Get Dos Ds-5105 2017-2025

The DoS DS-5105 form is a worksheet used in conjunction with FLSA guidance to help determine the classification of positions in accordance with the Fair Labor Standards Act. Completing this form accurately is crucial for proper determination of employee status under the law.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to obtain the DoS DS-5105 and open it in your preferred editor.
2. Fill in the PD number and the incumbent name at the top of the form. Ensure that you enter this information accurately.
3. Under the Title/Pay Plan/Series/Grade section, enter the official title, pay plan, series, and grade of the position being classified.
4. Specify the organization by providing the name of the bureau, office, or division where the employee works.
5. Review the special instructions at the beginning of the form. Make sure you understand which sections apply based on the employee's assignment date.
6. Proceed to the exemption categories section. For each category, check the boxes that apply based on the duties performed by the employee. Ensure you meet the criteria outlined for each exemption.
7. In the 'Final FLSA Determination' section, indicate whether the determination is 'Exempt' or 'Nonexempt' based on your findings.
8. Complete the section for the official making the FLSA determination. Include your signature, typed name, organization, email address, and telephone number.
9. Review all entries for accuracy before saving your changes, downloading, printing, or sharing the form as needed.

Complete your DoS DS-5105 form online today to ensure compliance with FLSA regulations.