alcohol and Drug Free Workplace Policy Work Plan (PDF, 45 KB)	DHHS: Alcohol and Drug Free Workplace DHHS: Employee Grievance DHHS: Performance Management and Development DHHS: Performance Rating Dispute Process	Supervisor's Work Plan Guide Work Plan Development
Go to: Employee Relations

Forms	Policies	Links/Information
Direct Care Employment Criminal Background Consent Employee Action Request PDF (89 KB) Word (145 KB) U.S. Employment Eligibility Verification Form (I-9) ID/Card Building Access Badge Request (DPH Six Forks Campus) (PDF, 22 KB) Job Posting Form (Non-Banded) PDF (25 KB) Word (43 KB) Job Posting Form: Career-Banded PDF Word Freeze Release Form PDF (162 KB) Word (57 KB) Secondary Employment (Annual Update required by OSP) State Application – PD 107	OSP: Employment and Records OSP: Equal Opportunity, Recruitment & Selection OSP: Equal Employment Opportunity Policy PDF DOC OSP: Secondary Employment	OSP Statewide Vacancy Announcements DHHS > DPH Vacancy Announcements DHHS Recruitment and Selection Guide What Are KSAs? (PDF, 41 KB)
Go to: Employment \| Employment Summary

Forms

Policies

Links/Information

Accident/Injury Reporting and Investigation Policy/Procedure (PDF, 38 KB)
Automated External Defibrillator (AED) (PDF, 83 KB)
Emergency Evacuation (PDF, 184 KB)
Hazard Communications Policy and Procedure (PDF, 64 KB)

Bloodborne Pathogens Online Training for Non-Direct Care Employees (provided by OSHA) - Added 02/10/10
Fire and Life Safety Training (Required Training)
Safety and Health Handbook* (PDF, 300KB)

* Managers, supervisors and employees should be aware of this document; HOWEVER, they must be instructed so they understand these are the generic OSP safety guidelines and not DHHS's Safety Policies. The handbook is a supplement to our safety program, not the basis or a substitute.

Go to: Safety and Health | Summary | Related Links

Forms	Policies	Links/Information
BEACON Training Acknowledgement Form (DOC, 41 KB) Training Acknowledgement (PDF, 21 KB)	OSP: Training DHHS: Leadership Development Policy	BEACON Timekeeping (REQUIRED Employee Self-Service Training): Employees Managers Bloodborne Pathogens Online Training for Non-Direct Care Employees (provided by OSHA) - Added 02/10/10 Computer Skills Training (OSP Professional Skills Program) DPH Online Training Calendar DPH "Who Takes What" Training Checklist (PDF, 63 KB) DHHS Customer Service OSP Customer Service S.T.A.R
Go to: Staff Development Training

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