Delaware Department of Human Resources Forms

This form is used for obtaining authorization to release protected health information in the state of Delaware.

This form is used to report automobile accidents that occur in Delaware. It documents the details of the accident, including the parties involved, the date and time, and any injuries or damages.

This document is used to report a worker's compensation injury in the state of Delaware. It is completed by a physician to provide detailed information about the injury and the worker's condition.

This document is used to request a review or appeal of health care services in the state of Delaware. It allows individuals to contest decisions regarding their medical treatments or insurance coverage.

This form is used for appealing the classification of a maintenance review in Delaware.

This document is used for filing a grievance regarding merit-related issues in the state of Delaware.

This document is used for reporting any injury or illness that occurs in the state of Delaware. It helps to provide necessary information for insurance or legal purposes.

This document is a template for creating a communication strategy in the state of Delaware. It includes guidelines and sample sections to help organizations effectively plan and execute their communication efforts.

This form is used for coordinating benefits for dependents covered by Aetna in Delaware. It helps ensure that claims are processed correctly and that the appropriate insurance coverage is applied.

This form is used for gathering medical information to support an accommodation request in the state of Delaware.

This document is for certifying that a student in Delaware is enrolled as a full-time student.

This document certifies the tax dependent status of a civil union spouse or children in the state of Delaware.

This Form is used for coordinating insurance benefits for individuals in Delaware.

This form is used for filing a complaint in Delaware regarding the mishandling of protected health information.

This document is a formal statement expressing support for a specific cause or initiative in the state of Delaware.

This Form is used for authorizing the release of medical records in the state of Delaware.

This form is used by employers in Delaware to report the availability of modified duty options for injured employees.

This form is used for enrolling in health benefits in the state of Delaware.

This document is a form used in Delaware for reporting complaints related to workplace discrimination and promoting a respectful work environment.

This Form is used for employees in Delaware to formally agree to the company's telecommuting policy.

This form is used for authorizing the release of protected health information from the Delaware Employee Health Care Plan in Delaware.

This form is used for healthcare providers in Delaware to respond to an accommodation request made by a patient.

This form is used for obtaining authorization to release protected health information in the state of Delaware.

This document is a notice used in Delaware to designate an employee's leave as FMLA (Family and Medical Leave Act) leave. It provides details about the employee's rights and responsibilities during the leave period.

This document is used for certifying a health care provider's diagnosis and treatment of an employee's serious health condition for the purpose of taking leave under the Family and Medical Leave Act (FMLA) in the state of Delaware.

This document is used for certifying a health care provider for a family member's serious health condition under the Family and Medical Leave Act (FMLA) in Delaware.

This document is used for certifying a serious injury or illness of a current servicemember in Delaware in order to take military family leave under the Family and Medical Leave Act.

This form is used to certify qualifying exigency for military family leave under the Family and Medical Leave Act in Delaware.

This document is a notice that provides information about eligibility and rights and responsibilities under the Family and Medical Leave Act (FMLA) in the state of Delaware. It outlines the rights of employees to take leave for family or medical reasons and explains the responsibilities of both employees and employers under the law.

This document is for certifying a serious injury or illness of a veteran for military caregiver leave under the Family and Medical Leave Act in Delaware.

This Form is used for requesting a distribution as a qualified reservist in the state of Delaware.