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ESO Forms

​Benefits Forms

  1. Alternative Work Agreement Form​​​
  2. College Release Program and Staff Education Reimbursement Request
  3. Family Medical Leave/Parental Leave Request
  4. FMLA Authorization for the Release of Medical Information
  5. FMLA Certification of Health Care Provider for Employee
  6. FMLA Certification of Health Care Provider for Family Member​
  7. FMLA Certification of Qualifying Exigency for Military Family Leave
  8. FMLA Certification for Serious Injury of Covered Servicemember - Caregiver Leave
  9. FMLA Certification for Serious Injury of Covered Veteran​
  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. Sick Leave Pool Contribution/Withdrawal Request
  19. Sick Leave Direct Donation - Donor Form
  20. Sick Leave Direct Donation - Recipient Form
  21. 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. External Job Posting Template (faculty only)
  5. ​Faculty Credential Form
  6. Fair Credit Reporting Act
  7. Internal Employment Request Form
  8. Interview Request for Faculty Candidate
  9. Interview Request for Professional Staff Candidate
  10. Motor Vehicle Record Evaluation Request 
  11. Notice of Terms of Initial Appointment
  12. Personnel Recommendation
  13. Required Documents for New Employees
  14. Search Committee Nomination Form
  15. Security Sensitive Position Questionnaire
  16. Student Assistant Job Announcement Form
  17. Taleo Adjunct Requisition Template
  18. Taleo Non-Tenure Track Requisition Template
  19. Taleo Tenure Track Requisition Template
  20. Taleo Staff Requisition Template
  21. Student Worker Statement of FERPA Understanding
  22. Voluntary Modification of Employment (VMOE) Application
  23. 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

Separation/Exit Forms

  1. Separation Clearance Process
  2. Separation Survey​

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Last updated 1/2/2023 2:58 AM