https://wiki.unmc.edu/api.php?action=feedcontributions&user=Daniel.carlson&feedformat=atomUniversity of Nebraska Medical Center - User contributions [en]2024-03-29T00:37:05ZUser contributionsMediaWiki 1.39.4https://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=15160HR - Employee Relations Forms2024-02-07T20:24:17Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_current_servicemember_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_of_a_veteran_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_military_family_leave_for_qualifying_exigency_fmla.pdf FMLA - Certification for Military Family Leave for Qualifying Exigency]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=15159HR - Employee Relations Forms2024-02-07T20:13:14Z<p>Daniel.carlson: Corrected links</p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_current_servicemember_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_of_a_veteran_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_military_family_leave_for_qualifying_exigency_fmla.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=15115HR - Employee Relations Forms2024-02-01T22:53:20Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_current_servicemember_for_military_caregiver_fmla.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/health_cert_for_veteran_for_military_caregiver.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_of_a_veteran_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_military_family_leave_for_qualifying_exigency_fmla.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=15114HR - Employee Relations Forms2024-02-01T22:52:04Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_current_servicemember_for_military_caregiver_fmla.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/health_cert_for_veteran_for_military_caregiver.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_of_a_veteran_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_military_family_leave_for_qualifying_exigency_fmla.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=15113HR - Employee Relations Forms2024-02-01T22:48:41Z<p>Daniel.carlson: Updated FMLA Docs</p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/health_cert_for_veteran_for_military_caregiver.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_serious_injury_illness_of_a_veteran_for_military_caregiver_fmla.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/certification_for_military_family_leave_for_qualifying_exigency_fmla.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=15067HR - Employee Relations Forms2024-01-17T23:05:59Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/health_cert_for_veteran_for_military_caregiver.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Reward_and_Recognition&diff=14821Guidelines - Reward and Recognition2023-12-22T20:19:48Z<p>Daniel.carlson: Updated 1093.</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
The University of Nebraska Medical Center (UNMC) has a variety of programs to recognize and reward employees with non-cash and with cash awards. These awards recognize employees whose performance is above and beyond the scope of their position and their achievements add value to the vision and mission of UNMC. All University-wide, UNMC campus-wide and Unit/department-wide recognition and reward programs are based on the availability of funds at each level.<br />
<br />
<br />
===[[Employee_Recognition_and_Reward_Policy| Employee Recognition and Reward Policy #1093]]===<br />
===[https://www.unmc.edu/human-resources/_documents/procedures/Procedures1093.pdf Employee Recognition and Reward Procedures]===<br />
<br />
==Gold U Award==<br />
<br />
The Gold U Award recognizes members of the UNMC community who consistently deliver outstanding performance and service to UNMC. Managerial professional and office service employees are eligible for the Chancellor’s Commendation Gold ‘U’ Award. Faculty and administrative staff are not eligible for this award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form]====<br />
<br />
==Faculty Awards - UNMC==<br />
<br />
===Outstanding Faculty Mentor of Graduate Students===<br />
Because of the profound effects of mentors on graduate students, the UNMC Faculty Senate wishes to recognize faculty who exemplify excellence in the mentoring of graduate students at UNMC. In doing so UNMC wishes to honor these individuals to provide models for other faculty to emulate. The Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the award on documentation that provides evidence of and a record of continuous accomplishment of mentoring graduate students over a period of at least the last five years.<br />
<br />
====[https://info.unmc.edu/blog/facultysenate/award-forms/ The Outstanding Faculty Mentor of Graduate Students Award Nomination Form and Selection Criteria]====<br />
<br />
===Outstanding Teaching Award===<br />
Nominations should clearly substantiate a meritorious record of excellence in teaching activities by the nominee at UNMC. Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the awards on documentation that clearly provides evidence of and a track record of outstanding teaching. <br />
<br />
====[https://info.unmc.edu/blog/facultysenate/award-forms/ Outstanding Teaching Award Nomination Form and Selection Criteria] ====<br />
<br />
===Spirit of Community Service Award===<br />
This merit award is presented to a faculty member who, through continuing commitment to the surrounding underserved or isolated communities has used expertise, resources, talent, and time without remuneration or has enabled others to provide community service in the following types of programs/projects. The Honorary Degree and Awards Committee (HDAC) bases its selections of recipients for the award on documentation that provides evidence of and a record of accomplishment of continuous community service within the last three years.<br />
<br />
====[https://info.unmc.edu/blog/facultysenate/award-forms/ The Spirit of Community Service Award Nomination Form and Selection Criteria]====<br />
<br />
==Faculty Awards - University-Wide==<br />
<br />
===Outstanding Research and Creativity Award (ORCA)===<br />
This award honors members of the University of Nebraska faculty who have conducted outstanding research or creative activity of national/international significance<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Research and Creative Activity Award (ORCA)]====<br />
<br />
===Outstanding Teaching and Creativity Award (OTICA)===<br />
This award honors members of the University of Nebraska faculty who have developed meritorious and sustained records of excellence in teaching and creativity related to teaching.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Teaching and Instructional Creativity Award (OTICA)]====<br />
<br />
===University-wide Departmental Teaching Award (UDTA)===<br />
This award honors a department/unit of the University of Nebraska which has outstanding esprit de corps in its dedication to the education of students at the undergraduate, graduate, or professional levels.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards University-wide Departmental Teaching Award (UDTA)]====<br />
<br />
===Engagement Award (IDEA)===<br />
This awards honors members of the University of Nebraska faculty who have extended their academic expertise beyond the boundaries of the university in ways that have enriched the broader community.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Innovation, Development and Engagement Award (IDEA)]====<br />
<br />
==Research/Scientist Awards==<br />
<br />
Faculty are eligible for the UNMC Scientist Laureate Award, the Distinguished Scientist Award and the New Investigator Award. The award recipients are selected by a panel composed of UNMC deans and directors, as well as the office of the vice chancellor for research. These awards are sponsored by the Chancellor and administered by UNMC Office of the Vice Chancellor for Research.<br />
For additional information contact the Office of the Vice Chancellor for Research at 559-6162.<br />
<br />
===The UNMC Scientist Laureate Award===<br />
This award is the highest recognition given to a UNMC investigator. Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding. research.<br />
<br />
===The Distinguished Scientist Award===<br />
Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding during the past 5 years.<br />
<br />
===The New Investigator Award===<br />
This award is given to outstanding UNMC scientists who in the past one to three years have secured their first federal funding from the National Institutes of Health, the Department of Defense or other federal sources. The recipients also have to demonstrate scholarly activity such as publishing their research and/or presenting their findings at national conventions and gatherings.<br />
<br />
==Service Awards==<br />
Length of Service Awards are based solely on the number of years of employment in the University of Nebraska system and are given in 5-year increments for staff (managerial professional and office service) and 10 year increments for faculty. Employees receive an anniversary gift in recognition to their service.<br />
<br />
==Silver U Award Program==<br />
This award is given monthly to employees whose overall performance is above and beyond the scope of their position. The number of recipients from each unit is based on unit population (please review deadlines and allocations document below). Recipients receive a Silver 'U' pin, a shirt with program logo, and will be invited to lunch with the chancellor. Managerial professional, office service, graduate assistant, other academic employees, faculty and administrative staff are eligible for the Chancellor’s Council Silver ‘U’ Award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Award Nomination Form]====<br />
<br />
==People Are Everything – UNMC Reward and Recognition website==<br />
People Are Everything is UNMC’s comprehensive web-based reward and recognition platform that allows employees to acknowledge, reward and recognize their colleagues in many different ways. The platform includes internal social media, peer-to-peer recognition and eCards. In addition, the online program is used to submit Silver U and Gold U nominations and to acknowledge Service Anniversaries. Employees will be able to receive and send points to each other and the points can be redeemed for quality merchandise and gifts via the website. Points never expire and there are no limits on how many you can redeem in year.<br />
<br />
To send a Vital Thank 'U' Gram<br />
====[https://www.peopleareeverything.com/unmc People Are Everything ]====</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Human_Resources_-_Procedures&diff=14820Human Resources - Procedures2023-12-22T20:17:55Z<p>Daniel.carlson: Updated 1093</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | <strong>[[Human Resources - Procedures|Procedures]]</strong> | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<br />
<strong>Human Resources Procedures</strong><br />
==Alphabetical Listing==<br />
==[https://www.unmc.edu/human-resources/_documents/Americans-with-Disabilities-Act-and-Section-504-Grievance-Procedures.pdf ADA - Americans with Disabilities Act and Section 504 Grievance Procedures]==<br />
==[http://www.unmc.edu/hr/proc/Req%20for%20Reasonable%20Accommodation%20-%20ADA.pdf ADA - Americans with Disabilities Act - Requests for Reasonable Accommodation]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1104.pdf AIDS, HIV, and Other Bloodborne Pathogens - Procedures #1104]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1010.pdf Background Check Policy - Procedures #1010]==<br />
==[http://www.unmc.edu/hr/proc/Institutional%20Bereavement%20Response%20for%20UNMC.pdf Bereavement Response In the Event of an Employee Death]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1007.pdf Compensation Administration - Procedures #1007]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1098.pdf Corrective and Disciplinary Action Policy - Procedures #1098]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1003.pdf Drug Free Campus - Procedures #1003]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1072.pdf Employee and Dependent Scholarship - Procedures #1072]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1020.pdf Employee Grievance Process Policy - Procedures #1020]==<br />
==[https://www.unmc.edu/human-resources/_documents/procedures/Procedure1001.pdf Employee Leave Policy - Procedures #1001] / [http://www.unmc.edu/hr/proc/PaidHolLeave%20Memo.pdf President's Memo on Paid Holiday Leave Policy]==<br />
==[https://www.unmc.edu/human-resources/_documents/procedures/Procedures1093.pdf Employee Recognition and Reward - Procedures #1093]==<br />
==[http://www.unmc.edu/human-resources/_documents/procedures/Procedures1004.pdf Employment Policy - Procedures #1004]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1106.pdf Fitness for Duty Policy - Procedures #1106]==<br />
==[http://www.unmc.edu/hr/proc/Lactation%20Support%20Program.pdf Lactation Support Progam]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1101.pdf Nepotism Policy - Procedures #1101]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1099.pdf Non-Discrimination and Harassment - Procedures #1099]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1049.pdf Outside Employment - Procedures #1049]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1097.pdf Performance Evaluation Policy - Procedures #1097]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1060.pdf Political Activities - Procedures #1060]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1017.pdf Recurring - Additional Payment - Procedures #1017]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1028.pdf Reduction In Force - Procedures #1028]==<br />
==[http://www.unmc.edu/hr/proc/UNMC%20Employee%20Sexual%20Misconduct%20Procedures.pdf UNMC Employee Sexual Misconduct Procedures]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1005.pdf Work Schedules - Procedures #1005]==</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Records_Forms&diff=14755HR - Records Forms2023-12-08T21:16:36Z<p>Daniel.carlson: Updated to direct to NU Values.</p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Records Forms==<br />
* Records Forms are available at [https://info.unmc.edu/wiki/index.php/NU_Values_-_Forms NU Values - Forms]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_New_Employee_Orientation&diff=14754Guidelines - New Employee Orientation2023-12-08T20:39:27Z<p>Daniel.carlson: Updated with 2024 dates.</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
==New Employee Orientation is Virtual!==<br />
'''New Employee Orientation''' is an educational program for incoming office-service, managerial-professional, and administrative staff. It provides an overview of basic campus services, the benefits package, employee health/wellness/safety and mandatory compliance policies and focuses on the history and culture of the University.<br />
<br />
Most new employees (non-faculty, non-house officer) are automatically enrolled in New Employee Orientation when new hire information is entered into SAP. If a new employee needs to be enrolled into orientation or if changes need to be made to an employee’s orientation date, go to Workforce Admin in [https://net.unmc.edu/mgmt/ Management Resources]. If you are unfamiliar with Workforce Admin, please contact [mailto:employeerelations@unmc.edu employeerelations@unmc.edu] to cancel or change an orientation date. <br />
<br />
<br />
<br />
==Dates for New Employee Orientation==<br />
'''All New Employee Orientation sessions will be held ONLINE ONLY - until further notice.'''<br />
<br />
{| style="color: gray; background-color: white" width="100%" class="wikitable"<br />
{|class="wikitable"<br />
!'''Date'''<br />
!'''Location'''<br />
!'''Time'''<br />
|-<br />
|Tuesday, December 12, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, January 9, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon <br />
|-<br />
|Tuesday, February 13, 2024 <br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, March 12, 2024 <br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, April 9, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, May 14, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, June 11, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, July 9, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, August 9, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, September 10, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, October 8, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, November 12, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, December 10, 2024<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|}<br />
