Doe facility usage form 2025

1. Click ‘Get Form’ to open the doe facility usage form in the editor.
2. Begin by filling out your personal information in the 'Employee Information' section. Enter your name, address, last four digits of your SSN, city, state, zip code, and telephone number.
3. Next, specify the state or county agency you retired from and your position title prior to retirement. Don't forget to include your official retirement date in MM/DD/YYYY format.
4. Indicate whether you have been employed by any Hawaii state or county agency after retirement. If yes, provide the employment dates in month/year format.
5. If applicable, list the dates when you were not employed by a state or county agency for six consecutive months.
6. In the 'Retiree Certification' section, read through the certification statement carefully. Sign and date the form to confirm that all information is accurate.
7. Finally, fax the completed form along with any required documents to the Office of Human Resources as instructed at the bottom of the form.

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