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HR Forms

Benefits Forms

  1. Alternative Work Agreement Form
  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 Caregiver Certification for Serious Injury/Illness of Covered Service Member
  8. FMLA Certification for Serious Injury/Illness of Covered Service Member
  9. FMLA Certification for Serious Injury/Illness of a Veteran for Military 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. Request for Workplace Accommodation
  16. Sick Leave Pool Contribution Request
  17. Sick Leave Pool Withdrawal Request
  18. Sick Leave Direct Donation - Donor Form
  19. Sick Leave Direct Donation - Recipient Form
  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

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. Fair Credit Reporting Act Forms:
    1. Fair Credit Reporting Act Summary of Rights
    2. Fair Credit Authorization Form
  6. Interview Request for Faculty Candidate
  7. Motor Vehicle Record Evaluation Request
  8. Required Documents for New Employees
  9. Student Job Announcement Form
  10. Voluntary Modification of Employment (VMOE) Application (via DocuSign)
  11. 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. Work Group Request Template
  12. Change of Name and Address Notification

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 for Supervisor
  8. PIP Progress Assessment for Employee

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
    1. Scroll to the Human Resources section and choose "HRIS PeopleSoft Security Access" 
  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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