<br />
<br />
'''Location:''' New Employee Orientation will be held <u>virtually</u> via Zoom<br />
<br />
<br />
'''Start Time:''' Virtual New Employee Orientation will begin promptly at 9:30 a.m. via Zoom and will conclude at Noon. <br />
<br />
<br />
'''Please Note:''' All new hire employees are <u>required</u> to attend the virtual New Employee Orientation and <u>must</u> be present for the entire virtual online session to receive credit for attendance. <br />
<br />
<br />
'''New Hire should have Photo ID by orientation:''' Please send new hire to UneCard/Photo ID Office, SLC Room 1043 prior to orientation. Call 559-8414 to verify hours.<br />
<br />
<br />
'''If New Hire needs on campus parking:''' Please send individuals to the Parking Services Office located at Annex 10, 4230 Leavenworth Street, Business Service Center Room 3037 or call 559-8580 prior to Orientation.<br />
<br />
<br />
'''**Benefits:''' New Hire must enroll for Benefit coverage within 31 days of their hire date or eligibility date. Enrollment after the initial 31 day period is limited to the annual NUFlex enrollment or when Permitted Election Change Event occurs. For more information regarding benefits, please contact Benefits at 559-4340.<br />
<br />
<br />
Please contact [mailto:employeerelations@unmc.edu employeerelations@unmc.edu] if you have any further questions regarding orientation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_New_Employee_Orientation&diff=14241Guidelines - New Employee Orientation2023-08-24T15:25:05Z<p>Daniel.carlson: Updated Parking Services info.</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
==New Employee Orientation is Virtual!==<br />
'''New Employee Orientation''' is an educational program for incoming office-service, managerial-professional, and administrative staff. It provides an overview of basic campus services, the benefits package, employee health/wellness/safety and mandatory compliance policies and focuses on the history and culture of the University.<br />
<br />
Most new employees (non-faculty, non-house officer) are automatically enrolled in New Employee Orientation when new hire information is entered into SAP. If a new employee needs to be enrolled into orientation or if changes need to be made to an employee’s orientation date, go to Workforce Admin in [https://net.unmc.edu/mgmt/ Management Resources]. If you are unfamiliar with Workforce Admin, please contact [mailto:employeerelations@unmc.edu employeerelations@unmc.edu] to cancel or change an orientation date. <br />
<br />
<br />
<br />
==Dates for New Employee Orientation==<br />
'''All New Employee Orientation sessions will be held ONLINE ONLY - until further notice.'''<br />
<br />
{| style="color: gray; background-color: white" width="100%" class="wikitable"<br />
{|class="wikitable"<br />
!'''Date'''<br />
!'''Location'''<br />
!'''Time'''<br />
|-<br />
|Tuesday, January 10, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon <br />
|-<br />
|Tuesday, February 14, 2023 <br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, March 14, 2023 <br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, April 11, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, May 9, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, June 13, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, July 11, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, August 8, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, September 12, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, October 10, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, November 14, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, December 12, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|}<br />
<br />
<br />
'''Location:''' New Employee Orientation will be held <u>virtually</u> via Zoom<br />
<br />
<br />
'''Start Time:''' Virtual New Employee Orientation will begin promptly at 9:30 a.m. via Zoom and will conclude at Noon. <br />
<br />
<br />
'''Please Note:''' All new hire employees are <u>required</u> to attend the virtual New Employee Orientation and <u>must</u> be present for the entire virtual online session to receive credit for attendance. <br />
<br />
<br />
'''New Hire should have Photo ID by orientation:''' Please send new hire to UneCard/Photo ID Office, SLC Room 1043 prior to orientation. Call 559-8414 to verify hours.<br />
<br />
<br />
'''If New Hire needs on campus parking:''' Please send individuals to the Parking Services Office located at Annex 10, 4230 Leavenworth Street, Business Service Center Room 3037 or call 559-8580 prior to Orientation.<br />
<br />
<br />
'''**Benefits:''' New Hire must enroll for Benefit coverage within 31 days of their hire date or eligibility date. Enrollment after the initial 31 day period is limited to the annual NUFlex enrollment or when Permitted Election Change Event occurs. For more information regarding benefits, please contact Benefits at 559-4340.<br />
<br />
<br />
Please contact [mailto:employeerelations@unmc.edu employeerelations@unmc.edu] if you have any further questions regarding orientation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=14171HR - Employee Relations Forms2023-08-10T16:48:16Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf UNMC Employee ADA Accommodation Request Form]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Reward_and_Recognition&diff=13906Guidelines - Reward and Recognition2023-06-16T21:29:33Z<p>Daniel.carlson: Removed OPS.</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
The University of Nebraska Medical Center (UNMC) has a variety of programs to recognize and reward employees with non-cash and with cash awards. These awards recognize employees whose performance is above and beyond the scope of their position and their achievements add value to the vision and mission of UNMC. All University-wide, UNMC campus-wide and Unit/department-wide recognition and reward programs are based on the availability of funds at each level.<br />
<br />
<br />
===[[Employee_Recognition_and_Reward_Policy| Employee Recognition and Reward Policy #1093]]===<br />
===[http://www.unmc.edu/hr/proc/Procedures1093.pdf Employee Recognition and Reward Procedures]===<br />
<br />
==Gold U Award==<br />
<br />
The Gold U Award recognizes members of the UNMC community who consistently deliver outstanding performance and service to UNMC. Managerial professional and office service employees are eligible for the Chancellor’s Commendation Gold ‘U’ Award. Faculty and administrative staff are not eligible for this award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form]====<br />
<br />
==Faculty Awards - UNMC==<br />
<br />
===Outstanding Faculty Mentor of Graduate Students===<br />
Because of the profound effects of mentors on graduate students, the UNMC Faculty Senate wishes to recognize faculty who exemplify excellence in the mentoring of graduate students at UNMC. In doing so UNMC wishes to honor these individuals to provide models for other faculty to emulate. The Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the award on documentation that provides evidence of and a record of continuous accomplishment of mentoring graduate students over a period of at least the last five years.<br />
<br />
====[https://info.unmc.edu/blog/facultysenate/award-forms/ The Outstanding Faculty Mentor of Graduate Students Award Nomination Form and Selection Criteria]====<br />
<br />
===Outstanding Teaching Award===<br />
Nominations should clearly substantiate a meritorious record of excellence in teaching activities by the nominee at UNMC. Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the awards on documentation that clearly provides evidence of and a track record of outstanding teaching. <br />
<br />
====[https://info.unmc.edu/blog/facultysenate/award-forms/ Outstanding Teaching Award Nomination Form and Selection Criteria] ====<br />
<br />
===Spirit of Community Service Award===<br />
This merit award is presented to a faculty member who, through continuing commitment to the surrounding underserved or isolated communities has used expertise, resources, talent, and time without remuneration or has enabled others to provide community service in the following types of programs/projects. The Honorary Degree and Awards Committee (HDAC) bases its selections of recipients for the award on documentation that provides evidence of and a record of accomplishment of continuous community service within the last three years.<br />
<br />
====[https://info.unmc.edu/blog/facultysenate/award-forms/ The Spirit of Community Service Award Nomination Form and Selection Criteria]====<br />
<br />
==Faculty Awards - University-Wide==<br />
<br />
===Outstanding Research and Creativity Award (ORCA)===<br />
This award honors members of the University of Nebraska faculty who have conducted outstanding research or creative activity of national/international significance<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Research and Creative Activity Award (ORCA)]====<br />
<br />
===Outstanding Teaching and Creativity Award (OTICA)===<br />
This award honors members of the University of Nebraska faculty who have developed meritorious and sustained records of excellence in teaching and creativity related to teaching.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Teaching and Instructional Creativity Award (OTICA)]====<br />
<br />
===University-wide Departmental Teaching Award (UDTA)===<br />
This award honors a department/unit of the University of Nebraska which has outstanding esprit de corps in its dedication to the education of students at the undergraduate, graduate, or professional levels.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards University-wide Departmental Teaching Award (UDTA)]====<br />
<br />
===Engagement Award (IDEA)===<br />
This awards honors members of the University of Nebraska faculty who have extended their academic expertise beyond the boundaries of the university in ways that have enriched the broader community.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Innovation, Development and Engagement Award (IDEA)]====<br />
<br />
==Research/Scientist Awards==<br />
<br />
Faculty are eligible for the UNMC Scientist Laureate Award, the Distinguished Scientist Award and the New Investigator Award. The award recipients are selected by a panel composed of UNMC deans and directors, as well as the office of the vice chancellor for research. These awards are sponsored by the Chancellor and administered by UNMC Office of the Vice Chancellor for Research.<br />
For additional information contact the Office of the Vice Chancellor for Research at 559-6162.<br />
<br />
===The UNMC Scientist Laureate Award===<br />
This award is the highest recognition given to a UNMC investigator. Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding. research.<br />
<br />
===The Distinguished Scientist Award===<br />
Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding during the past 5 years.<br />
<br />
===The New Investigator Award===<br />
This award is given to outstanding UNMC scientists who in the past one to three years have secured their first federal funding from the National Institutes of Health, the Department of Defense or other federal sources. The recipients also have to demonstrate scholarly activity such as publishing their research and/or presenting their findings at national conventions and gatherings.<br />
<br />
==Service Awards==<br />
Length of Service Awards are based solely on the number of years of employment in the University of Nebraska system and are given in 5-year increments for staff (managerial professional and office service) and 10 year increments for faculty. Employees receive an anniversary gift in recognition to their service.<br />
<br />
==Silver U Award Program==<br />
This award is given monthly to employees whose overall performance is above and beyond the scope of their position. The number of recipients from each unit is based on unit population (please review deadlines and allocations document below). Recipients receive a Silver 'U' pin, a shirt with program logo, and will be invited to lunch with the chancellor. Managerial professional, office service, graduate assistant, other academic employees, faculty and administrative staff are eligible for the Chancellor’s Council Silver ‘U’ Award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Award Nomination Form]====<br />
<br />
==People Are Everything – UNMC Reward and Recognition website==<br />
People Are Everything is UNMC’s comprehensive web-based reward and recognition platform that allows employees to acknowledge, reward and recognize their colleagues in many different ways. The platform includes internal social media, peer-to-peer recognition and eCards. In addition, the online program is used to submit Silver U and Gold U nominations and to acknowledge Service Anniversaries. Employees will be able to receive and send points to each other and the points can be redeemed for quality merchandise and gifts via the website. Points never expire and there are no limits on how many you can redeem in year.<br />
<br />
To send a Vital Thank 'U' Gram<br />
====[https://www.peopleareeverything.com/unmc People Are Everything ]====</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Corrective/Disciplinary_Action&diff=13835Guidelines - Corrective/Disciplinary Action2023-05-17T21:29:04Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
Employees are responsible for meeting reasonable standards of performance in their work activities. Supervisors are responsible for providing leadership that makes such performance <br />
and conduct possible.<br />
<br />
<br />
===[[Corrective/Disciplinary_Action| Corrective/Disciplinary Action Policy #1098]]===<br />
===[http://www.unmc.edu/hr/proc/Procedures1098.pdf Corrective/Disciplinary Action Procedures]===<br />
===[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form]===<br />
<br />
==Corrective and Disciplinary Actions==<br />
With the advice of Human Resources, supervisors may take corrective measures or impose disciplinary actions, in the event an employee's performance is less than the reasonable<br />
standards of performance or if the employee's conduct is not in keeping with what is expected in the working environment of UNMC.<br />
<br />
<br />
==Probationary Period==<br />
All newly hired regular office/service employees serve one six-month original probationary period. This original probationary period is an extension of the selection process and is used to determine an employee's suitability for employment at UNMC.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Corrective/Disciplinary_Action&diff=13834Guidelines - Corrective/Disciplinary Action2023-05-17T21:28:25Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
Employees are responsible for meeting reasonable standards of performance in their work activities. Supervisors are responsible for providing leadership that makes such performance <br />
and conduct possible.<br />
<br />
<br />
===[[Corrective/Disciplinary_Action| Corrective/Disciplinary Action Policy #1098]]===<br />
===[http://www.unmc.edu/hr/proc/Procedures1098.pdf Corrective/Disciplinary Action Procedures]===<br />
===[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form]===*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form]<br />
<br />
==Corrective and Disciplinary Actions==<br />
With the advice of Human Resources, supervisors may take corrective measures or impose disciplinary actions, in the event an employee's performance is less than the reasonable<br />
standards of performance or if the employee's conduct is not in keeping with what is expected in the working environment of UNMC.<br />
<br />
<br />
==Probationary Period==<br />
All newly hired regular office/service employees serve one six-month original probationary period. This original probationary period is an extension of the selection process and is used to determine an employee's suitability for employment at UNMC.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Corrective/Disciplinary_Action&diff=13833Guidelines - Corrective/Disciplinary Action2023-05-17T21:26:55Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
