Pulaski County Human Resources
Chastity D. Scifres, J.D.
Director
201 S. Broadway, Suite 100
Little Rock, AR 72201
Phone: (501) 340-6110
Fax: (501) 340-6033
Pulaski County Information for Supervisors and Employees
Forms for County Employees
APERS Enrollment Change Request
Approval of Outside Employment
Direct Deposit Authorization Form
Employee Self-Certification to Return to Work
FMLA – Application for Leave of Absence
FMLA – Certification of Health Care Provider – Employee’s Serious Health Condition
FMLA – Certification of Health Care Provider-Family Member’s Health Condition
Request for Seminar-Workshop-Conference Expense
Pulaski County Personnel Policy
Pulaski County Purchasing Policy
Substance Abuse Handouts
- Dangers of Binge Drinking
- Information on Alcoholism
- When Addiction Overtakes the Family
- Signs of Addiction to Prescription Drugs
- How to Cut Down on Drinking
- Understanding Addiction
- When Use Becomes Abuse
USAble Life Insurance – Group Enrollment or Change
USAble Life Insurance – Evidence of Insurability
USAble Voluntary Life Insurance
Income Tax Withholding – Federal – W4
Income Tax Withholding – State- AR4EC
Travel Forms
FY2021 PER DIEM RATES
Advance Travel Request Form
Travel Authorization Form Reimbursement
Federal Per Diem Information
Mileage Form 2020
Travel Expense Form 2016
Per Diem Travel Advance Request
Forms for County Supervisors
Approval of Outside Employment
Background Check Pre-Adverse Action Letter
Background Check Final Adverse Action Letter
Employment Eligibility Verification – I-9
FMLA – Notice of Eligibility & Rights and Responsibilities
Reasonable Suspicion Documentation
Part-time/Extra Help – Approval over $11.00
Performance Evaluation – Annual
Performance Evaluation – Quarterly
Pulaski County Purchasing Policy
Job Evaluation – Existing Position Request
Job Evaluation- Job Analysis Questionnaire
Workers’ Compensation – First Report of Injury or Illness
Workers’ Compensation – Employee’s Notice of Injury
Workers’ Compensation – Supplemental Report
To report problems with the Email or Self Service System contact Information Systems at 340-8456 or contact webmaster@pulaskicounty.net