An Official Website of the Commonwealth of Kentucky
Cabinet for Health and Family Services
In this section Local Health Personnel Branch In this section Local Health Personnel Branch
Appeal Form (CH-41) (Word PDF)
Appeal Form - LHD (CH-41A) (Word PDF)
Application for Employment (Word PDF)
Bypassing Progressive Discipline Letter
Conflict of Interest Statement (LHP-25)
Contract and Provider Number Request Form
Demotion Due to No Show Letter
Demotion After a Meeting Letter
Directive To Vacate Premises
Director Selection Checklist (LHP-19)
Director Signature Authorization (LHP-16)
Dismissal After a Meeting Letter
Dismissal Due to No Show Letter
Dismissal With No Meeting Letter
Educational Leave Agreement (LHP-10)
Employee Layoff Notification (LHP-22)
Employee Status Quick Glance
Exit Interview Questionnaire (LHP-26)
Failure To Report to Work For 3 Days
FMLA Forms
Grievance Form (LHP-15)
Grievance Policy Template (LHP-14)
I-9 Form
Intent to Demote Letter
Intent to Dismiss Letter
Intent to Suspend Letter
Interview Criminal History Statement
Interviewer Conflict of Interest Statement (LHP-25)
Interview Worksheet
Layoff Request Template (LHP-23)
Leave for Investigative Purposes
LHD Policy Suggestions
New Employee Orientation (LHP-17)
Onboarding Buddy
Onboarding Checklists
Onboarding Planning Tool
Onboarding Tools and Resources
Overtime Compensation Election Form
Payment of Accumulated TIme (LHP-04)
Performance Evaluations
080 Performance Evaluation - (WordPDF)
096 Performance Evaluation - (WordPDF)
Performance Improvement Plan (LHP-12)
Personnel Action Request (LHP-24)
Position Description (LHP-08)
Probationary Period Dismissal Letter
Probationary Period Extension Letter
Recruitment Process Checklist (LHP-20)
Reorganization/Layoff Template (LHP-09)
Return to Work Template (LHP-13)
Sick Leave Donation Form (LHP-02)
Sick Leave Sharing Form (LHP-01)
Suspension After a Hearing Letter
Suspension Due to No Show Letter
Suspension With No Meeting Letter
Transfer Request Template (LHP-06)
Tuition Reimbursement
Verbal Admonishment
Verification of Personal or Family Illness Requirement (LHP-18)
Voting Leave Verification (LHP-03)
Written Admonishment