Employees are responsible for meeting reasonable standards of performance in their work activities. Supervisors are responsible for providing leadership that makes such performance <br />
and conduct possible.<br />
<br />
<br />
===[[Corrective/Disciplinary_Action| Corrective/Disciplinary Action Policy #1098]]===<br />
===[http://www.unmc.edu/hr/proc/Procedures1098.pdf Corrective/Disciplinary Action Procedures]===<br />
===[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form]===<br />
<br />
==Corrective and Disciplinary Actions==<br />
With the advice of Human Resources, supervisors may take corrective measures or impose disciplinary actions, in the event an employee's performance is less than the reasonable<br />
standards of performance or if the employee's conduct is not in keeping with what is expected in the working environment of UNMC.<br />
<br />
<br />
==Probationary Period==<br />
All newly hired regular office/service employees serve one six-month original probationary period. This original probationary period is an extension of the selection process and is used to determine an employee's suitability for employment at UNMC.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=13832HR - Employee Relations Forms2023-05-17T21:25:14Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=13831HR - Employee Relations Forms2023-05-17T21:05:45Z<p>Daniel.carlson: Updated Corrective and Disciplinary Form</p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/corrective_and_disciplinary_action_form.doc Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Employee_Leave&diff=13762Guidelines - Employee Leave2023-04-14T21:57:24Z<p>Daniel.carlson: Updated link FMLA Request</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
UNMC provides for various types of paid and unpaid employee leave. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, ADA, the Uniformed Service Employment and Reemployment Rights Act (USERRA) of 1994, Nebraska Revised Statutes §55-160 et seq. §81-1391, Nebraska Family Military Act of 2007, University of Nebraska Central Administration and the Bylaws of the Board of Regents of the University of Nebraska (3.4.2; 3.4.3; and 3.6). <br />
<br />
It is the intent of UNMC to grant paid or unpaid leave to regular employees under appropriate circumstances. For regular part-time employees, the rate is adjusted according to the employee's FTE. All leave must be recorded in a manner prescribed by Payroll. A record-keeping system for leave usage must be maintained by departments. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, the Uniformed Service Employment and Re-employment Rights Act (USERRA) of 1994, Nebraska Revised Statutes §55-160 et seq. and §81-1391, and University of Nebraska Central Administration Employee Absences and Crisis Leave Sharing policies and practices. The Employee Leave Policy includes: Administrative Leave, Bereavement/Funeral Leave, Civil Leave, Crisis Leave, Family Medical and Family Military Leave - FMLA, Holiday Leave, Inclement Weather, Injury Leave, Leave of Absence without Pay, Military Leave, Parental Leave, Sick Leave, and Vacation Leave.<br />
<br />
<br />
===[[Employee_Leave|Employee Leave Policy #1001]]===<br />
===[http://www.unmc.edu/hr/Forms/PaidHolLeave%20Memo.pdf President's Memo on Paid Holiday Leave Policy]===<br />
===[https://www.unmc.edu/hr/Proc/Procedure1001.pdf Employee Leave Procedures]===<br />
<br />
==Administrative Leave==<br />
<br />
Under certain conditions, administrative leave with pay may be granted in situations in which employees perform a community service such as volunteer fire fighters, volunteer rescue squad call and other specific instances. Individuals and departments should contact Human Resources – Employee Relations at 402/559-5827 for guidance in using this type of administrative leave. Documentation of the leave may be required.<br />
<br />
<br />
==Bereavement/Funeral Leave==<br />
<br />
When necessary, up to five consecutive workdays of bereavement/funeral leave may be granted in the event of a death within the employee’s immediate family. Notice of the need to use bereavement/funeral leave must be given in advance to the supervisor.<br />
<br />
<br />
==Civil Leave==<br />
<br />
All regular employees may be granted paid civil leave for the purpose of providing civil service, if the performance of such service is required during normal working hours. Paid civil leave will be granted for jury duty, election board duty, witness duty with a valid subpoena, court appearances regarding the affairs of the State of Nebraska or University, emergency civilian duty in connection with national defense or natural disaster.<br />
<br />
<br />
==Crisis Leave==<br />
<br />
===Donations to Crisis Leave Bank===<br />
<br />
Employees may donate accumulated vacation leave of up to three (3) days for potential use in emergency situations by other UNMC employees, whose leave has been exhausted. <br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Crisis%20Leave%20Donation.pdf Crisis Leave Donation Form]====<br />
<br />
===Requests for Crisis Leave===<br />
<br />
Regular employees, including-office service employees who have completed their probationary period, may be eligible to receive crisis leave when all of their available sick leave, vacation and floating/banked holiday hours, appropriate to the circumstances, have been exhausted and when they have a qualifying event for crisis leave.<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Crisis%20Leave%20Request.pdf Crisis Leave Request Form]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advancement of Leave Request Form]====<br />
<br />
<br />
<br />
==Family Medical and Family Military Leave - FMLA==<br />
<br />
UNMC will grant up to twelve weeks of unpaid family/medical leave for any of the following reasons:<br />
<br />
# The employee’s own serious health condition that make the employee unable to perform the essential functions of the job. <br />
# A serious health condition of the employee’s spouse, child or parent or a person bearing the same relationship to the employee’s spouse. <br />
# Maternal/paternal concerns related to the birth and first year care of a child or adoption of a child, or the placement of a child with the employee for foster care. <br />
# A death in the immediate family. <br />
# Family Leave Due to a Call to Active Duty: This benefit provides 12 weeks of FMLA leave due to a spouse, son, daughter or parent being on active duty or having been notified of an impending call or order to active duty in the Armed Forces. Leave may be used for any "qualifying exigency" arising out of the service member’s current tour of active duty or because the service member is notified of an impending call to duty in support of a contingency operation. <br />
# Caregiver Leave for an Injured Service member: This benefit provides 26 weeks of FMLA leave during a single 12-month period for a spouse, son, daughter, parent, or nearest blood relative caring for a recovering service member. A recovering service member is defined as a member of the Armed Forces who suffered an injury or illness while on active-duty that may render the person unable to perform the duties of the member’s office, grade, rank or rating. <br />
<br />
For additional information please go to the [http://wiki.unmc.edu/index.php?title=Employee_Leave#Family_Medical_.26_Family_Military_Leave_-_FMLA Family Medical & Family Military Leave - FMLA]<br />
<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf Certification of Health Care Provider for Employees Serious Health Condition]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf Certification of Health Care Provider for Family Members Serious Health Condition]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf Certification of Qualifying Exigency for Military Family Leave]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Family%20Medical%20Leave.doc FMLA - Request for Family Medical Leave Form]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave Form]====<br />
<br />
==Holiday Leave==<br />
<br />
UNMC provides twelve paid holidays a year to all regular employees, who are in a paid status.<br />
<br />
Banked - UNMC recognizes one (1) banked holiday, during which UNMC operations are open,'' Martin Luther King, Jr. Day - Third Monday in January''. Banked holidays must be used within 12 months of being earned. Floating - UNMC recognizes four (4) floating holidays, during which UNMC operations are open; employees may use these days on or after the date on which they are observed, with supervisory approval. ''President’s Day - Third Monday in February, Arbor Day - Last Friday in April, Columbus Day - Second Monday in October, Veteran’s Day - November 11. ''Floating holidays must be used within 12 months of being earned. <br />
<br />
Traditional - UNMC recognizes seven (7) traditional holidays where non-essential business operations are closed. ''New Year’s Day - January 1, Memorial Day - Last Monday in May, Independence Day - July 4, Labor Day - First Monday in September, Thanksgiving Day - Fourth Thursday in November, Day After Thanksgiving - Friday following the Fourth Thursday in November, Christmas Day - December 25. ''Holidays falling on the first day of the weekend will be observed on the day before; holidays falling on the last day of the weekend will be observed the following day.<br />
<br />
==Inclement Weather==<br />
See Work Schedules (Policy 1005)<br />
At UNMC, in times of extreme/severe weather, natural or other disasters, essential employees may be required to remain on campus for an extended period of time or to report to campus.<br />
<br />
==Injury Leave==<br />
<br />
If the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Injury leave will not be charged to sick leave or vacation; the time reporting should be coded in a manner prescribed by Payroll.<br />
<br />
The Nebraska Workers’ Compensation Act is found in Neb. Rev. Stat. §§48-101 to 48-1,118. Portions of the act which are specific to state workers’ compensation claims are found in Neb. Rev. Stat. §§ 48-192 to 48-1,109.<br />
<br />
===Workers Compensation===<br />
<br />
The University of Nebraska Medical Center is self-insured through the State of Nebraska. For employees injured on the job, if the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Loss wage benefits are paid at 66 2/3% of the employee’s weekly wage, subject to the minimum and maximum per week allowed by Nebraska Worker’s Compensation laws, as long as the employee is unable to work. All reasonable medical and/or hospital expenses, related to the injury, are paid. If the employee is unable to return to his/her position, the individual employee is entitled to vocational rehabilitation services. <br />
<br />
<br />
====[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report] ====<br />
<br />
[https://wiki.unmc.edu/images/e/eb/1WC-Form-DoctorsChoiceForm50-2018.pdf '''Doctors Choice - Form 50''']<br />
<br />
[https://wiki.unmc.edu/images/1/18/2WC-Form-HIPAA-AuthorizationforReleaseofInfo-2018.pdf '''HIPAA Authorization for Release of Information''']<br />
<br />
==Leave of Absence without Pay==<br />
Regular employees may be granted a leave of absence without pay for maximum of one year, only when it is in the best interest of UNMC. <br />
<br />
==Military Leave==<br />
UNMC complies with the [[https://www.dol.gov/agencies/vets/programs/userra Uniformed Service Employment and Reemployment Rights Act of 1994 (USERRA)]] and Neb. Rev. Stat. §55-l60 et seq. concerning the treatment of University employees with military obligations. In general USSERA requires employers to grant leave to employees serving in the United States armed forces and the various reserve units; protects applicants and employees against discrimination on the basis of military service in the areas of hiring, job retention and advancement; provides certain rights to re-employment upon return from leave; and extends health care and retirement plan coverage during military leave.<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-Mil-USSERA.pdf LOA - Request for Military Leave - USSERA - Form]====<br />
<br />
==Nebraska Family Military Leave==<br />
The Nebraska Family Military Leave Act requires employers to provide up to 30 working days of unpaid leave to qualifying employees whose spouse or parent has been called to military service under federal or state deployment orders. Qualifying employees include any employee who has been employed by UNMC for at least 12 months, has provided at least 1,250 hours of service during the 12 month period immediately preceding the commencement of leave and is the spouse or parent of a person called to military service lasting over 179 days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States. Employees requesting 5 or more consecutive days of leave shall provide at least 14 calendar day's prior notice. <br />
<br />
===Nebraska Family Military Leave Act===<br />
The Nebraska Unicameral enacted the Nebraska Family Military Leave Act effective April 4, 2007. Effective immediately, UNMC will implement the Nebraska Family Military Leave Act by providing unpaid leave to qualifying University employees who are spouses or parents of military service members under federal or state deployment orders.<br />
<br />
'''Qualifying employees''' shall include any employee who:<br />
* has been employed by the University of Nebraska for at least twelve months<br />
* has provided at least one thousand two hundred fifty (1,250) hours of service during the twelve-month period immediately preceding the commencement of the leave<br />
* is the spouse or parent of a person called to military service lasting over one hundred seventy-nine days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States<br />
<br />
'''Requests for Family Military Leave''' may be made to the employees immediate supervisor any time the deployment orders are in effect. Employees requesting five (5) or more consecutive days of Family Military Leave shall provide at least fourteen calendar days prior notice, and where able, will consult with the supervisor to schedule leave to avoid work disruptions. For leave of less than five (5) consecutive days, employees shall give advance notice as practical. Certification/proof of the call to service, from the proper military authority, may be required.<br />
<br />
'''Maximum leave allowable''' under the Family Military Leave Policy shall be thirty (30) working days of unpaid leave. The employee may elect to apply accrued vacation leave, compensatory time off, or floating or banked holiday during the leave period.<br />
<br />
'''Employees involved in any of the University of Nebraska insured benefit programs''' may continue to participate in said programs and will receive continued employer contributions for the period of the leave. They are, however, responsible for their employee contributions required to maintain those benefits when on an unpaid status.<br />
<br />
'''Upon expiration of the leave''', the employee is entitled to be restored to the position held prior to commencement of leave or to an equivalent position.<br />
<br />
If you have any question regarding the Family Military Leave please contact Michelle Coe at ''402-559-5827''.<br />
<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-Mil-USSERA.pdf LOA - Request for Family Military Leave - Form]====<br />
<br />
==Parental Leave==<br />
<br />
UNMC employees ''may'' be eligible for parental leave (unpaid or paid). Employees ''may'' be eligible for paid leave if employee has accrued sick leave and/or vacation leave. An eight-week total ''maternity'' leave period for pre-partum and post-partum care and recovery, during which time the employee will be excused from all duties, will be considered normal; however, more or less leave time may be taken based on individual health circumstances. Please refer to Policy #1001, Employee Leave Policy. Employees ''may'' be eligible for 5 days Paternity Leave under Policy #1001, Employee Leave Policy. <br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave]====<br />
<br />
====[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf Family Medical Leave Request]====<br />
<br />
==Sick Leave==<br />
