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​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. Lactation Accommodation Request​  
  14. Medical Inquiry Form​​
  15. Optional Retirement Plan Termination Notice
  16. Optional Retirement Program Certification 
  17. Request for Workplace Accommodation​
  18. Salary Reduction Agreement (ORP & TDA)
  19. Sick Leave Pool Contribution/Withdrawal Request
  20. Sick Leave Direct Donation - Donor Form
  21. Sick Leave Direct Donation - Recipient Form
  22. 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. Employee's Report of Injury (SORM-29)
  4. Witness Statement (SORM-74)
  5. Supervisor Report of Accident

EEO Forms

  1. Veterans Status Questionnaire​​​

Talent Acquisition 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. External Job Posting Template
  7. ​Faculty Credential Form
  8. Fair Credit Reporting Act
  9. Internal Employment Request Form
  10. Interview Request for Faculty Candidate
  11. Interview Request for Professional Staff Candidate
  12. Job Offer Request Form
  13. Motor Vehicle Record Evaluation Request
  14. New Employee Orientation Survey
  15. Notice of Terms of Initial Appointment
  16. Personnel Recommendation
  17. Required Documents for New Employees
  18. Search Committee Nomination Form
  19. Security Sensitive Position Questionnaire
  20. Student Assistant Job Announcement Form
  21. Taleo Adjunct Requisition Template
  22. Taleo Non-Tenure Track Requisition Template
  23. Taleo Tenure Track Requisition Template
  24. Taleo Staff Requisition Template
  25. Student Worker Statement of FERPA Understanding
  26. Voluntary Modification of Employment (VMOE) Application
  27. Staff Advertising Options

Payroll Forms

  1. Advance Authorization for Overtime
  2. Direct Deposit Authorization 
  3. Employment Classification Checklist
  4. ePOI Application Form
  5. Multiple Direct Deposit Supplemental Form
  6. Pay Option Form 
  7. Prior State Service Form
  8. Request for Additional Compensation
  9. Time and Effort Adjustment Request
  10. TRAM Biweekly Schedule Template
  11. W4
  12. 9.2 Work Group Request Template​​

Compensation Forms

  1. Career Ladder Job Change Request
  2. Employment Classification Checklist
  3. Job Analysis Questionnaire (JAQ)​​​
  4. Total Compensation Analysis

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. Notice of Probationary Dismissal from Employment
  6. Performance Improvement Plan (PIP)
  7. PIP Progress Assessment
  8. PIP Progress Assessment Instructions

General Forms

  1. UHD Adroit Job Order Requisition
  2. Business Use Only Verification
  3. Communication Stipend Request​
  4. Complaint Form
  5. Department Dress Code Form
  6. Gas Card Agreement-Fleet
  7. HRIS Security Access Request​
  8. Media Release Form
  9. Moving and Relocation Expense Form​
  10. Staff Dress Code Statement
  11. Staff Grievance Intake and Resolution Form
  12. Statement of Non-Compliance

Separation/Exit Forms

  1. Separation Clearance Process
  2. Separation Survey​

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Last updated 8/30/2019 11:46 AM