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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. 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. ​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. Required Documents for New Employees
  17. Search Committee Nomination Form
  18. Security Sensitive Position Questionnaire
  19. Student Assistant Job Announcement Form
  20. Taleo Adjunct Requisition Template
  21. Taleo Non-Tenure Track Requisition Template
  22. Taleo Tenure Track Requisition Template
  23. Taleo Staff Requisition Template
  24. Student Worker Statement of FERPA Understanding
  25. Voluntary Modification of Employment (VMOE) Application
  26. Staff Advertising Options

Payroll Forms

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

Compensation Forms

  1. 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. 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. Gas Card Agreement-Fleet
  5. HRIS Security Access Request
  6. Media Release Form
  7. Moving and Relocation Expense Form
  8. Staff Grievance Intake and Resolution Form
  9. Statement of Non-Compliance

Separation/Exit Forms

  1. Separation-Clearance Form
  2. Separation Survey​

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Last updated 3/8/2018 7:53 AM