HR Forms
Benefits Forms
- Alternative Work Agreement Form
- Family Medical Leave/Parental Leave Request
- FMLA Authorization for the Release of Medical Information
- FMLA Certification of Health Care Provider for Employee
- FMLA Certification of Health Care Provider for Family Member
- FMLA Certification of Qualifying Exigency for Military Family Leave
- FMLA Caregiver Certification for Serious Injury/Illness of Covered Service Member
- FMLA Certification for Serious Injury/Illness of Covered Service Member
- FMLA Certification for Serious Injury/Illness of a Veteran for Military Caregiver leave
- Fitness Release Time Application
- Fitness Release Time PAR-Q Form
- Health Risk Assessment and Physical Exam Incentive
- Lactation Accommodation Request
- Medical Inquiry Form
- Request for Workplace Accommodation
- Sick Leave Pool Contribution Request
- Sick Leave Pool Withdrawal Request
- Sick Leave Direct Donation - Donor Form
- Sick Leave Direct Donation - Recipient Form
- The Edge (Staff Council Form)
Workers' Compensation Forms
- Authorization for Release of Information (SORM-16)
- Employee's Election Regarding Utilization of Sick and Annual Leave (SORM-80)
- Employee's Report of Injury (SORM-29)
- Witness Statement (SORM-74)
- Supervisor Report of Accident
Talent Acquisition Forms
- Outside Activities Form (see SAM 02.A.08, Outside Activities/Interests Disclosures)
- Drug and Alcohol Abuse Prevention Statement
- Emergency Evacuation Assistance Form
- External Job Posting Template (faculty only)
- Fair Credit Reporting Act Forms:
- Interview Request for Faculty Candidate
- Motor Vehicle Record Evaluation Request
- Required Documents for New Employees
- Student Job Announcement Form
- Taleo Forms (please contact careers@uhd.edu for support with Taleo forms)
- Voluntary Modification of Employment (VMOE) Application (via DocuSign)
- Staff Advertising Options
Payroll Forms
- Advance Authorization for Overtime
- Direct Deposit Authorization
- ePOI Application Form
- Multiple Direct Deposit Supplemental Form
- Pay Option Form
- Prior State Service Form
- Request for Additional Compensation (via DocuSign)
- Time and Effort Adjustment Request
- TRAM Biweekly Schedule Template
- W4
- Work Group Request Template
- Change of Name and Address Notification
Compensation Forms
- Career Ladder Job Change Request
- Employment Classification Checklist
- Job Analysis Questionnaire (JAQ)
- Total Compensation Analysis
- Employment Classification Checklist
Progressive Disciplinary Forms
Prior approval from HR is required for forms # 2 through # 7
- Notice of Verbal Counseling
- Employee Written Reprimand
- Notice of Suspension Without Pay
- Notice of Dismissal from Employment
- Notice of Probationary Dismissal from Employment
- Performance Improvement Plan (PIP)
- PIP Progress Assessment
- PIP Progress Assessment Instructions
General Forms
- UHD Adroit Job Order Requisition
- Business Use Only Verification
- Communication Stipend Request
- Concern Reporting Form
- Department Dress Code Form
- HRIS Security Access Request
- Scroll to the Human Resources section and choose "HRIS PeopleSoft Security Access"
- Media Release Form
- Moving and Relocation Expense Forms:
- Staff Dress Code Statement
- Staff Grievance Intake and Resolution Form
- College Release Program and Staff Education Reimbursement Request
- Optional Retirement Program Certification
Separation/Exit Forms
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