Employee Policies and Forms 

Governor's Policy Directives

AFC Policy § 1 Forward

AFC Policy § 5 Posting Requirements

AFC Policy § 10 Affirmative Action

AFC Policy § 15 Workers' Compensation

• AR-H posting requirement
• AR-P posting requirement
• A-1 First Report of Injury
• PECD 2 Employer Report
• AR-S Employer Supplemental Report
• PECD 1 Employee Report
• AR-N Employee Report on Injury
• W/C Mileage Reimbursement Form
• A15.100 Accident/Injury Incident Report

AFC Policy § 20 Other Employment Policy

AFC Policy § 25 AFC Owned Housing (Revised 10/15/2010)

• A25.100 Rental Agreement
  (Revised 10/15/2010)
• A25.200 Rent Payment Transmittal

AFC Policy § 30 Grievance (Revised 5/10/2011)

• A30.100 Grievance Form

AFC Policy § 35 Recruitment and Hiring (Revised 8/21/2009)

• State Employment Application
• A35.100EH Extra Help Position Request
  (Revised 9/1/2009)
• A35.200 Application/Interview Rating Form
• A35.201 Criminal Background Check Consent Form
• A35.203 Authority to Release Information
• A35.204 Personal Information Questionnaire
• A35.205 Employment Reference Check
• A35.206 Position Disposition
• A35.207 Recruitment Report
• A35.208 Sample Application/Interview Status Report
• A35.209 Selective Service Status
• A35.300 Appointment Checklist Form (non-LE)
  (Revised 10/30/2012)
• A35.300(a) Appointment Law Enforcement Checklist
  (Revised 10/30/2012)
• A35.300EH Appointment Request Form - Extra Help
  (Revised 10/30/2012)
• A35.301 Orientation Checklist
• A35.302 New Hire & Promotion
• A35.303 Standards of Conduct & Disciplinary Acknowledgement
• A35.305 Citizenship Status (Federal I-9)
• A35.306 Compensatory Time Agreement
• A35.307 Residency Certification
• A35.309 Employee Emergency Contact Information
  (Revised 8/21/2009)
• Disclosure Forms F-3 to F-8
• P200 Direct Deposity Enrollment
• P300 Mandatory Direct Deposit Notification
• W-4 Federal Withholding
• AR4EC State Withholding
• APERS Employee Enrollment Request
• APERS Employee Beneficiary Designation
• APERS Employee Exclusion
• APERS Enrollment Change Request
• APERS Return to Covered Employment
• APERS Refund Request
• State Identification Card Form

Law Enforcement Certification Forms

• F-1 Initial Employment Reports
• F-2A Medical History Questionnaire
• F-2 Physician Medical Exam Report
• F-3 Personal History Statement
• F-4 Personnel Change in Status Report
• Code of Ethics

AFC Policy § 35A Residency

AFC Policy § 40 Standards of Conduct and Disciplinary

• A40.100 Disciplinary/Incident Report

AFC Policy § 45 Probationary Status

• A45.100 Probationary Status
• A45.200 Performance Probation

AFC Policy § 50 Employee Advancement (Revised 6/24/2010)

AFC Policy § 55 Pay Increases (Revised 8/21/2009)

AFC Policy § 60 Inclement Weather

AFC Policy § 65 Nepotism in Hiring

AFC Policy § 70 Employee Leave (Revised 2/14/2013)

• A70.100 Employee Weekly Leave Request
  (Revised 12/2/2008)
• A70.200 Yearly Leave Record

AFC Policy § 71 Catastrophic Leave

• A71.100 Catastrophic Leave Donor Form
• A71.200 Application to Apply for Catastrophic Leave
• A71.300 Physician's Certification
• A71.400 Release from Liability
• A71.500 Dependent Child Certification
• A71.600 Returned or Accrued Leave Transmittal

AFC Policy § 72 Family & Medical Leave Act (FMLA) (Revised 1/16/2009)

• A72.100(a) WH-380-E.Certification of Health Care Provider for Employee's Serious Health Condition
• A72.100(b) WH-380-F.Certification of Health Care Provider for Family Member's Serious Health Condition
• A72.300(a) WH-381 Notice of Eligibility and Rights and Responsibilities
• A72.300(b) WH-382 Designation Notice
• A72.400 WH-Certification of Qualifying Exigency for Military Family Leave
• A72.500 WH-385.Certification of Serious Injury or Illness of Covered Servicemember for Military Family Leave

AFC Policy § 75 Time Management (Revised 2/20/2013)

• A75.100 Non-Exempt Employee Time Sheet
  (Revised 1/5/2009)
• A75.200 Exempt Employee Time Sheet
  (Revised 1/5/2009)
• A75.300 7-K Employee Time Sheet

AFC Policy § 80 Personnel Files

AFC Policy § 85 Physical & Psychological Requirements

• A85.100 Physical Exam (firefighters)
• A85.400 (a) Medical Clearance Statement
• A85.400 (b) Medical Clearance Statement - New Hires
• A85.400 (c) Out of State Medical Clearance - Arduous Level
• A85.400 (d) Out of State Medical Clearance - Moderate Level
• A85.400 (e) Out of State Medical Clearance - Light Level

