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Forms and Policies


Recruiting and hiring — Minnesota

Application for At-Will Employment (Option 1)

Application for At-Will Employment (Option 2)

Application for At-Will Employment (Option 3)

Application for At-Will Employment (Option 4)

Form W-4 (2022)

Interview Checklist

Interviewer Evaluation

Interviewing Form

Job Description Form

Offer Letter

VETS-4212 (2024)


Background checks — Minnesota

A Summary of Your Rights under the Fair Credit Reporting Act (FCRA)

Employment Reference

Fair Credit Reporting Act - Certification of Compliance

Fair Credit Reporting Act - Employee Disclosure and Authorization

Fair Credit Reporting Act - Job Applicant Disclosure and Authorization

Fair Credit Reporting Act - Notice of Adverse Action

Fair Credit Reporting Act - Notice of Intent to Take Adverse Action

Reference Inquiry

Reference Release Form


Immigration — Minnesota

Form I-9 (2020)

Form I-9 Instructions (2020)


Policies and procedures manuals — Minnesota

Acknowledgment of Receipt of Handbook

Anti-Harassment Policy

Attendance and Punctuality Policy

Confidentiality Policy

Employee Classification Policy

Equal Employment Opportunity Policy

Family and Medical Leave Act Policy

Introduction to Handbook

Jury Duty Policy

Personal Conduct Policy

Vacation Pay Policy

Voting Leave Policy


Wages and hours — Minnesota

Sample Salary Basis Policy


Health insurance reform — Minnesota

Model Notice for Employers Who Do Not offer a Health Plan

Model Notice for Employers Who Offer a Health Plan to Some or All Employees


Family and medical leave — Minnesota

WH-380-E Certification of Health Care Provider (Employee)

WH-380-F Certification of Health Care Provider (Family Member)

WH-381 Notice of Eligibility

WH-382 Designation Notice


Military leave — Minnesota

WH-385 Certification for Serious Injury or Illness of a Current Servicemember

WH-385-V Certification for Serious Injury or Illness of a Veteran


Other types of leave — Minnesota

FFCRA Leave Policy

FFCRA Poster

FFCRA Request for Leave of Absence (FMLA)

FFCRA Request for Leave of Absence (Non-FMLA)


Performance evaluations — Minnesota

Exempt Performance Appraisal

Performance Appraisal

Performance Appraisal Summary

Performance Improvement Plan


Discipline — Minnesota

Discipline Documentation Form

Progressive Discipline Policy


Termination — Minnesota

Employee Exit Checklist

Employee Exit Interview (Option 1)

Employee Exit Interview (Option 2)

Separation Summary

Termination Policy


Health insurance continuation coverage — Minnesota

COBRA Continuation Coverage Election Form

Model COBRA Continuation Coverage Election Notice

Model COBRA Continuation Coverage General Notice

Notice of Premium Assistance Expiration Premium

Summary of COBRA Premium Assistance Provisions


Health insurance portability and privacy — Minnesota

Certificate of Group Health Plan Coverage

Sample Notice of Special Enrollment Rights

Statement of HIPAA Portability Rights


Telecommuting — Minnesota

Telecommuting Agreement

Telecommuting Checklist

Telecommuting Policy


Diversity in the workplace — Minnesota

Workplace Diversity Policy


Pandemic outbreaks — Minnesota

Communicable Diseases Policy

Shutdown Policy

Stay Home From Work Poster

Wash Your Hands Poster