Sick leave means the period of time during which the employee is incapacitated or unable, due to illness or injury, to perform the regularly assigned duties of his or her position. Paid sick leave means a period of time that the employee is paid his or her regular salary during a period of illness or injury. The period of time shall begin and end when medically indicated to the satisfaction of the appropriate administrative officer.<br />
<br />
#Managerial Professional Staff: Members of the Managerial-Professional staff shall accumulate one day of sick leave per month for the first two years of employment. After two years of service, sick leave balances will be restored annually on a calendar year basis for managerial/professional employees. In no event shall payment be made to managerial/professional employees with over two years service) or to academic/administrative employees for any one disability which exceeds six months (1040 hours) although such disability exist partially in one calendar year and partially in the next calendar year (i.e., overlaps from one calendar year to the next).<br />
#Office Service Employees: Office and Service personnel shall accrue sick leave according to the following schedule<br />
<br />
{| Class="wikitable"<br />
|-<br />
! Years of Employment<br />
! Hours per Months<br />
! Hours per Year<br />
! Days per Year<br />
! Hours per Day<br />
|-<br />
| 1st through 5th year<br />
| 8.00<br />
| 96.00<br />
| 12.00<br />
| 0.26301<br />
|- <br />
| Beginning of 6th yr.<br />
| 11.33<br />
| 136.00<br />
| 17.00<br />
| 0.37260<br />
|- <br />
| Beginning of 7th yr.<br />
| 12.00<br />
| 144.00<br />
| 18.00<br />
| 0.39452<br />
|- <br />
| Beginning of 8th yr.<br />
| 12.67<br />
| 152.00<br />
| 19.00<br />
| 0.41644<br />
|- <br />
| Beginning of 9th yr.<br />
| 13.33<br />
| 160.00<br />
| 20.00<br />
| 0.43836<br />
|- <br />
| Beginning of 10th yr.<br />
| 14.00<br />
| 168.00<br />
| 21.00<br />
| 0.46027<br />
|- <br />
| Beginning of 11th yr.<br />
| 14.67<br />
| 176.00<br />
| 22.00<br />
| 0.48219<br />
|- <br />
| Beginning of 12th yr.<br />
| 15.33<br />
| 184.00<br />
| 23.00<br />
| 0.50411<br />
|- <br />
| Beginning of 13th yr.<br />
| 16.00<br />
| 192.00<br />
| 24.00<br />
| 0.52603<br />
|- <br />
| Beginning of 14th yr.<br />
| 16.67<br />
| 200.00<br />
| 25.00<br />
| 0.54795<br />
|- <br />
| Beginning of 15th yr.<br />
| 17.33<br />
| 208.00<br />
| 26.00<br />
| 0.56986<br />
|- <br />
| Beginning of 16th yr.<br />
| 18.00<br />
| 216.00<br />
| 27.00<br />
| 0.59178<br />
|- <br />
| Beginning of 17th yr.<br />
| 18.67<br />
| 224.00<br />
| 28.00<br />
| 0.61370<br />
|- <br />
| Beginning of 18th yr.<br />
| 19.33<br />
| 232.00<br />
| 29.00<br />
| 0.63562<br />
|- <br />
| Beginning of 19th year<br />
| 20.00<br />
| 240.00<br />
| 30.00<br />
| 0.65753<br />
|- <br />
| '''Maximum Accrual'''<br />
| <br />
| '''1,440.00'''<br />
| '''180.00'''<br />
| <br />
|}<br />
<br />
==Vacation Leave==<br />
Regular employees of UNMC shall be granted vacation leave according to the schedule of vacation leave accrual displayed on the leave procedure page.<br />
===Academic/Administrative Employees===<br />
{| Class="wikitable"<br />
|-<br />
!width="75pt"|Years of Continuous Employment<br />
!width="75pt"|Number of Hours Accrued per Month<br />
!width="75pt"|Number of Hours Accrued per Year<br />
!width="75pt"|Number of Days Accrued per Year<br />
|- <br />
| 1 & Thereafter<br />
| 16<br />
| 192<br />
| 24<br />
|} <br />
<br />
===Managerial/Professional Employees===<br />
{| Class="wikitable"<br />
|-<br />
!width="75pt"|Years of Continuous Employment<br />
!width="75pt"|Number of Hours Accrued per Month<br />
!width="75pt"|Number of Hours Accrued per Year<br />
!width="75pt"|Number of Days Accrued per Year<br />
|- <br />
| 1-2<br />
| 8.00<br />
| 96.00<br />
| 12<br />
|- <br />
| 3-5<br />
| 12.00<br />
| 144.00<br />
| 18<br />
|- <br />
| 6 & over<br />
| 16.00<br />
| 192.00<br />
| 24<br />
|}<br />
<br />
===Office/Service Employees===<br />
{| Class="wikitable"<br />
|-<br />
!width="75pt"|Years of Continuous Employment<br />
!width="75pt"|Number of Hours Accrued per Month<br />
!width="75pt"|Number of Hours Accrued per Year<br />
!width="75pt"|Number of Days Accrued per Year<br />
|- <br />
| 1-5<br />
| 8.00<br />
| 96.00<br />
| 12<br />
|- <br />
| 6<br />
| 10.00<br />
| 120.00<br />
| 15<br />
|- <br />
| 7<br />
| 10.67<br />
| 128.00<br />
| 16<br />
|- <br />
| 8<br />
| 11.33<br />
| 136.00<br />
| 17<br />
|- <br />
| 9<br />
| 12.00<br />
| 144.00<br />
| 18<br />
|- <br />
| 10<br />
| 12.67<br />
| 152.00<br />
| 19<br />
|- <br />
| 11<br />
| 13.33<br />
| 160.00<br />
| 20<br />
|- <br />
| 12<br />
| 14.00<br />
| 168.00<br />
| 21<br />
|- <br />
| 13<br />
| 14.67<br />
| 176.00<br />
| 22<br />
|- <br />
| 14<br />
| 15.33<br />
| 184.00<br />
| 23<br />
|- <br />
| 15<br />
| 16.00<br />
| 192.00<br />
| 24<br />
|- <br />
| 16 & over<br />
| 16.67<br />
| 200.00<br />
| 25<br />
|}</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Employee_Separation&diff=13713Guidelines - Employee Separation2023-03-30T20:38:52Z<p>Daniel.carlson: Updated Separation Checklists</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
It is the intent of the University of Nebraska Medical Center to ensure that the assets of the organization are protected and that there is a defined process for transition, whenever an employee is separated from UNMC. The department or unit is responsible for following the separation procedures.<br />
<br />
<br />
===[[Employee_Separation| Employee Separation Policy #1006]]===<br />
===[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Exit Checklist (Manager's Form)]===<br />
<br />
===[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Exit Checklist (Employee's Form)]===<br />
<br />
===[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]===<br />
<br />
==Exit Survey==<br />
In the month immediately following an employee’s separation, an exit survey will be mailed to the individual's home or forwarding address by an outside contractor. In the completion of that survey, employees may also request a follow-up personal interview by phone or in person.<br />
<br />
==Resignation of Academic Personnel==<br />
Employees in academic positions are required to provide 90 days notice, or the term required in their contract, unless a shorter period is accepted by the employing department, for resignation from those positions. <br />
<br />
For further information, please contact the Academic Services Office at 402-559-5187.<br />
<br />
==Resignation of Non-Academic Employees==<br />
An employee may resign from his/her position for any reason, with the proper notification period, unless a shorter period is approved by the employing department. For exempt positions (academic/administrative and managerial/ professional) the required time is 90 days notice. For non-exempt positions (office/service), 14 days notice is required When an employee finds it necessary to separate from UNMC employment, he/she is expected to give written notice of his/her intent to resign to his/her manager and to indicate the last day to be worked. <br />
<br />
==Retirement==<br />
Retirement: Office-Service employees are given a one-time payment of one-fourth (25%) of the accumulated unused sick leave balance at the rate of pay based on regular pay at the time of retirement.<br />
<br />
Early Retirement Status: An employee must be age 55 and have at least ten years of service to take early retirement status from the University of Nebraska.<br />
<br />
====*[https://nebraska.edu/docs/benefits/retirement_401a.pdf Basic Retirement Plan]====<br />
<br />
====*[https://nebraska.edu/docs/benefits/benefits_defcomp.pdf Deferred Compensation Plan]====<br />
<br />
====*[https://nebraska.edu/docs/benefits/benefits_supretire.pdf Supplemental Retirement Plan]====<br />
<br />
==Transfer within the University System==<br />
An employee who is transferring to another campus of the University is expected to give the same notice period required for resignation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=13710HR - Employee Relations Forms2023-03-30T20:20:37Z<p>Daniel.carlson: Updated Separation Checklists</p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Employee-Exit-Checklist.pdf Employee Separation - Employee Exit Checklist]<br />
* [https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Employee-Separation-Mgr-Exit-Checklist.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_New_Employee_Orientation&diff=13511Guidelines - New Employee Orientation2023-01-04T20:19:51Z<p>Daniel.carlson: Updated with 2023 information.</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
==New Employee Orientation is Virtual!==<br />
'''New Employee Orientation''' is an educational program for incoming office-service, managerial-professional, and administrative staff. It provides an overview of basic campus services, the benefits package, employee health/wellness/safety and mandatory compliance policies and focuses on the history and culture of the University.<br />
<br />
Most new employees (non-faculty, non-house officer) are automatically enrolled in New Employee Orientation when new hire information is entered into SAP. If a new employee needs to be enrolled into orientation or if changes need to be made to an employee’s orientation date, go to Workforce Admin in [https://net.unmc.edu/mgmt/ Management Resources]. If you are unfamiliar with Workforce Admin, please contact [mailto:employeerelations@unmc.edu employeerelations@unmc.edu] to cancel or change an orientation date. <br />
<br />
<br />
<br />
==Dates for New Employee Orientation==<br />
'''All New Employee Orientation sessions will be held ONLINE ONLY - until further notice.'''<br />
<br />
{| style="color: gray; background-color: white" width="100%" class="wikitable"<br />
{|class="wikitable"<br />
!'''Date'''<br />
!'''Location'''<br />
!'''Time'''<br />
|-<br />
|Tuesday, January 10, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon <br />
|-<br />
|Tuesday, February 14, 2023 <br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, March 14, 2023 <br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, April 11, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, May 9, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, June 13, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, July 11, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, August 8, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, September 12, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, October 10, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, November 14, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|Tuesday, December 12, 2023<br />
|Virtually on Zoom<br />
|9:30am to noon<br />
|-<br />
|}<br />
<br />
<br />
'''Location:''' New Employee Orientation will be held <u>virtually</u> via Zoom<br />
<br />
<br />
'''Start Time:''' Virtual New Employee Orientation will begin promptly at 9:30 a.m. via Zoom and will conclude at Noon. <br />
<br />
<br />
'''Please Note:''' All new hire employees are <u>required</u> to attend the virtual New Employee Orientation and <u>must</u> be present for the entire virtual online session to receive credit for attendance. <br />
<br />
<br />
'''New Hire should have Photo ID by orientation:''' Please send new hire to UneCard/Photo ID Office, SLC Room 1043 prior to orientation. Call 559-8414 to verify hours.<br />
<br />
<br />
'''If New Hire needs on campus parking:''' Please send individuals to the Bookstore or call 559-8580 prior to Orientation.<br />
<br />
<br />
'''**Benefits:''' New Hire must enroll for Benefit coverage within 31 days of their hire date or eligibility date. Enrollment after the initial 31 day period is limited to the annual NUFlex enrollment or when Permitted Election Change Event occurs. For more information regarding benefits, please contact Benefits at 559-4340.<br />
<br />
<br />
Please contact [mailto:employeerelations@unmc.edu employeerelations@unmc.edu] if you have any further questions regarding orientation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Staffing_Forms&diff=13454HR - Staffing Forms2022-11-30T16:27:08Z<p>Daniel.carlson: Updated with actual new Staffing documents.</p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Staffing Forms==<br />
===Interviewing / Reference Guides and Templates=== <br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/General-Interview-Template.pdf General Interview Template]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Office-Associate-I-Hiring-Manager-Interview-Template.pdf Office Associate I Hiring Manager Interview Template]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Office-Associate-I-Phone-Interview-Template.pdf Office Associate I Phone Interview Template]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Research-Technologist-I-Hiring-Manager-Interview-Template.pdf Research Technologist I, Hiring Manager Interview Template]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Research-Technologist-I-Phone-Interview-Template.pdf Research Technologist I Phone Interview Template]<br />
*[https://www.unmc.edu/human-resources/_documents/Reference-Check-Form.pdf Reference Checking Form]<br />
<br />
===Testing=== <br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Skills-Testing-Order-Request-Form.pdf UNMC Skills Testing Order Form]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/staffing/Request-for-Employee-Health-Services.pdf Request for Employee Health Services]<br />
<br />
===Letter to candidate that was interviewed but not hired===<br />
*[https://www.unmc.edu/hr/forms/staffing/Interviewed%20Not%20Hired%20-%20Sample%20Letter.pdf Interviewed Not Hired - Sample Letter]<br />
<br />
===Offer letters for Managerial Professional (MP) positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-External-Offer-Letter-Template.pdf MP Exempt (Salary) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-External-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-Internal-Offer-Letter-Template.pdf MP Exempt (Salary) – Internal Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-Internal-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
===Offer letters for Office Service (OS) positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-external-offer-letter-template.pdf OS Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-internal-offer-letter-template.pdf OS Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
===Offer letters for Temporary positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-external-offer-letter-template.pdf Temporary Exempt (Salary) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-internal-offer-letter-template.pdf Temporary Exempt (Salary) – Internal Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-external-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-internal-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
<br />
===Access to PeopleAdmin=== <br />
*[https://www.unmc.edu/hr/forms/staffing/Request%20for%20PeopleAdm%20User%20Account.pdf Request for PeopleAdmin User Account]<br />
<br />
===Other=== <br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/DHHS-Child-Adult-Abuse-Applicant-Walkthrough.pdf NE DHHS Child/Abuse Applicant Walkthrough]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/FAQS-Background-Checking-FAQ.pdf FAQS Background Checking FAQ]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/HR-Nepotism-Exception.pdf Nepotism_Exception_Template]<br />
*[http://www.unmc.edu/human-resources/_documents/New-Hire-Onboarding-Checklist.pdf New Employee Onboarding - Checklist]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/NonFaculty-Volunteer-Temporary-FAQ-Quick-Steps.pdf Non-Faculty Volunteer Temporary - FAQ & Quick Steps]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/summary-advantages_of_working_for_unmc.pdf Advantages of Working for UNMC]<br />
<br />
<br />
If you have any questions about any of the Staffing form/templates please email [mailto:jobs@unmc.edu Jobs@UNMC]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Human_Resources_-_Procedures&diff=12698Human Resources - Procedures2022-03-08T18:22:43Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | <strong>[[Human Resources - Procedures|Procedures]]</strong> | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<br />
<strong>Human Resources Procedures</strong><br />
