Healthcare Provider Form that must be completed when request for Family Medical Leave, Family Illness Leave and Shared Leave medical leave is required due to employee's own serious illness or injury. Must be returned directly to Leave Administration Unit.
Healthcare Provider Form that must be completed when request for Family Medical Leave, Family Illness Leave and Shared Leave is due to employee's family member suffers from a serious illness or injury. Must be returned directly to Leave Administration Unit.
Certification required for leave associated with qualified exigency provisions of the Military Family Leave policy. Must be returned directly to Leave Administration Unit.
Certification required for leave associated with the injured servicemen provisions of the Military Family Leave policy. Must be returned directly to Leave Administration Unit.
Use this form to update (add, change or delete) a departmental check distribution code (CDC) or update the departmental payroll coordinator information related to a CDC.
In an effort to make our Forms site easier to use, we have updated how the forms are categorized. They are now listed two ways, both alphabetically and by type. Our forms have a brand new look too. The first thing you will notice is the new HR logo on all the forms that are “owned” by Human Resources. And we’ve also added a phone number on the bottom of each form in case you have any questions on how to complete the form and a “revised” date so you can be sure you’re using the latest version.
The best news is that most of our forms are now “form fill-able” and you’ll be able to save them. You’ll need to have at least version 8 of Adobe Reader in order to access and use these features. If you are running an earlier version of Adobe, you’ll still be able to open and print the forms. Check with your departmental LanTech or call the university help desk (515-4357) if you need to upgrade.
Something else you’ll notice on the forms pages is a button titled cross walk. This is a listing of the forms whose names have changed or if two forms have been combined into one.
Once you have had a chance to look over the new site and use some of the redesigned forms, let us know what you think so we can incorporate your feedback into future changes and updates. To do so, just click on the “Your Questions & Feedback” button on the right hand side of the page.
