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HR Forms

Benefits Forms

  1. Alternative Work Agreement Form (via DocuSign)
  2. Family Medical Leave/Parental Leave Request
  3. FMLA Authorization for the Release of Medical Information
  4. FMLA Certification of Health Care Provider for Employee
  5. FMLA Certification of Health Care Provider for Family Member
  6. FMLA Certification of Qualifying Exigency for Military Family Leave
  7. FMLA Certification for Serious Injury of Covered Servicemember - Caregiver Leave
  8. FMLA Certification for Serious Injury of Covered Veteran
  9. Fitness Release Time Application
  10. Fitness Release Time PAR-Q Form
  11. Health Risk Assessment and Physical Exam Incentive
  12. Lactation Accommodation Request  
  13. Medical Inquiry Form
  14. Request for Workplace Accommodation
  15. Sick Leave Pool Contribution/Withdrawal Request
  16. Sick Leave Direct Donation - Donor Form
  17. Sick Leave Direct Donation - Recipient Form
  18. 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

Talent Acquisition Forms

  1. Outside Activities Form (see SAM 02.A.08, Outside Activities/Interests Disclosures)
  2. Drug and Alcohol Abuse Prevention Statement
  3. Emergency Evacuation Assistance Form
  4. External Job Posting Template (faculty only)
  5. Faculty Credential Form
  6. Fair Credit Reporting Act Forms:
    1. Fair Credit Reporting Act Summary of Rights
    2. Fair Credit Authorization Form
  7. Internal Employment Request Form
  8. Interview Request for Faculty Candidate
  9. Motor Vehicle Record Evaluation Request 
  10. Notice of Terms of Initial Appointment
  11. Required Documents for New Employees
  12. Student Assistant Job Announcement Form
  13. Taleo Adjunct Requisition Template
  14. Taleo Non-Tenure Track Requisition Template
  15. Taleo Tenure Track Requisition Template
  16. Taleo Staff Requisition Template
  17. Voluntary Modification of Employment (VMOE) Application (via DocuSign)
  18. 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 (via DocuSign)
  8. Time and Effort Adjustment Request
  9. TRAM Biweekly Schedule Template
  10. W4
  11. 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
  5. Employment Classification Checklist

Progressive Disciplinary Forms

Prior approval from HR 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. Concern Reporting Form
  5. Department Dress Code Form
  6. HRIS Security Access Request
  7. Media Release Form
  8. Moving and Relocation Expense Forms:
    1. Authorization for House-Hunting/Moving Relocation Expenses
    2. Exhibit B - Taxable Payments or Reimbursements to Employees
  9. Staff Dress Code Statement
  10. Staff Grievance Intake and Resolution Form
  11. College Release Program and Staff Education Reimbursement Request
  12. Optional Retirement Program Certification 

Separation/Exit Forms

  1. Separation Clearance Process
  2. Staff Separation Exit Survey
  3. Faculty Separation Exit Survey

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