==Alphabetical Listing==<br />
==[https://www.unmc.edu/human-resources/_documents/Americans-with-Disabilities-Act-and-Section-504-Grievance-Procedures.pdf ADA - Americans with Disabilities Act and Section 504 Grievance Procedures]==<br />
==[http://www.unmc.edu/hr/proc/Req%20for%20Reasonable%20Accommodation%20-%20ADA.pdf ADA - Americans with Disabilities Act - Requests for Reasonable Accommodation]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1104.pdf AIDS, HIV, and Other Bloodborne Pathogens - Procedures #1104]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1010.pdf Background Check Policy - Procedures #1010]==<br />
==[http://www.unmc.edu/hr/proc/Institutional%20Bereavement%20Response%20for%20UNMC.pdf Bereavement Response In the Event of an Employee Death]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1007.pdf Compensation Administration - Procedures #1007]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1098.pdf Corrective and Disciplinary Action Policy - Procedures #1098]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1003.pdf Drug Free Campus - Procedures #1003]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1072.pdf Employee and Dependent Scholarship - Procedures #1072]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1020.pdf Employee Grievance Process Policy - Procedures #1020]==<br />
==[https://www.unmc.edu/human-resources/_documents/procedures/Procedure1001.pdf Employee Leave Policy - Procedures #1001] / [http://www.unmc.edu/hr/proc/PaidHolLeave%20Memo.pdf President's Memo on Paid Holiday Leave Policy]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1093.pdf Employee Recognition and Reward - Procedures #1093]==<br />
==[http://www.unmc.edu/human-resources/_documents/procedures/Procedures1004.pdf Employment Policy - Procedures #1004]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1106.pdf Fitness for Duty Policy - Procedures #1106]==<br />
==[http://www.unmc.edu/hr/proc/Lactation%20Support%20Program.pdf Lactation Support Progam]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1101.pdf Nepotism Policy - Procedures #1101]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1099.pdf Non-Discrimination and Harassment - Procedures #1099]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1049.pdf Outside Employment - Procedures #1049]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1097.pdf Performance Evaluation Policy - Procedures #1097]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1060.pdf Political Activities - Procedures #1060]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1017.pdf Recurring - Additional Payment - Procedures #1017]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1028.pdf Reduction In Force - Procedures #1028]==<br />
==[http://www.unmc.edu/hr/proc/UNMC%20Employee%20Sexual%20Misconduct%20Procedures.pdf UNMC Employee Sexual Misconduct Procedures]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1005.pdf Work Schedules - Procedures #1005]==</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Records_Forms&diff=12544HR - Records Forms2022-01-14T23:41:21Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Records Forms==<br />
===New Hire===<br />
*[http://www.unmc.edu/hr/forms/records/NEW%20HIRE%20FORM.pdf New Hire Form]<br />
*[https://info.unmc.edu/wiki/index.php/NU_Values_-_I-9_Management_System I-9 Management System]<br />
===E-Verify===<br />
<br />
*[http://www.unmc.edu/hr/forms/records/E-Verify_Participation_Poster_ES.pdf E-Verify Participation Poster]<br />
<br />
===Personal Actions===<br />
*[http://www.unmc.edu/hr/forms/records/Personnel%20Action%20Change%20Form.pdf Personnel Action Change Form]<br />
*[http://www.unmc.edu/hr/forms/records/Personal%20Data%20Change%20Form.pdf Personal Data Change Form]<br />
*[https://info.unmc.edu/wiki/index.php/NU_Values_-_Recurring-Additional_Payment Recurring-Additional Payment]<br />
===Related Forms===<br />
*[http://www.unmc.edu/hr/forms/records/UNMC%20Direct%20Deposit.pdf UNMC Direct Deposit]<br />
* [https://www.unmc.edu/human-resources/_documents/nu-values/appendices/forms/06-W-4-Federal.pdf Federal 2022 W-4 Form]<br />
* [https://www.unmc.edu/human-resources/_documents/nu-values/appendices/forms/06a-W-4N-Nebraska.pdf Nebraska 2022 W-4 Form]<br />
*[http://www.unmc.edu/hr/forms/records/Invitation%20to%20Self-Identify%20Veteran%20Status%20Post-Offer.pdf Invitation to Self-Identify Veteran Status Post-Offer]<br />
*[http://www.unmc.edu/hr/forms/records/Voluntary%20Self-Identification%20of%20Disability%20CC-305.pdf Voluntary Self-Identification of Disability CC-305]<br />
*[http://www.unmc.edu/hr/forms/records/HR%20-%20Student%20Workers%20Unemployment%20Understanding.pdf HR - Student Workers Unemployment Understanding]<br />
===Employee/Dependent Scholarship===<br />
* [https://wiki.unmc.edu/index.php/Employee/Dependent_Scholarship Employee/Dependent Scholarship]<br />
* Employees must review policy interpretation in Employee/Dependent Scholarship FAQs located in Firefly > ESS Benefits > Employee & Dependent Scholarship > Frequently Asked Questions<br />
* [https://www.unmc.edu/human-resources/_documents/How-to-Allocate-Credits-for-Employee-Dependent-Scholarship-Guide.pdf How to Allocate Credits for Employee Dependent Scholarship Guide]<br />
If you have any questions about any of the Records form/templates please email [mailto:hrrecords@unmc.edu hrrecords]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12533HR - Employee Relations Forms2022-01-10T17:46:02Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/userra-request-for-military-leave.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12532HR - Employee Relations Forms2022-01-07T22:41:22Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/employee-request-for-fmla.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12531HR - Employee Relations Forms2022-01-07T22:34:27Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Advance-Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/loa-without-pay-request-form.pdf LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_New_Employee_Orientation&diff=12489Guidelines - New Employee Orientation2021-12-02T22:29:47Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
==New Employee Orientation is Virtual!==<br />
'''New Employee Orientation''' is an educational program for incoming office-service, managerial-professional, and administrative staff. It provides an overview of basic campus services, the benefits package, employee health/wellness/safety and mandatory compliance policies and focuses on the history and culture of the University.<br />
<br />
Most new employees (non-faculty, non-house officer) are automatically enrolled in New Employee Orientation when new hire information is entered into SAP. If a new employee needs to be enrolled into orientation or if changes need to be made to an employee’s orientation date, go to Workforce Admin in [https://net.unmc.edu/mgmt/ Management Resources]. If you are unfamiliar with Workforce Admin, please contact [mailto:ejgrixby@unmc.edu Evelyn Grixby] to cancel or change an orientation date. <br />
<br />
<br />
<br />
==Dates for New Employee Orientation==<br />
'''All New Employee Orientation sessions will be held ONLINE ONLY - until further notice.'''<br />
<br />
{| style="color: gray; background-color: white" width="100%" class="wikitable"<br />
{|class="wikitable"<br />
!'''Date'''<br />
!'''Location'''<br />
!'''Time'''<br />
|-<br />
|Tuesday, January 11, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, February 8, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, March 8, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, April 12, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, May 10, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, June 14, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, July 12, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, August 9, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, September 13, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, October 11, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, November 8, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, December 13, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|}<br />
<br />
<br />
'''Location:''' New Employee Orientation will be held <u>virtually</u> via Zoom<br />
<br />
<br />
'''Start Time:''' Virtual New Employee Orientation will begin promptly at 9:30 a.m. via Zoom and will conclude at Noon. <br />
<br />
<br />
'''Please Note:''' All new hire employees are <u>required</u> to attend the virtual New Employee Orientation and <u>must</u> be present for the entire virtual online session to receive credit for attendance. <br />
<br />
<br />
'''New Hire should have Photo ID by orientation:''' Please send new hire to UneCard/Photo ID Office, SLC Room 1043 prior to orientation. Call 559-8414 to verify hours.<br />
<br />
<br />
'''If New Hire needs on campus parking:''' Please send individuals to the Bookstore or call 559-8580 prior to Orientation.<br />
<br />
<br />
'''**Benefits:''' New Hire must enroll for Benefit coverage within 31 days of their hire date or eligibility date. Enrollment after the initial 31 day period is limited to the annual NUFlex enrollment or when Permitted Election Change Event occurs. For more information regarding benefits, please contact Benefits at 559-4340.<br />
<br />
<br />
<br />
<br />
<br />
Please contact [mailto:ejgrixby@unmc.edu Evelyn Grixby] if you have any further questions regarding orientation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_New_Employee_Orientation&diff=12488Guidelines - New Employee Orientation2021-12-02T22:28:18Z<p>Daniel.carlson: Updated Virtual Meeting Dates</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
==New Employee Orientation is Virtual!==<br />
'''New Employee Orientation''' is an educational program for incoming office-service, managerial-professional, and administrative staff. It provides an overview of basic campus services, the benefits package, employee health/wellness/safety and mandatory compliance policies and focuses on the history and culture of the University.<br />
<br />
Most new employees (non-faculty, non-house officer) are automatically enrolled in New Employee Orientation when new hire information is entered into SAP. If a new employee needs to be enrolled into orientation or if changes need to be made to an employee’s orientation date, go to Workforce Admin in [https://net.unmc.edu/mgmt/ Management Resources]. If you are unfamiliar with Workforce Admin, please contact [mailto:ejgrixby@unmc.edu Evelyn Grixby] to cancel or change an orientation date. <br />
<br />
<br />
<br />
==Dates for New Employee Orientation==<br />
'''All New Employee Orientation sessions will be held ONLINE ONLY - until further notice.'''<br />
<br />
{| style="color: gray; background-color: white" width="100%" class="wikitable"<br />
{|class="wikitable"<br />
!'''Date'''<br />
!'''Location'''<br />
!'''Time'''<br />
|-<br />
|Tuesday, January 11, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, February 8, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, March 8, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, April 12, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, May 10, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, June 14, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, July 12, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, August 9, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, September 13, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, October 11, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, November 8, 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, December 13 2022<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|}<br />
<br />
<br />
'''Location:''' New Employee Orientation will be held <u>virtually</u> via Zoom<br />
<br />
<br />
'''Start Time:''' Virtual New Employee Orientation will begin promptly at 9:30 a.m. via Zoom and will conclude at Noon. <br />
<br />
<br />
'''Please Note:''' All new hire employees are <u>required</u> to attend the virtual New Employee Orientation and <u>must</u> be present for the entire virtual online session to receive credit for attendance. <br />
<br />
<br />
'''New Hire should have Photo ID by orientation:''' Please send new hire to UneCard/Photo ID Office, SLC Room 1043 prior to orientation. Call 559-8414 to verify hours.<br />
<br />
<br />
'''If New Hire needs on campus parking:''' Please send individuals to the Bookstore or call 559-8580 prior to Orientation.<br />
<br />
<br />
'''**Benefits:''' New Hire must enroll for Benefit coverage within 31 days of their hire date or eligibility date. Enrollment after the initial 31 day period is limited to the annual NUFlex enrollment or when Permitted Election Change Event occurs. For more information regarding benefits, please contact Benefits at 559-4340.<br />
<br />
<br />
<br />
<br />
<br />
Please contact [mailto:ejgrixby@unmc.edu Evelyn Grixby] if you have any further questions regarding orientation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Staffing_Forms&diff=12436HR - Staffing Forms2021-11-22T22:23:28Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Staffing Forms==<br />
===Interviewing / Reference Guides and Templates=== <br />
*[http://www.unmc.edu/hr/forms/staffing/General%20Interview%20Form.doc General Interview Form]<br />
*[http://www.unmc.edu/hr/forms/staffing/Office%20Associate%20I%20Hiring%20Manager%20Interview%20Guide.doc Office Associate I Hiring Manager Interview Guide]<br />
*[http://www.unmc.edu/hr/forms/staffing/Office%20Associate%20I%20Phone%20Interview.doc Office Associate I Phone Interview]<br />
*[http://www.unmc.edu/hr/forms/staffing/Research%20Technologist%20I,%20Hiring%20Manager%20Interview.doc Research Technologist I, Hiring Manager Interview]<br />
*[http://www.unmc.edu/hr/forms/staffing/Research%20Technologist%20I%20Phone%20Interview.doc Research Technologist I Phone Interview]<br />
*[http://www.unmc.edu/hr/forms/staffing/Reference%20Checking%20Form.docx Reference Checking Form]<br />
<br />
===Testing=== <br />
*[http://www.unmc.edu/hr/forms/staffing/UNMC%20Skills%20Testing%20Order%20Form.pdf UNMC Skills Testing Order Form]<br />
*[http://www.unmc.edu/hr/forms/staffing/Request%20for%20Employee%20Health%20Services.pdf Request for Employee Health Services]<br />
<br />
===Letter to candidate that was interviewed but not hired===<br />
*[http://www.unmc.edu/hr/forms/staffing/Interviewed%20Not%20Hired%20-%20Sample%20Letter.pdf Interviewed Not Hired - Sample Letter]<br />
<br />
===Offer letters for Managerial Professional (MP) positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-External-Offer-Letter-Template.pdf MP Exempt (Salary) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-External-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-Internal-Offer-Letter-Template.pdf MP Exempt (Salary) – Internal Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-Internal-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
===Offer letters for Office Service (OS) positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-external-offer-letter-template.pdf OS Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-internal-offer-letter-template.pdf OS Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
===Offer letters for Temporary positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-external-offer-letter-template.pdf Temporary Exempt (Salary) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-exempt-salary-internal-offer-letter-template.pdf Temporary Exempt (Salary) – Internal Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-external-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/temporary-non-exempt-hourly-internal-offer-letter-template.pdf Temporary Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
<br />
===Access to PeopleAdmin=== <br />
*[http://www.unmc.edu/hr/forms/staffing/Request%20for%20PeopleAdm%20User%20Account.pdf Request for PeopleAdmin User Account]<br />
<br />
===Other=== <br />
*[http://www.unmc.edu/hr/forms/staffing/NE-Abuse-Applicant-Walkthrough.pdf NE Abuse Applicant Walkthrough]<br />
*[http://www.unmc.edu/hr/forms/staffing/FAQS%20Background%20Checking%20FAQ.pdf FAQS Background Checking FAQ]<br />
*[http://www.unmc.edu/hr/forms/staffing/Nepotism_Exception_Template.pdf Nepotism_Exception_Template]<br />
*[http://www.unmc.edu/hr/forms/staffing/New%20Hire%20Onboarding%20-%20Checklist.pdf New Hire Onboarding - Checklist]<br />
