Instructions: The Human Resources Office will complete this form for any new employee, departing employee, or changing employee, and submit to the Information Technology Help Desk (ifrishelp@dof.virginia.gov). The IT help desk will contact appropriate supervisor to obtain any incomplete information (primary and secondary forester contacts, counties served). For minor changes (e.g., phone number primary/secondary forester contact changes) to existing employees: Area or regional staff will submit this form to the regional program support technicians. Headquarters, state forest, and nursery staff will submit the change to publicinfo@dof.virginia.gov.	IT Use Only
Employee ID
Date of Request:	Purpose:	Add New Employee	Date Employee Starts:
Update Employee	Date Effective:
Remove Employee	Date to Remove:
SECTION 1 – Employee Name
Employee Name: (All components required)	First:	Middle:	Last:	Suffix:
Call Name (first name person goes by):
SECTION 2 – Employee Addition or Change Information (if removing, skip to Section 4)
Working Title: (check one or fill in other – be consistent in the title with other same/similar positions)	District Forester (SAF Accreditation)	Natural Resource Manager (Non-SAF Accreditation)
Area Forester (SAF Accreditation)	Natural Resource Specialist (Non-SAF Accreditation)
Community Forester (SAF Accreditation)	Community Forestry Specialist (Non-SAF Accreditation)
Forest Technician	Forest Technician Specialist
Water Quality Specialist	Water Quality Engineer	Program Support Technician	FIA Specialist
Program Manager	Director of
Other
Unit:	Western Region	Central Region	Eastern Region	Headquarters	Nursery	State Forests
Work Group: (Headquarters branch, district)
Office Location: (name of VDOF office assigned to)
Supervisor Name:
Work Email:
Primary Phone:	Secondary Phone:
(best number to reach employee – generally cell phone)
Employee Specialty: (check one or fill in for other positions)	Area Forester, Forester Specialist, Natural Resource Specialist: Primary contact for forest landowner assistance, reforestation, and forest management services at the county level. Bay Watershed Specialist: Primary contact for riparian forest buffer projects at the county level. Community Forester, Community Forestry Specialist: Primary contact for forest landowner assistance, forest management services, and community forestry assistance at the county level. District Forester, Natural Resource Manager: Oversees all field operations and supervises foresters, technicians, and specialist in the assigned district. FIA Specialist: Conducts forest inventory analysis statewide. Forest Technician, Forest Technician Specialist: Primary contact for wildfire suppression response, fire prevention, prescribed burning, and timber harvest inspections at the county level. Pine Resource Forester: Primary contact for forest management efforts at the regional level. Regional Fire Specialist: Primary contact for wildfire suppression, fire prevention and mitigation, prescribed burning, and firefighter training at the regional level. Watershed Stewardship Specialist: Coordinates the Region’s forested watershed protection and easement stewardship programs. Water Quality Specialist: Primary technical expert on forestry best management practices and Virginia's Silvicultural Water Quality Law at the county level. Water Quality Engineer: Oversees implementation of forestry best management practices and Virginia's Silvicultural Water Quality Law enforcement actions at the regional level. For other positions, provide a very brief description worded in an understandable way to the public.
SECTION 3 – Field Employee District Assignments (complete for addition or change of field service positions)
Counties Served reflects all counties/cities within the district assigned. This directly affects who appears in our directory searches on the website when the public searches by county/city (Agency Directory). This applies only to field positions serving local landowners and public directly (technicians, foresters, natural resource specialists and managers, community foresters and community forestry specialists, water quality engineers and specialists). Does not apply to headquarters, regional support, state forest, nursery, or statewide-service positions.
District/Counties Served: (Check the employee’s district.)
