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Forms

FMLA Forms

  • Family & Medical Leave Poster
  • Family & Medical Leave Act Application
  • Certification of Health Care Provider for Employee's Serious Health Condition
  • Certification of Health Care Provider for Family Member's Serious Health Condition
  • Certification for Serious Injury or Illness of a Veteran for Military Caregiver leave
  • Certification for Serious Injury or Illness of a Current Service Member
  • Certification of Qualifying Exigency for Military Family Leave
  • Employee Return to Work Form

EMI Health

  • Enrollment Form

PEHP

  • Enrollment Form

FLEX

  • Flex Enrollment Form
  • Flex Reimbursement Form
  • Request form for another Flex$ Card
  • Instructions for setting up your Flex$ Account

Life Insurance Forms

  • Supplemental Life Enrollment Flyer
  • Supplemental Life Enrollment Form
  • Beneficiary Designation Form

Employee Relations Forms

  • ADA
  • Grievance Intake (part 1)
  • Grievance Intake (part 2)
  • Probationary Release
  • Reprimand & Discipline (For best results, download and Save to Desktop before completing form)

Miscellaneous Forms & Information

  • Application for Leave
  • Application for Benevolence Fund Monies
  • Recommendation for Faculty Employment
  • Staff Supplemental Pay Supervisor Approval Form - General
  • Waiver of Standard Employment Policy
  • Application for Voluntary Shared Leave Pool
  • File a Long Term Disability Claim Online
  • Long Term Disability Claim
  • Volunteer Application Form
  • Application for Alternative Arrangement for PPM 3-6 (Nepotism)

 

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