AFC Policy § 90 Retirement & Employment Termination

• A90.100 Termination Report
  (Revised 2/14/2013)
• A90.200 Exit Interview
  (Revised 3/12/2010)
• APERS Refund Request at Termination with Instructions

AFC Policy § 95 Holidays (Revised 6/24/2010)

AFC Policy § 100 Property (Inventory) Accountability

• AD-112 USDA Report of Lost, Stolen, Damaged Property
• F600 Transfer of Property Form
• F700 Fuel Storage Tank Inventory Control
• F800 Property Transfer to Marketing & Redistribution

AFC Policy § 105 Safety

• A105.100 Hazard Communication Training

AFC Policy § 110 Training (Revised 3/27/2012)

• A135.300 Training Request

AFC Policy § 115 Uniforms (Revised 5/6/2013)

AFC Policy § 120 Freedom of Information (FOI) Act (Revised 3/27/2012)

AFC Policy § 125 Performance Evaluation (Revised 3/31/2011)

AFC Policy § 130 Arkansas Statewide Vehicle Safety Program (Revised 3/8/2011)

• A130.100 Authorization to Operate State Vehicle & Traffic Violation Report Authorization
  (revised 8/21/2009)
• A130.200 Non-resident Traffic Violation Report Authorization
  (Revised 8/21/2009)
• A130.300 Verification of Automobile Insurance
• A130.400 Vehicle Assignment Form
• A130.500 Notice of Withholding for Commuting in AFC vehicle
• A130.600 Monthly Report of Personal Use of AFC Vehicle
• A130.700 Equipment Repair Report
• A130.800 Truck Transport Maintenance & Inspection Form
• A130.900 Tractor Maintenance & Inspection Form
  (Revised 3/30/2010)
• A130.1000 Vehicle Historical Record
• A130.1100 Monthly Vehicle Log
  (Revised 3/10/2010)
• A130.1110 Equipment Fuel Log
• A130.1200 Individual State Vehicle Report
• A130.1300 (MV-3B) Quarterly Vehicle Report of Auto for Personal Use
• A130.1400 (MV-4) State Vehicle Mileage Reimbursement
• A130.1500 Vehicle Accident Report
  (Revised 2/28/2011)
• A130.1600 (VSP-5) Driving Privileges Notice of Administrative Action
  (Revised 3/8/2011)

AFC Policy § 135 Travel

• A135.200 Temp Authorization of Travel Expense Reimbursement
• A135.300 Request for Out-of-State Travel or In-State Training
  (Revised 8/21/2009)
• TR-1 Travel Expense Form
• TR-1A Private Automobile Mileage Report attachment to TR-1
• TR-1B Direct Bill Travel Expense Reconciliation

AFC Policy § 140 Statewide Workforce Reduction

AFC Policy § 145 Smoking

AFC Policy § 150 Sexual Harassment

AFC Policy § 155 Purchasing

• F100 Requisition
• F200 Evidence of Receipt
• F300 Miscellaneous Expense Form
• F400 Monthly Bulk Fuel Purchase Report
• F500 Request for Vehicle License
• F900 Purchasing Verbal Quotations
  (Revised 10/15/2009)

AFC Policy § 160 Payroll/Benefits - Revised 3/27/2012

• A75.100 Non-Exempt Weekly Timesheet
• A75.200 Exempt Monthly Timesheet
• P200 Direct Deposit Form
• P300 Mandatory Direct Deposit Notification
• A160.100 Designation of Death Benefit Beneficiary
• A160.200 Public safety Officer's Benefits (PSOB) Program

AFC Policy § 165 Firearms

AFC Policy § 170 Drug Free Workplace

• A170.100 Acknowledgement of Receipt

AFC Policy § 175 Federal Excess Property

• RFP-600 Transfer of Federal Excess Property
• RFP 2500-2 Federal Excess Property Pick Up Notice
• RFP-DOD 2500-3 Federal Excess Property Program
• RFP-FEPP 2500-3 Federal Excess Property Program
• RFP 2500-4 Cooperative Loan Agreement 
• RFP 2500-5 Termination of Cooperative Loan Agreement 

AFC Policy § 180 Age Discrimination

AFC Policy § 185 Electronic Communications

AFC Policy § 190 Whistleblower Act

AFC Policy § 195 Racial Profiling

AFC Policy § 200 Americans with Disabilities Act Grievance

AFC Policy § 205 Code of Ethics

• A205.100 AAD Code of Ethics Acknowledgement
• A205.200 AAD Code of Ethics Annual Acknowledgement Statement
• A205.300 Code of Ethics Complaint Form

Other AFC Documents

• Technical Services Manual
• Lessons Learned: Heat Lesson

AFC E-newsletter Archive

• August 27, 2010 - Volume 1, Issue 4
• August 13, 2010 - Volume 1, Issue 3
• July 30, 2010 - Volume 1, Issue 2
• July 16, 2010 - Volume 1, Issue 1