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University of Houston-Downtown

Administration

​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. FMLA Authorization for the release of medical information
  6. FMLA Certification of Health Care Provider for Employee
  7. FMLA Certification of Health Care Provider for Family Member
  8. FMLA Certification of Qualifying Exigency for Military Family Leave
  9. FMLA Certification for Serious Injury of Covered Servicemember - Caregiver Leave
  10. Fitness Release Time Application
  11. Fitness Release Time PAR-Q Form
  12. Health Risk Assessment and Physical Exam Incentive
  13. Optional Retirement Plan Termination Notice
  14. Optional Retirement Program Certification
  15. Salary Reduction Agreement (ORP & TDA)
  16. Sick Leave Pool Contribution/Withdrawal Request
  17. The Edge (Staff Council Form)

Claim Forms

  1. Minnesota Accelerated Life Claim Form
  2. Fort Dearborn Disability Claim Form
  3. Minnesota Life Dismemberment Claim Form
  4. Minnesota Extended Life Claim Form
  5. Health Select Claim Form
  6. Pay Flex Claim 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. Employee's Report of Injury (SORM-29)
  4. Witness Statement (SORM-74)
  5. Supervisor Report of Accident

EEO Forms

  1. Veterans Status Questionnaire​​​

Employment Forms​​​​​​

  1. Consulting and Paid Professional Service Application Form (for faculty and staff working a second job)
  2. Drug and Alcohol Abuse Prevention Statement
  3. Emergency Evacuation Assistance Form
  4. Employee Data Sheet
  5. Employment Authorization Request 
  6. ​Faculty Credential Form
  7. Fair Credit Reporting Act
  8. Internal Employment Request Form
  9. Interview Request for Faculty Candidate
  10. Interview Request for Professional Staff Candidate
  11. Job Offer Request Form
  12. Motor Vehicle Record Evaluation Request
  13. New Employee Orientation Survey
  14. Notice of Terms of Initial Appointment
  15. Personnel Recommendation
  16. Position Announcement - Administrator Staff
  17. Position Announcement - Ranked Faculty
  18. Position Announcement - Staff
  19. Position Announcement - Temporary Staff
  20. Position Announcement - Unranked Faculty
  21. Required Documents for New Employees
  22. Security Sensitive Position Questionnaire
  23. Student Assistant Job Announcement Form
  24. Student Worker Statement of FERPA Understanding

Payroll Forms

  1. Advance Authorization for Overtime
  2. Direct Deposit Authorization
  3. Moving and Relocation Expense Form
  4. Pay Option Form
  5. Request for Additional Compensation
  6. Time and Effort Adjustment Request
  7. W4

Compensation/Performance Management Forms

  1. eAppraisal End-User Manual
  2. Job Analysis Questionnaire (JAQ)

Progressive Disciplinary Forms

Prior approval from ESO is required for forms # 2 through # 7

  1. Notice of Verbal Counseling 
  2. Employee Written Reprimand
  3. Notice of Suspension Without Pay
  4. Notice of Dismissal from Employment
  5. Performance Improvement Plan (PIP)
  6. PIP Progress Assessment
  7. PIP Progress Assessment Instructions

General Forms

  1. Business Use Only Verification
  2. Communication Stipend Request
  3. Gas Card Agreement-Fleet
  4. HRMS PeopleSoft Operator ID Request
  5. Media Release Form
  6. Statement of Non-Compliance

Separation/Exit Forms

  1. Separation-Clearance Form
  2. Separation Survey

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Last updated 8/26/2015 6:12 AM