Western Region	Headwaters District	Mountain Valley District	Mountain Valley District (Cont.)	New River District
Bristol, City of	Alleghany	Roanoke	Bland
Buchanan	Bath	Roanoke, City of	Carroll
Dickenson	Bedford	Rockbridge	Floyd
Lee	Botetourt	Salem, City of	Franklin
Norton, City of	Buena Vista, City of	Galax, City of
Russell	Covington, City of	Grayson
Scott	Craig	Henry
Smyth	Giles	Martinsville, City of
Tazewell	Lexington, City of	Patrick
Washington	Montgomery	Pulaski
Wise	Radford, City of	Wythe
Central Region	James River District	Rappahannock District	Rappahannock District (Cont.)	Southern Rivers District
Albemarle	Alexandria, City of	Rappahannock	Campbell
Amherst	Arlington	Spotsylvania	Charlotte
Appomattox	Culpeper	Stafford	Danville, City of
Buckingham	Fairfax	Halifax
Charlottesville, City of	Fairfax, City of	Shenandoah District	Lunenburg
Cumberland	Falls Church, City of	Augusta	Lynchburg, City of
Fluvanna	Fauquier	Clarke	Mecklenburg
Goochland	Fredericksburg, City of	Frederick	Pittsylvania
Louisa	Greene	Harrisonburg, City of	Prince Edward
Nelson	Loudoun	Highland
Madison	Page
Manassas Park, City of	Rockingham
Manassas, City of	Shenandoah
Orange	Staunton, City of
Prince William	Warren
Waynesboro, City of
Winchester, City of
Eastern Region	Blackwater District	Capital District	Capital District (Cont.)	Tidewater District
Accomack	Charles City	Powhatan	Caroline
Chesapeake, City of	Chesterfield	Richmond, City of	Essex
Franklin, City of	Colonial Heights, City of	Williamsburg, City of	Gloucester
Isle of Wight	Hampton, City of	York	King & Queen
Norfolk, City of	Hanover	King George
Northampton	Henrico	Five Forks District	Lancaster
Portsmouth, City of	Hopewell, City of	Amelia	Mathews
Southampton	James City	Brunswick	Middlesex
Suffolk, City of	King William	Dinwiddie	Northumberland
Surry	New Kent	Emporia, City of	Richmond
Sussex	Newport News, City of	Greenville	Westmoreland
Virginia Beach, City of	Petersburg, City of	Nottoway
Poquoson, City of	Prince George
SECTION 4 – Find a Forester Contact Information (complete for addition or change of field service positions)
PRIMARY Forester Contact: (Check all counties/cities that this employee serves as the primary forester contact. This applies only to field forester-type positions. Be reminded that if you are adding this to an employee, there is someone who should have this removed. ONLY one person as primary forester contact per county/city.)
Western Region	Headwaters District	Mountain Valley District	Mountain Valley District (Cont.)	New River District
Bristol, City of	Alleghany	Roanoke	Bland
Buchanan	Bath	Roanoke, City of	Carroll
Dickenson	Bedford	Rockbridge	Martinsville City
Lee	Botetourt	Salem, City of	Franklin
Norton, City of	Buena Vista, City of	Henry
Russell	Covington, City of	Highland
Scott	Craig	Martinsville, City of
Smyth	Giles	Patrick
Tazewell	Lexington, City of	Pulaski
Washington	Montgomery	Wythe
Wise	Radford, City of
Central Region	James River District	Rappahannock District	Shenandoah District	Southern Rivers District
Albemarle	Alexandria, City of	Augusta	Campbell
Amherst	Arlington	Clarke	Charlotte
Appomattox	Culpeper	Frederick	Danville, City of
Buckingham	Fairfax	Harrisonburg, City of	Halifax
Charlottesville, City of	Fairfax, City of	Highland	Lunenburg
Cumberland	Falls Church, City of	Page	Lynchburg, City of
Fluvanna	Fauquier	Rockingham	Mecklenburg
Goochland	Fredericksburg, City of	Shenandoah	Pittsylvania
Louisa	Greene	Staunton, City of	Prince Edward
Nelson	Loudoun	Warren
Madison	Waynesboro, City of
Manassas Park, City of	Winchester, City of
Manassas, City of
Orange
Prince William
Rappahannock
Spotsylvania
Stafford
Eastern Region	Blackwater District	Capital District	Five Forks District	Tidewater District
Accomack	Charles City	Amelia	Caroline
Chesapeake, City of	Chesterfield	Brunswick	Essex
Franklin, City of	Colonial Heights, City of	Dinwiddie	Gloucester
Isle of Wight	Hampton, City of	Emporia, City of	King & Queen
Norfolk, City of	Hanover	Greensville	Lancaster
Northampton	Henrico	Nottoway	Matthews
Portsmouth, City of	Hopewell, City of	Prince George	Middlesex
Southampton	James City	Northumberland
Suffolk, City of	King William	Richmond
Surry	New Kent	Westmoreland
Sussex	Newport News, City of
Virginia Beach, City of	Petersburg, City of
Poquoson, City of
Powhatan
Richmond, City of
Williamsburg, City of
York
Employee Name(s) to Remove as Primary Contact as a Result of this Assignment: (Only one primary contact per county/city)
SECONDARY Forester Contact: (Check all counties that this employee serves as the secondary forester contact. This applies only to field forester-type and technician-type positions. Be reminded that if you are adding this to an employee, there is someone who should have this removed. ONLY one person as secondary forester contact per county/city.)
