Kentucky Department of Revenue Kentucky Department of Revenue Kentucky Department of Revenue Kentucky Department of Revenue

PVA Personnel Packet

The PVA has the statutory responsibility to recommend persons to be appointed as employees of the office.  Such recommendations must be submitted to the PVA Administrative Support Branch for prior review and approval within ten (10) working days before the starting date of employment.

Employment Package

Application (P2)
Application Update

A complete employment package (see forms below) must be submitted by the PVA before the actual day of employment.

Form W-4 Employee Federal Withholding Allowance Certificate
Form K-4 Employee State Withholding Allowance Certificate
Form I-9 Employment Eligibility Verification

 Direct Deposit Form

Insurance Applications:
Life Insurance Enrollment/Change/Termination Form 
Designation of Beneficiary  

Fair Labor Standards Act:
FLSA Exempt Test (Microsoft Word)
FLSA Exempt Form (Microsoft Word)

KY DOR Acknowlegement of Confidentiality

Drug-Free Workplace

ADA Booklet

Contact Information

Department of Revenue
Human Resources Branch
501 High Street, 4th Floor
Frankfort, KY  40601
(502) 564-5620 - Office
(502) 564-5219 - Fax

Postal Mail:
PO Box 1463
Frankfort, KY  40602-1463

JoJuana Leavell-Greene
Human Resources Branch Manager, (502) 564-6936

Donna Seeberger
Human Resources Specialist III (Benefits), (502) 564-6946

Charles Duke
Human Resources Specialist III (Adair to Greenup and Jefferson), (502) 564-6950

Latrese V. Bellamy
Human Resource Administrator (Payroll and Personnel)  Hancock to Woodford Counties, excluding Jefferson (502) 564-6938


Last Updated 1/25/2016