*[http://www.unmc.edu/hr/forms/staffing/NonFaculty%20Volunteer%20Temporary%20-%20FAQ%20&%20Quick%20Steps.pdf Non-Faculty Volunteer Temporary - FAQ & Quick Steps]<br />
*[http://www.unmc.edu/hr/forms/staffing/Advantages%20of%20Working%20for%20UNMC.pdf Advantages of Working for UNMC]<br />
<br />
<br />
If you have any questions about any of the Staffing form/templates please email [mailto:jobs@unmc.edu Jobs@UNMC]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Other_Forms&diff=12397HR - Other Forms2021-11-01T19:25:55Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
For additional human resources related topics, please contact [https://www.unmc.edu/human-resources/about/contact-hr.html UNMC Human Resources].<br />
<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
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<br />
<br />
__TOC__<br />
<br />
==Other Forms==<br />
* [https://www.unmc.edu/academicaffairs/_documents/compliance/COI-SMART_Quick_Reference_Card.pdf Instructions for Accessing COI-Smart via RSS to Complete the on-line Annual Disclosure of Financial Interest Questionnaire and the on-line Outside Activity Form]<br />
* [https://www.unmc.edu/academicaffairs/compliance/areas/conflict.html Conflict of Interest Resources]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Other_Forms&diff=12396HR - Other Forms2021-11-01T16:03:14Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
For additional human resources related topics, please contact [https://www.unmc.edu/human-resources/about/contact-hr.html UNMC Human Resources].<br />
<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Other Forms==<br />
* [https://www.unmc.edu/academicaffairs/_documents/compliance/COI-SMART_Quick_Reference_Card.pdf Instructions for Accessing COI-Smart via RSS to Complete the on-line Annual Disclosure of Financial Interest Questionnaire and the on-line Outside Activity Form]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Staffing_Forms&diff=12394HR - Staffing Forms2021-10-27T19:02:01Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
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<br />
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__TOC__<br />
<br />
==Staffing Forms==<br />
===Interviewing / Reference Guides and Templates=== <br />
*[http://www.unmc.edu/hr/forms/staffing/General%20Interview%20Form.doc General Interview Form]<br />
*[http://www.unmc.edu/hr/forms/staffing/Office%20Associate%20I%20Hiring%20Manager%20Interview%20Guide.doc Office Associate I Hiring Manager Interview Guide]<br />
*[http://www.unmc.edu/hr/forms/staffing/Office%20Associate%20I%20Phone%20Interview.doc Office Associate I Phone Interview]<br />
*[http://www.unmc.edu/hr/forms/staffing/Research%20Technologist%20I,%20Hiring%20Manager%20Interview.doc Research Technologist I, Hiring Manager Interview]<br />
*[http://www.unmc.edu/hr/forms/staffing/Research%20Technologist%20I%20Phone%20Interview.doc Research Technologist I Phone Interview]<br />
*[http://www.unmc.edu/hr/forms/staffing/Reference%20Checking%20Form.docx Reference Checking Form]<br />
<br />
===Testing=== <br />
*[http://www.unmc.edu/hr/forms/staffing/UNMC%20Skills%20Testing%20Order%20Form.pdf UNMC Skills Testing Order Form]<br />
*[http://www.unmc.edu/hr/forms/staffing/Request%20for%20Employee%20Health%20Services.pdf Request for Employee Health Services]<br />
<br />
===Letter to candidate that was interviewed but not hired===<br />
*[http://www.unmc.edu/hr/forms/staffing/Interviewed%20Not%20Hired%20-%20Sample%20Letter.pdf Interviewed Not Hired - Sample Letter]<br />
<br />
===Offer letters for Managerial Professional (MP) positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-External-Offer-Letter-Template.pdf MP Exempt (Salary) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-External-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Salary-Internal-Offer-Letter-Template.pdf MP Exempt (Salary) – Internal Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/Managerial-Professional-Hourly-Internal-Offer-Letter-Template.pdf MP Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
===Offer letters for Office Service (OS) positions===<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-external-offer-letter-template.pdf OS Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/office-service-hourly-internal-offer-letter-template.pdf OS Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
===Offer letters for Temporary positions===<br />
*[http://www.unmc.edu/hr/forms/staffing/Temporary%20Exempt%20Salary%20-%20External%20Offer%20Letter%20-%20Template.pdf Temporary Exempt (Salary) – External Candidate Offer Letter]<br />
*[http://www.unmc.edu/hr/forms/staffing/Temporary%20Exempt%20Salary%20-%20Internal%20Offer%20Letter%20-%20Template.pdf Temporary Exempt (Salary) – Internal Candidate Offer Letter]<br />
*[http://www.unmc.edu/hr/forms/staffing/Temporary%20Non%20Exempt%20Hourly%20-%20External%20Offer%20Letter%20-%20Template.pdf Temporary Non-Exempt (Hourly) – External Candidate Offer Letter]<br />
*[http://www.unmc.edu/hr/forms/staffing/Temporary%20Non%20Exempt%20Hourly%20-%20Internal%20Offer%20Letter%20-%20Template.pdf Temporary Non-Exempt (Hourly) – Internal Candidate Offer Letter]<br />
<br />
<br />
===Access to PeopleAdmin=== <br />
*[http://www.unmc.edu/hr/forms/staffing/Request%20for%20PeopleAdm%20User%20Account.pdf Request for PeopleAdmin User Account]<br />
<br />
===Other=== <br />
*[http://www.unmc.edu/hr/forms/staffing/NE-Abuse-Applicant-Walkthrough.pdf NE Abuse Applicant Walkthrough]<br />
*[http://www.unmc.edu/hr/forms/staffing/FAQS%20Background%20Checking%20FAQ.pdf FAQS Background Checking FAQ]<br />
*[http://www.unmc.edu/hr/forms/staffing/Nepotism_Exception_Template.pdf Nepotism_Exception_Template]<br />
*[http://www.unmc.edu/hr/forms/staffing/New%20Hire%20Onboarding%20-%20Checklist.pdf New Hire Onboarding - Checklist]<br />
*[http://www.unmc.edu/hr/forms/staffing/NonFaculty%20Volunteer%20Temporary%20-%20FAQ%20&%20Quick%20Steps.pdf Non-Faculty Volunteer Temporary - FAQ & Quick Steps]<br />
*[http://www.unmc.edu/hr/forms/staffing/Advantages%20of%20Working%20for%20UNMC.pdf Advantages of Working for UNMC]<br />
<br />
<br />
If you have any questions about any of the Staffing form/templates please email [mailto:jobs@unmc.edu Jobs@UNMC]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12367HR - Employee Relations Forms2021-10-13T21:05:20Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Employee_Leave&diff=12366Employee Leave2021-10-13T20:59:37Z<p>Daniel.carlson: </p>
<hr />
<div><table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20"><br />
[[Human Resources]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Safety/Security]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Research Compliance]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Compliance]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Privacy/Information Security]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Business Operations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Intellectual Property]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Faculty]]</td><br />
</tr><br />
</table><br />
<br /><br />
[[Employee Leave]] | [[Drug Free Campus]] | [[Employment]] | [[Work Schedules]] | [[Employee Separation]] | [[Compensation Administration]] | [[Dress Code]] | [[Background Check]] | [[Recurring/Additional Payment]] | [[Employee Grievance Process]] | [[Reduction-in-Force]] | [[Outside Employment]] | [[Political Activities]] | [[Employee/Dependent Scholarship]] | [[Employee Recognition and Reward]] | [[Performance Evaluation]] | [[Corrective/Disciplinary Action]] | [[Non-Discrimination and Harassment]] | [[Tobacco-Free Campus]] | [[Nepotism]] | [[Influenza]] | [[Consensual Relationships]] | [[AIDS, HIV, and Other Bloodborne Pathogens]] | [[Personnel Action Documentation]] | [[Fitness for Duty]] | [[Sexual Misconduct]] | [[Personnel Files]] | [https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/hr-03-alternative-worksite-policy.pdf NU Alternate Work Site Policy]<br /><br /><br />
Policy No: '''1001'''<br /><br />
Effective Date: '''09/09/05'''<br /><br />
Revised Date: '''04/03/20'''<br /><br />
Reviewed Date: '''04/03/20'''<br /><br />
<br /><br />
'''<big>Employee Leave Policy</big>'''<br /><br /><br />
==Purpose==<br />
'''1.1''' It is the intent of UNMC to grant paid or unpaid leave to regular employees under appropriate circumstances. For regular part-time employees, the rate is adjusted according to the employee's FTE.<br />
==Scope==<br />
'''2.1''' The UNMC Leave Policy is applicable to all UNMC employees to include Office/Service, Managerial/Professional, Faculty, and Other Academic positions.<br />
==Basis of the Policy== <br />
'''3.1''' UNMC provides for various types of paid and unpaid employee leave. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, ADA, the Uniformed Service Employment and Reemployment Rights Act (USERRA) of 1994, Nebraska Revised Statutes &sect;55-160 et seq. &sect;81-1391, Nebraska Family Military Act of 2007, University of Nebraska Central Administration and the Bylaws of the Board of Regents of the University of Nebraska (3.4.2; 3.4.3; and 3.6). <br />
==Authorities and Administration==<br />
'''4.1''' The UNMC Human Resources’ Associate Director of Human Resources - Employee Relations is responsible for the administration, implementation, and maintenance of the Employee Leave policy at the campus level in consultation with the Assistant Vice Chancellor - Executive Director of Human Resources and the Vice Chancellor for Business and Finance.<br />
==Policy== <br />
=== Recording of Leave Time ===<br />
All leave must be recorded according to established payroll procedures. A record-keeping system for leave usage must be maintained by departments. Records of leave must remain in the department files for three (3) years.<br />
=== Administrative Leave ===<br />
It is the policy of UNMC that regular full-time and part-time employees may be granted administrative leave, with or without pay, for good and sufficient reason. Temporary employees are not eligible to receive administrative leave with pay.<br />
=== Bereavement/Funeral Leave ===<br />
When necessary, up to five consecutive workdays of bereavement/funeral leave may be granted in the event of a death within the employee's immediate family. Notice to the supervisor of the need to use bereavement/funeral leave must be given in advance.<br />
=== Civil Leave ===<br />
All regular employees may be granted paid civil leave for the purpose of providing civil service if the performance of such service is required during their normal working hours. <br/><br /><br />
The specific instances for which paid civil leave will be granted include jury duty, witness duty, court appearances regarding the affairs of the state or University, emergency civilian duty in connection with national defense or natural disaster, or election board duty. Employees will retain any compensation paid to them in carrying out such civic service. <br /><br />
<br />
Up to two hours of paid civil leave may be granted to vote in public elections, if circumstances prevent an employee from voting at any other time. <br /><br />
<br />
Paid civil leave will not be granted to an employee who attends court as a party plaintiff or party defendant on a personal matter. In such instances the employee may elect to have such time charged to vacation leave or floating holiday time or may have such time treated as a leave of absence without pay. <br /><br />
<br />
Pursuant to Neb. Rev. Stat. &sect;81-1391, an employee who is a certified disaster service volunteer of the American Red Cross may, with the authorization of his/her supervisor, be granted a leave not to exceed fifteen (15) working days in each year to participate in specialized disaster relief services in Nebraska for the American Red Cross, upon the request of the American Red Cross, without loss of pay, vacation time, sick leave or previously earned overtime accumulations.<br />
=== Crisis Leave ===<br />
UNMC has established a crisis leave bank. Employees may donate accumulated vacation leave of up to three (3) days for potential use in emergency situations by other UNMC employees, whose leave has been exhausted. The Assistant Vice Chancellor/Executive Director of Human Resources may identify exceptional circumstances under which greater amounts, not to exceed five (5) days per calendar year, may be donated to the crisis leave pool. In a rolling calendar year, employees may request leave equal to the amount of annual vacation leave to which they are entitled (up to 24 days of paid crisis leave) for:<br />
* Serious illness of the employee or the employee's spouse; <br />
* Serious illness of the employee's child or parent. <br />
* In conjunction with a Worker's Compensation claim. <br />
With Department approval, regular employees (those who have completed original probation) may be eligible to receive crisis leave when all sick leave and sick leave advancement if appropriate to the situation (up to 40 hours), vacation leave and vacation leave advancement (up to 40 hours), and floating/banked holidays or other leave (as may be applicable to the purpose of the crisis leave request) have been exhausted. Denials of crisis leave or limitations on the amount of crisis leave given are not grievable events. <br />
<br /><br />
<br />
'''[https://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation Form]''' <br/><br />
'''[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request Form]'''<br />
=== Family Medical & Family Military Leave - FMLA === <br />
The Family and Medical Leave Act of 1993 (FMLA) entitles each eligible employee to a maximum of 12 weeks of unpaid leave for certain family and medical reasons in a 12-month period. UNMC complies with this act and expands its coverage to include all regular employees with an FTE of 0.50 or greater. Other employees, including temporary employees and graduate students, are covered with at least 1,250 hours of service for the year preceding the leave. <br /><br /><br />
The expressed intent of the Board of Regents is that employees have a right to family/medical leaves of absence. Timing or other considerations surrounding a family/medical leave will be the issues negotiated with the employee by the immediate supervisor, dean, director, or Human Resources-Employee Relations.<br />
====Eligibility====<br />
UNMC will grant up to twelve weeks of unpaid family/medical leave for any of the following reasons:<br />
*The employee's own serious health condition that makes the employee unable to perform the essential functions of the job. <br />
*A serious health condition of the employee's spouse, child or parent. <br />
*Maternal/paternal concerns related to the birth and first year care of a child or adoption of a child, or the placement of a child with the employee for foster care. <br />
*A death in the immediate family. <br />
*Qualifying Exigency Leave<br />
====Family Leave Due to a Call to Active Duty====<br />
*This benefit provides 12 weeks of FMLA leave due to a spouse, son, daughter or parent being on active duty or having been notified of an impending call or order to active duty in the Armed Forces. Leave may be used for any "qualifying exigency" arising out of the service member's current tour of active duty or because the service member is notified of an impending call to duty in support of a contingency operation. Qualifying exigency includes any one or more of the following non-medical, non routine activities and no others by referring to a number of broad categories for which employees could use FMLA leave:<br />
** Short-notice deployment activities; <br />
** Military events and related activities; <br />
** Childcare and school activities; <br />
** Financial and legal arrangements; <br />
** Counseling activities; <br />
** Rest and Recuperation activities; <br />
** Post deployment activities; and/or <br />
** Additional activities not encompassed in the other activities, but agreed to by the employer and employee.<br />
====Caregiver Leave for an Injured Service Member====<br />
* This benefit provides 26 weeks of FMLA leave during a single 12-month period for a spouse, son, daughter, parent, or nearest blood relative caring for a recovering service member. A recovering service member is defined as:<br />