Western Region	Headwaters District	Mountain Valley District	Mountain Valley District (Cont.)	New River District
Bristol, City of	Alleghany	Roanoke	Bland
Buchanan	Bath	Roanoke, City of	Carroll
Dickenson	Bedford	Rockbridge	Martinsville City
Lee	Botetourt	Salem, City of	Franklin
Norton, City of	Buena Vista, City of	Henry
Russell	Covington, City of	Highland
Scott	Craig	Martinsville, City of
Smyth	Giles	Patrick
Tazewell	Lexington, City of	Pulaski
Washington	Montgomery	Wythe
Wise	Radford, City of
Central Region	James River District	Rappahannock District	Shenandoah District	Southern Rivers District
Albemarle	Alexandria, City of	Augusta	Campbell
Amherst	Arlington	Clarke	Charlotte
Appomattox	Culpeper	Frederick	Danville, City of
Buckingham	Fairfax	Harrisonburg, City of	Halifax
Charlottesville, City of	Fairfax, City of	Highland	Lunenburg
Cumberland	Falls Church, City of	Page	Lynchburg, City of
Fluvanna	Fauquier	Rockingham	Mecklenburg
Goochland	Fredericksburg, City of	Shenandoah	Pittsylvania
Louisa	Greene	Staunton, City of	Prince Edward
Nelson	Loudoun	Warren
Madison	Waynesboro, City of
Manassas Park, City of	Winchester, City of
Manassas, City of
Orange
Prince William
Rappahannock
Spotsylvania
Stafford
Eastern Region	Blackwater District	Capital District	Five Forks District	Tidewater District
Accomack	Charles City	Amelia	Caroline
Chesapeake, City of	Chesterfield	Brunswick	Essex
Franklin, City of	Colonial Heights, City of	Dinwiddie	Gloucester
Isle of Wight	Hampton, City of	Emporia, City of	King & Queen
Norfolk, City of	Hanover	Greensville	Lancaster
Northampton	Henrico	Nottoway	Matthews
Portsmouth, City of	Hopewell, City of	Prince George	Middlesex
Southampton	James City	Northumberland
Suffolk, City of	King William	Richmond
Surry	New Kent	Westmoreland
Sussex	Newport News, City of
Virginia Beach, City of	Petersburg, City of
Poquoson, City of
Powhatan
Richmond, City of
Williamsburg, City of
York
Employee Name to Remove as Secondary Contact as a Result of this Assignment: (Only one secondary contact per county/city)
SECTION 5 – Employee Removal (completed for removal of field service positions)
If the employee being removed is a field service position with Primary or Secondary Forester Contact responsibilities, complete this section. (Only one primary and one secondary per county/city; no “Vacant” option)
Employee Name and County/City to Assign as Primary Contact as a Result of this Employee Removal or Change:
Employee Name and County/City to Assign as Secondary Contact as a Result of this Employee Removal or Change: