Get Dual Employment Request Form (ct-hr-25) - Das - Das Ct

The Dual Employment Request Form (CT-HR-25) is essential for state employees seeking to work in a secondary assignment while maintaining their primary job. This guide provides clear and supportive instructions to assist users in completing the form accurately and efficiently.

Follow the steps to fill out the Dual Employment Request Form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In section one, the secondary agency must complete the required fields. Begin by entering today's date and the anticipated start and end dates of the secondary assignment. Ensure the dates do not exceed six months.
3. Provide the name and employee ID of the person under consideration for the secondary assignment, as well as the city and state of both the secondary and primary agencies where the work will take place.
4. Fill in the official title of the secondary position and a brief description of the duties to be performed.
5. Indicate whether there is a potential for a conflict of interest by selecting 'Yes' or 'No' and consult your ethics liaison if 'Yes'.
6. Determine the FLSA status of the secondary position and indicate the work schedule by listing the expected days and time in/out for each day of the week.
7. In section two, retain a copy of the form for the secondary agency and send the original to the primary agency and any other relevant state agencies.
8. Section three requires the person who initiated the request to complete their name, job title, email address, and phone number.
9. In section four, the primary agency needs to review the form for potential conflicts of interest and to confirm the FLSA implications for the secondary assignment.
10. In section five, the secondary agency verifies information crucial for dual employment approval, including work hour comparisons and employee status.
11. Sections six and seven involve signatures from both agencies and recommendations for approval, which are necessary for the final processing of the request.
12. Finally, save changes, download, print, or share the form as needed.

Complete your Dual Employment Request Form online today to ensure compliance and efficient processing.