** A member of the Armed Forces who suffered an injury or illness while on active-duty that may render the person unable to perform the duties of the member's office, grade, rank or rating; or <br />
** A veteran who is undergoing medical treatment, recuperation, or therapy for serious injury or illness and who was a member of the Armed Forces at any time during the five years preceding the date on which the veteran undergoes such treatment, recuperation, or therapy.<br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Request for Family Medical Leave Form]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Request for Military Qualifying Exigency Leave and Medical Caregiver Leave Form]]'''<br/><br />
'''[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-employees-serious-health-condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]'''<br/><br />
'''[https://www.unmc.edu/human-resources/_documents/certification-of-health-care-provider-for-family-members-serious-health-condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification of Qualifying Exigency for Military Family Leave]]''' <br />
=== Nebraska Family Military Leave ===<br />
The Nebraska Unicameral enacted the Nebraska Family Military Leave Act effective April 4, 2007. As such, UNMC provide unpaid leave to qualifying University employees who are spouses or parents of military service members under federal or state deployment orders.<br /><br />'''Qualifying employees''' shall include any employee who:<br />
* Has been employed by the University of Nebraska for at least twelve months. <br />
* Has provided at least one thousand two hundred fifty (1,250) hours of service during the twelve-month period immediately preceding the commencement of the leave. <br />
* Is the spouse or parent of a person called to military service lasting over one hundred seventy-nine days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States.<br />
'''Requests for Family Military Leave (Nebraska Family Military ACT):''' may be made to the employee's immediate supervisor any time the deployment orders are in effect. Employees requesting five (5) or more consecutive days of Family Military Leave shall provide at least fourteen calendar day's prior notice, and where able, will consult with the supervisor to schedule leave to avoid work disruptions. For leave of less than five (5) consecutive days, employees shall give advance notice as practical. Certification/proof of the call to service, from the proper military authority, may be required.<br /><br />
<br />
Maximum leave allowable under the Nebraska Family Military Leave Act shall be thirty (30) working days of unpaid leave. The employee may elect to apply accrued vacation leave, compensatory time off, or floating or banked holiday during the leave period.<br /><br />
<br />
Employees involved in any of the University of Nebraska insured benefit programs may continue to participate in said programs and will receive continued employer contributions for the period of the leave. They are, however, responsible for their employee contributions required to maintain those benefits when on an unpaid status.<br /><br />
<br />
Upon expiration of the leave, the employee is entitled to be restored to the position held prior to commencement of leave or to an equivalent position.<br /><br />
<br />
'''[[HR_-_Employee_Relations_Forms| Request for Nebraska Military Family Leave Form]]'''<br />
=== Holiday Leave ===<br />
UNMC provides twelve paid holidays a year to all regular employees. UNMC recognizes seven (7) traditional holidays where non-essential business operations are closed. UNMC also recognizes five (5) floating/banked holidays, during which UNMC operations are open; employees may use these days on or after the date on which they are observed, with supervisory approval.<br /><br />
{| style="color: black; width="0%" class="wikitable"<br />
| colspan="2" | '''Traditional Holidays'''<br />
|-<br />
| style="width: 33%; ;"| New Year's Day<br />
| style="width: 67%; ;"| January 1<br />
|- <br />
| Memorial Day <br />
|Last Monday in May <br />
|- <br />
| Independence Day <br />
| July 4 <br />
|- <br />
| Labor Day <br />
| First Monday in September <br />
|- <br />
| Thanksgiving Day <br />
| Fourth Thursday in November <br />
|- <br />
| Day After Thanksgiving <br />
| Friday following the Fourth Thursday in November <br />
|- <br />
| Christmas <br />
| December 25 <br />
|} <br />
Holidays falling on the first day of the weekend will be observed on the day before; holidays falling on the last day of the weekend will be observed the following day.<br /><br />
{| style="color: black; width="0%" class="wikitable"<br />
| colspan="2" | '''Floating/Banked Holidays'''<br />
|-<br />
| style="width: 50%; ;"| Martin Luther King, Jr. Day<br />
| style="width: 50%; ;"| Third Monday in January<br />
|- <br />
| President's Day <br />
|Third Monday in February <br />
|- <br />
| Arbor Day <br />
| Last Friday in April <br />
|- <br />
| Columbus Day <br />
| Second Monday in October <br />
|- <br />
| Veteran's Day <br />
| November 11<br />
|}<br />
=== Inclement Weather===<br />
Chancellors of the University of Nebraska have the discretion to close campuses due to local weather conditions. In the event of a closing of a University of Nebraska campus due to inclement weather, employees will receive paid leave, if they were scheduled to work during the closure.<br /><br /><br />
UNMC, as a health sciences center, has a number of activities that must be kept operational regardless of the weather conditions. These include activities that directly and indirectly support patient care at the hospital and clinics, as well as many research and educational functions. This is why UNMC is the only campus in the University of Nebraska System that does not close down during semester break in late December. Because so many employees must report, regardless of the weather, the determination has been made for the entire campus to be considered open and operational, even when other University of Nebraska campuses and area businesses may be closed. All supervisors are asked to be as reasonable as conditions allow in staffing their departments during severely inclement weather. It is recognized that some employees may not be able to report or will want to leave early due to safety concerns. Employees who do not report, or leave early, with supervisor approval must use vacation, floating holiday, or leave without pay to account for any time not worked. Salaried employees who are exempt from FLSA cannot take unpaid leave in increments of less than one work day.<br /><br />
<br />
Employees of UNMC who are located on:<br /><br />
* Other University of Nebraska campuses (i.e., Kearney), will comply with the directions of the Chancellors of those campuses regarding closings due to weather. If the individual campus is closed during inclement weather, the time reporting should be coded in a manner prescribed by payroll. <br />
* On locations other than University campuses (i.e., Lincoln), will comply with the directions of the Dean of those Colleges (CON) regarding closing due to weather. If the individual location is closed during inclement weather, the time reporting should be coded in a manner prescribed by payroll.<br />
=== Injury Leave ===<br />
If the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Injury leave will not be charged to sick leave or vacation; the time reporting should be coded in a manner prescribed by Payroll.<br /><br />
<br />
The Nebraska Workers' Compensation Act is found in Neb. Rev. Stat. &sect;&sect;48-101 to 48-1,118. Portions of the act which are specific to state workers' compensation claims are found in Neb. Rev. Stat. &sect;&sect; 48-192 to 48-1,109.<br />
=== Leave of Absence without Pay ===<br />
Due to extenuating circumstances, regular employees may be granted a leave of absence without pay for maximum of one year. A leave of absence will be granted only when it is in the best interest of UNMC. Upon return from leave the employee will be entitled to the same or comparable position with the department granting the leave. <br />
===Military Leave - USERRA ===<br />
UNMC shall comply with the Uniformed Service Employment and Reemployment Rights Act of 1994 (USERRA) and Neb. Rev. Stat. &55-l60 et seq. concerning the treatment of University employees with military obligations. <br /><br />
<br />
In general, USERRA requires employers to grant leave to employees serving in the United States armed forces and the various reserve units; protects applicants and employees against discrimination on the basis of military service in the areas of hiring, job retention and advancement; provides certain rights to reemployment upon return from leave; and extends health care and retirement plan coverage during military leave.<br /><br />
<br />
'''Nebraska Statute:''' In accordance with State law, the University provides fifteen workdays of paid military leave per calendar year, without regard to the specific nature of the military leave (e.g. active military duty annual training, emergency assignment, assignments of an unspecified length). Military service beyond fifteen workdays will be charged against accrued vacation or taken without pay, as designated by the employee within a reasonable time of receiving notice of his or her leave.<br /><br />
<br />
'''Employee Responsibilities:''' Employees serving in the military are required to provide advance notice to the University concerning their military obligation when possible and must inform the University when they plan to return to work once they have been discharged from their military duties.<br /><br />
<br />
'''Annual Training Defined:''' Generally defined, annual training refers to that temporary duty in which military reserve personnel engage, commonly serving one weekend per month and two consecutive weeks during the year.<br /><br />
<br />
'''Emergency Duty:''' Leave will be granted to any employee, who is a member of the National Guard or any other reserve component, ordered to active duty under emergency conditions. Should the military pay of such person be less than his/her full University pay, the University shall pay the differential while the person is in the active emergency service of the State.<br /><br />
<br />
'''[[HR_-_Employee_Relations_Forms|Request for Military Leave USERRA Form]]'''<br/><br />
=== Parental Leave === <br />
The Parental Leave policies are intended to establish and clarify the leaves available to University of Nebraska Medical Center staff in cases of pregnancy, childbirth, and adoption:<br />
* Medical Maternity Leave: UNMC staff is eligible for Leave requirements vary depending upon each employee's individual circumstances. An attending physician or other licensed health care provider will normally determine the appropriate length of leave. An eight-week total leave period for pre-partum and post-partum care and recovery during which time the employee will be excused from all duties, will be considered normal; however, more or less leave time may be taken based on individual health circumstances. <br />
* Parental Leave to Provide Care/Assistance to Mother and/or Child: for those employees who wish to take leave upon the birth of a child because the health of the employee's spouse or child requires the employee's presence, or because such presence would be beneficial to the employee's spouse or child, up to five days unpaid parental leave unless he has accrued sick leave or vacation leave that he/she may desire to use during parental leave. <br />
* Adoption Leave: UNMC staff is eligible for eight weeks unpaid adoption leave unless he/she has accrued sick leave or vacation leave that he/she may desire to use during the adoption leave. A newly adoptive parent, who is the primary caregiver, may take up to eight weeks unpaid leave upon the adoption of a child to provide care and assistance to the child. The declaration of which parent is the primary care-giver is made by the adopting parents. The non-primary care-giver of the adopted child may take up to five days unpaid parental leave, unless he/she has accrued sick leave or vacation leave that he/she may desire to use during parental leave, to provide assistance in the care of the child.<br />Any parental leaves taken in accordance with the above parental leave policies are, by definition, related to qualifying events under Family/Medical Leave Act(FMLA)(see Family/Medical Leave above). Eligible employees may take up to 12 weeks of leave under the FMLA and will be considered part of the 12 week FMLA entitlement.<br />
=== Sick Leave ===<br />
Sick leave means the period of time during which the employee is incapacitated or unable, due to illness or injury, to perform the regularly assigned duties of his or her position. Paid sick leave means a period of time that the employee is paid his or her regular salary during a period of illness or injury. The period of time shall begin and end when medically indicated to the satisfaction of the appropriate administrative officer.<br /><br /><br />
Eligible employees may choose to take any available sick leave balance for all or part of the unpaid Family/Medical Leave, if applicable, under certain circumstances. Any sick leave of 40 or more consecutive hours taken under this policy may be considered to be a qualifying event under the federal Family Medical Leave Act and the Family Medical Leave Policy approved by the Board of Regents.<br />
====Sick Leave Accruals====<br />
# Sick leave shall begin to accrue with the date of hire. Sick leave shall be charged against the sick leave accrued on a work-hour basis. Under appropriate circumstances, an employee shall be eligible to use sick leave as soon as it has accrued. <br />
# The rate at which an employee accrues sick leave shall be computed from the service date and adjusted by breaks in service if such break in service is less than three years.<br />
# Disability absences caused or contributed to by pregnancy, childbirth, and recovery there from are considered sick leave, and shall be governed by the provisions of the Parental Leave Policies. <br />
# The schedule of sick leave accrual is displayed on the leave procedure page.<br />
# Employees on Leave without Pay or Layoff shall not accrue sick leave during that time. <br />
====Sick Leave Use====<br />
# Sick leave must be requested as far in advance as possible. <br />
# One hour of sick leave shall be consumed for each working hour of absence due to illness or injury. <br />
# Vacation days or University holidays that may fall within the period of paid sick leave shall not be counted as days to be subtracted from sick leave. <br />
# The allowance of sick leave for any purpose under this policy shall be subject to the right of the University to require satisfactory evidence of illness or injury including the certification of an attending physician in the case of the employee or a member of his or her immediate family. Sick leave allowance shall be at the discretion of the University. <br />
# Employees may be advanced sick leave in an amount not to exceed a total of forty hours (40) (one work week), pro-rated for part-time employees. Employees shall reimburse the University for all used, unearned sick leave upon separation.<br />
<br />
'''[[HR_-_Employee_Relations_Forms| Advancement of Leave Request Form]]'''<br />
=== Vacation Leave ===<br />
