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The following page is a blank template with a header that contains a quicklinks jump menu and the search UHD function. Page sections are identified with headers. The footer contains all required links, contact and emergency information.

Forms

Forms

 

Benefits Forms
1)

Carrier Change Form

2)

Change of Name/Address Notification

3)

College Release Program and Staff Education Reimbursement Request

4)

Family Medical Leave/Parental Leave Request

5)

Fitness Release Time Application

6)

FMLA Certification of Health Care Provider

7)

Optional Retirement Plan Termination Notice

8)

Optional Retirement Program Certification

9)

Salary Reduction Agreement (ORP & TDA)

10)

Sick Leave Pool Contribution/Withdrawal Request

11)

Termination/Transfer-Clearance Form

12)

The Edge (Staff Council Form)

 

 

Workers' Compensation Forms
1)

Authorization for Release of Information (SORM-16)

2)

Employee's Election Regarding Utilization of Sick and Annual Leave (SORM-80)

3)

Employer's First Report of Injury or Illness (DWS-1S)

4)

Employee's Report of Injury (SORM-29)

5)

Witness Statement (SORM-74)

 

EEO Forms
1)

Veterans Status Questionnaire

 

Employment Forms
1)

Consulting and Outside Employmen (for faculty and staff; dual employment outside UH System)

2)

Dual Employment (for faculty and staff; dual employment within the UH System)

3)

Employee Data Sheet

4)

Employment Authorization Request

5)

Exit Interview Questionnaire

6)

Fair Credit Reporting Act

7)

Internal Employment Request Form

8)

Interview Request for Faculty Candidate

9)

Interview Request for Professional Staff Candidate

10)

Job Offer Request Form

11)

New Employee Orientation Survey

12)

Notice of Terms of Initial Appointment

13)

Personnel Recommendation

14)

Position Announcement

15)

Required Documents for New Employees

16)

Security Sensitive Position Questionnaire

17)

Strategies for Orientation Success (SOS)

18)

Student Assistant Job Announcement Form

19)

Student Assistant Job Announcement Form

 

Payroll Forms
1)

Advance Authorization for Overtime

2)

Application for Leave

3)

Direct Deposit Authorization

4)

Moving and Relocation Expense Form

5)

Pay Option Form

6)

Time and Effort Adjustment Request

7)

Timesheet - Biweekly

8)

Timesheet - Monthly

9)

W4

 

Compensation/Performance Management Forms
1)

eAppraisal End-User Manual

2)

Job Analysis Questionnaire (JAQ)

 

Progressive Disciplinary Forms
1)

Notice of Verbal Counseling

 

Prior approval from ESO is required for forms # 2, 3, 4
2)

Employee Written Reprimand

3)

Notice of Suspension Without Pay

4)

Notice of Dismissal from Employment

 

General Forms
1)

Communication Stipend Request

2)

Business Use Only Verification

3)

Motor Vehicle Record Evaluation Request

4)

Photo Release Form

 

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Policies and Procedures

 

 

 

 

Page maintained by ESO

Last updated or reviewed on 8/20/09

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