FORM DOT-534

2/1/99 WEST VIRGINIA DEPARTMENT OF TRANSPORTATION

ORIENTATION CHECK SHEET

EMPLOYEE NAME / SOCIAL SECURITY NO. / DATE EMPLOYED / AGENCY
COVERED SALARY / EXEMPT / JOB TITLE / ORGANIZATION
NON-COVERED SALARY / NON-EXEMPT
HOURLY

ITALICIZED, ALL-CAPITALS ITEMS APPLY TO PERMANENT OR PROVISIONAL EMPLOYEES ONLY

SCHEDULE/PAY/LEAVE POLICIES / Attendance/Tardiness/Sign-in*
Work Schedule and Overtime / UNAUTHORIZED LEAVE*
Pay Policies / Discipline/Discharge Policy*
INCREMENTAL PAY / Appropriate Dress
Permanent, Temporary, Provisional or / Parking
Student Appointment (whichever applies) / PROBATIONARY PERIOD
Holidays / Telephone Usage
PAID LEAVE* (ANNUAL, SICK, IMMEDIATE / Computer Usage*
FAMILY SICK, MILITARY, WITNESS/JURY / Drivers License/CDL (if Applicable)
SERVICE) / Conflict of Interest*
LEAVE DONATION PROGRAM* / Smoking Policy
MILITARY LEAVE OF ABSENCE / Outside Employment
PERSONAL AND MEDICAL LEAVE OF ABSENCE* / Workplace Security
PARENTAL/FAMILY LEAVE OF ABSENCE* / Political Activities*
Employee Ethics*
SPECIFIC JOB POLICIES / Gratuities*
Job Training / Personal Property
Equipment/Tool Policy / Whistle-Blower Law
Tour of facilities / Channel of Communication
Other Agency/Organization Topics / Citizens Assistance
EEO
SAFETY / 1986 Immigration Law*
Safety Rules Applicable to Job / Americans with Disabilities Act
Worker's Compensation* / Sexual Harassment*
Discrimination Complaints*
OTHER / Drug-free Workplace
Employee Suggestion Program / Employee Assistance Program
GRIEVANCES*
JOB ADVERTISEMENT*
EMPLOYEE BENEFITS
* These topics are covered in greater detail / INSURANCE*
in Volume III of DOT Administrative Procedures / FLEXIBLE BENEFITS*
(except "Computer Usage," which is covered in / RETIREMENT
DOT Volume I, Chapter 10). All employees may / CREDIT UNION
refer to these books (or to the online version / SAVINGS BONDS
on the DOT Intranet) for more information. / IRA, ANNUITIES, DEFERRED COMPENSATION,
OTHER OPTIONS
I have explained the items checked on this check sheet to this new employee. / The items checked on this check sheet have been explained to me and I have received a copy of this check sheet.
Supervisor's Signature / Employee's Signature
Date / Date