# All regular employees of UNMC shall be granted vacation leave according to the schedule of vacation leave accrual displayed on the leave procedure page. <br />
# Vacation leave accrual begins the first day of employment and ends the last day of employment. <br />
# Employees accrue only when they are in a paid status. <br />
# Vacation leave requests must be approved in advance by management, consistent with the business needs of UNMC.<br />
# Vacation leave shall accrue on a pay period basis and an account of such leave earned and used shall be maintained and balanced annually. <br />
# Effective April 1, 2007, the maximum vacation leave which may be earned and accrued by members of the Managerial-Professional staff and members of the Office and Service staff shall be two hundred eighty (280) hours; provided that any employee who has accumulated more than 280 hours of vacation leave as of said effective date shall be entitled to retain any such excess vacation leave over 280 hours for future use. <br />
# The rate at which an employee accrues vacation leave shall be computed from the service date and adjusted by breaks in service if such break in service is less than three years. <br />
# All regular employees who transfer to another department at UNMC shall accrue vacation based on the original hiring date at UNMC and shall have their vacation leave balance transfer to the incoming department. <br />
# All regular employees who transfer from employment within any campus of the University of Nebraska shall accrue vacation leave based on the original hiring date with the campus from which they are transferring. <br />
# All regular employees who transfer from employment with the State government or the State colleges shall accrue vacation leave at a rate based on the hiring date with the organization from which they are transferring. <br />
# Unused vacation shall be paid out when an employee separates. Upon the death of an employee, his/her beneficiary shall be paid for any unused vacation leave of the employee. <br />
# The schedule of vacation leave accrual is displayed on the leave procedure page. <br />
# Employees may be advanced vacation leave in an amount not to exceed a total of forty hours (40) (one work week), pro-rated for part-time employees. Employees shall reimburse the University for all used and un-earned vacation time/leave upon separation.<br />
<br />
'''[[HR_-_Employee_Relations_Forms| Advancement of Leave Request Form]]'''<br />
==Notice of Non-Discrimination== <br />
Please see UNMC's [http://www.unmc.edu/titleix/notice-nondiscrimination.html Notice of Non-Discrimination] regarding the University of Nebraska Medical Center's commitment to creating a diverse and inclusive working and learning environment free from discrimination and harassment.<br />
==Additional Information==<br />
*Human Resources - Employee Relations at 402-559-7394 or 402-559-8534<br />
*[https://www.unmc.edu/hr/Proc/Procedure1001.pdf Employee Leave Procedures] <br />
*[https://www.unmc.edu/hr/Proc/PaidHolLeave%20Memo.pdf Paid Leave Memo]<br />
*[https://wiki.unmc.edu/index.php/Guidelines_-_Employee_Leave Employee Leave Guidelines]<br />
*All Forms mentioned in this policy are available on line at [[HR_-_Employee_Relations_Forms| Human Resources - Employee Relations Forms]]<br />
*[https://wiki.unmc.edu/images/7/76/ADA-Sec504GrievanceProcedures.pdf ADA - Americans with Disabilities Act and Section 504 Grievance Procedures]<br />
*[http://www.unmc.edu/hr/proc/Req%20for%20Reasonable%20Accommodation%20-%20ADA.pdf ADA - Americans with Disabilities Act - Requests for Reasonable Accommodation]<br />
*[http://www.unmc.edu/hr/Proc/Lactation%20Support%20Program.pdf Lactation Support Program]<br />
<br /><br />
This page maintained by [mailto:dpanowic@unmc.edu dkp].</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12277HR - Employee Relations Forms2021-08-16T14:55:30Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
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</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== Request for Accommodation ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Request-for-ADA-medical-Exemption-to-COVID-19-Vaccination.pdf UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination]<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Employee-Religious-Accommodation-Request-Form.pdf UNMC Employee Religious Accommodation Request Form] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12274HR - Employee Relations Forms2021-08-10T21:18:46Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== ADA ===<br />
*[http://www.unmc.edu/human-resources/_documents/ADA-Request-for-Accommodation-for-Employee.pdf ADA-Req for Accommodation for Employee-Template] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_New_Employee_Orientation&diff=12196Guidelines - New Employee Orientation2021-05-13T15:29:45Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
==New Employee Orientation is Virtual!==<br />
'''New Employee Orientation''' is an educational program for incoming office-service, managerial-professional, and administrative staff. It provides an overview of basic campus services, the benefits package, employee health/wellness/safety and mandatory compliance policies and focuses on the history and culture of the University.<br />
<br />
Most new employees (non-faculty, non-house officer) are automatically enrolled in New Employee Orientation when new hire information is entered into SAP. If a new employee needs to be enrolled into orientation or if changes need to be made to an employee’s orientation date, go to Workforce Admin in [https://net.unmc.edu/mgmt/ Management Resources]. If you are unfamiliar with Workforce Admin, please contact [mailto:ejgrixby@unmc.edu Evelyn Grixby] to cancel or change an orientation date. <br />
<br />
<br />
<br />
==Dates for New Employee Orientation==<br />
'''All New Employee Orientation sessions will be held ONLINE ONLY - until further notice.'''<br />
<br />
{| style="color: gray; background-color: white" width="100%" class="wikitable"<br />
{|class="wikitable"<br />
!'''Date'''<br />
!'''Location'''<br />
!'''Time'''<br />
|-<br />
|Tuesday, May 11, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, June 8, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, July 13, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, August 10, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, September 14, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, October 12, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, November 9, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|Tuesday, December 14, 2021<br />
|Virtually on Zoom<br />
|9:30am to 12:00pm<br />
|-<br />
|}<br />
<br />
<br />
'''Location:''' New Employee Orientation will be held <u>virtually</u> via Zoom<br />
<br />
<br />
'''Start Time:''' Virtual New Employee Orientation will begin promptly at 9:30 a.m. via Zoom and will conclude at Noon. <br />
<br />
<br />
'''Please Note:''' All new hire employees are <u>required</u> to attend the virtual New Employee Orientation and <u>must</u> be present for the entire virtual online session to receive credit for attendance. <br />
<br />
<br />
'''New Hire should have Photo ID by orientation:''' Please send new hire to UneCard/Photo ID Office, SLC Room 1043 prior to orientation. Call 559-8414 to verify hours.<br />
<br />
<br />
'''If New Hire needs on campus parking:''' Please send individuals the Bookstore or call 559-8580 prior to Orientation.<br />
<br />
<br />
'''**Benefits:''' New Hire must enroll for Benefit coverage within 31 days of their hire date or eligibility date. Enrollment after the initial 31 day period is limited to the annual NUFlex enrollment or when Permitted Election Change Event occurs. For more information regarding benefits, please contact Benefits at 559-4340.<br />
<br />
<br />
<br />
<br />
<br />
Please contact [mailto:ejgrixby@unmc.edu Evelyn Grixby] or [mailto:brittany.copenhaver@unmc.edu Brittany Copenhaver] if you have any further questions regarding orientation.</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Employee_Leave&diff=12195Employee Leave2021-05-12T22:04:04Z<p>Daniel.carlson: </p>
<hr />
<div><table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20"><br />
[[Human Resources]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Safety/Security]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Research Compliance]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Compliance]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Privacy/Information Security]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Business Operations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Intellectual Property]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Faculty]]</td><br />
</tr><br />
</table><br />
<br /><br />
[[Employee Leave]] | [[Drug Free Campus]] | [[Employment]] | [[Work Schedules]] | [[Employee Separation]] | [[Compensation Administration]] | [[Dress Code]] | [[Background Check]] | [[Recurring/Additional Payment]] | [[Employee Grievance Process]] | [[Reduction-in-Force]] | [[Outside Employment]] | [[Political Activities]] | [[Employee/Dependent Scholarship]] | [[Employee Recognition and Reward]] | [[Performance Evaluation]] | [[Corrective/Disciplinary Action]] | [[Non-Discrimination and Harassment]] | [[Tobacco-Free Campus]] | [[Nepotism]] | [[Influenza]] | [[Consensual Relationships]] | [[AIDS, HIV, and Other Bloodborne Pathogens]] | [[Personnel Action Documentation]] | [[Fitness for Duty]] | [[Sexual Misconduct]] | [[Personnel Files]] | [https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/policies/hr-03-alternative-worksite-policy.pdf NU Alternate Work Site Policy]<br /><br /><br />
Policy No: '''1001'''<br /><br />
Effective Date: '''09/09/05'''<br /><br />
Revised Date: '''04/03/20'''<br /><br />
Reviewed Date: '''04/03/20'''<br /><br />
<br /><br />
'''<big>Employee Leave Policy</big>'''<br /><br /><br />
==Purpose==<br />
'''1.1''' It is the intent of UNMC to grant paid or unpaid leave to regular employees under appropriate circumstances. For regular part-time employees, the rate is adjusted according to the employee's FTE.<br />
==Scope==<br />
'''2.1''' The UNMC Leave Policy is applicable to all UNMC employees to include Office/Service, Managerial/Professional, Faculty, and Other Academic positions.<br />
==Basis of the Policy== <br />
'''3.1''' UNMC provides for various types of paid and unpaid employee leave. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, ADA, the Uniformed Service Employment and Reemployment Rights Act (USERRA) of 1994, Nebraska Revised Statutes &sect;55-160 et seq. &sect;81-1391, Nebraska Family Military Act of 2007, University of Nebraska Central Administration and the Bylaws of the Board of Regents of the University of Nebraska (3.4.2; 3.4.3; and 3.6). <br />
==Authorities and Administration==<br />
'''4.1''' The UNMC Human Resources’ Associate Director of Human Resources - Employee Relations is responsible for the administration, implementation, and maintenance of the Employee Leave policy at the campus level in consultation with the Assistant Vice Chancellor - Executive Director of Human Resources and the Vice Chancellor for Business and Finance.<br />
==Policy== <br />
=== Recording of Leave Time ===<br />
All leave must be recorded according to established payroll procedures. A record-keeping system for leave usage must be maintained by departments. Records of leave must remain in the department files for three (3) years.<br />
=== Administrative Leave ===<br />
It is the policy of UNMC that regular full-time and part-time employees may be granted administrative leave, with or without pay, for good and sufficient reason. Temporary employees are not eligible to receive administrative leave with pay.<br />
=== Bereavement/Funeral Leave ===<br />
When necessary, up to five consecutive workdays of bereavement/funeral leave may be granted in the event of a death within the employee's immediate family. Notice to the supervisor of the need to use bereavement/funeral leave must be given in advance.<br />
=== Civil Leave ===<br />
All regular employees may be granted paid civil leave for the purpose of providing civil service if the performance of such service is required during their normal working hours. <br/><br /><br />
The specific instances for which paid civil leave will be granted include jury duty, witness duty, court appearances regarding the affairs of the state or University, emergency civilian duty in connection with national defense or natural disaster, or election board duty. Employees will retain any compensation paid to them in carrying out such civic service. <br /><br />
<br />
Up to two hours of paid civil leave may be granted to vote in public elections, if circumstances prevent an employee from voting at any other time. <br /><br />
<br />
Paid civil leave will not be granted to an employee who attends court as a party plaintiff or party defendant on a personal matter. In such instances the employee may elect to have such time charged to vacation leave or floating holiday time or may have such time treated as a leave of absence without pay. <br /><br />
<br />
Pursuant to Neb. Rev. Stat. &sect;81-1391, an employee who is a certified disaster service volunteer of the American Red Cross may, with the authorization of his/her supervisor, be granted a leave not to exceed fifteen (15) working days in each year to participate in specialized disaster relief services in Nebraska for the American Red Cross, upon the request of the American Red Cross, without loss of pay, vacation time, sick leave or previously earned overtime accumulations.<br />
=== Crisis Leave ===<br />
UNMC has established a crisis leave bank. Employees may donate accumulated vacation leave of up to three (3) days for potential use in emergency situations by other UNMC employees, whose leave has been exhausted. The Assistant Vice Chancellor/Executive Director of Human Resources may identify exceptional circumstances under which greater amounts, not to exceed five (5) days per calendar year, may be donated to the crisis leave pool. In a rolling calendar year, employees may request leave equal to the amount of annual vacation leave to which they are entitled (up to 24 days of paid crisis leave) for:<br />
* Serious illness of the employee or the employee's spouse; <br />
* Serious illness of the employee's child or parent. <br />
* In conjunction with a Worker's Compensation claim. <br />
With Department approval, regular employees (those who have completed original probation) may be eligible to receive crisis leave when all sick leave and sick leave advancement if appropriate to the situation (up to 40 hours), vacation leave and vacation leave advancement (up to 40 hours), and floating/banked holidays or other leave (as may be applicable to the purpose of the crisis leave request) have been exhausted. Denials of crisis leave or limitations on the amount of crisis leave given are not grievable events. <br />
<br /><br />
<br />
'''[https://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation Form]''' <br/><br />
'''[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request Form]'''<br />
=== Family Medical & Family Military Leave - FMLA === <br />
The Family and Medical Leave Act of 1993 (FMLA) entitles each eligible employee to a maximum of 12 weeks of unpaid leave for certain family and medical reasons in a 12-month period. UNMC complies with this act and expands its coverage to include all regular employees with an FTE of 0.50 or greater. Other employees, including temporary employees and graduate students, are covered with at least 1,250 hours of service for the year preceding the leave. <br /><br /><br />
The expressed intent of the Board of Regents is that employees have a right to family/medical leaves of absence. Timing or other considerations surrounding a family/medical leave will be the issues negotiated with the employee by the immediate supervisor, dean, director, or Human Resources-Employee Relations.<br />
====Eligibility====<br />
UNMC will grant up to twelve weeks of unpaid family/medical leave for any of the following reasons:<br />
*The employee's own serious health condition that makes the employee unable to perform the essential functions of the job. <br />
*A serious health condition of the employee's spouse, child or parent. <br />
*Maternal/paternal concerns related to the birth and first year care of a child or adoption of a child, or the placement of a child with the employee for foster care. <br />
*A death in the immediate family. <br />
*Qualifying Exigency Leave<br />
====Family Leave Due to a Call to Active Duty====<br />
*This benefit provides 12 weeks of FMLA leave due to a spouse, son, daughter or parent being on active duty or having been notified of an impending call or order to active duty in the Armed Forces. Leave may be used for any "qualifying exigency" arising out of the service member's current tour of active duty or because the service member is notified of an impending call to duty in support of a contingency operation. Qualifying exigency includes any one or more of the following non-medical, non routine activities and no others by referring to a number of broad categories for which employees could use FMLA leave:<br />
** Short-notice deployment activities; <br />
** Military events and related activities; <br />
** Childcare and school activities; <br />
** Financial and legal arrangements; <br />
** Counseling activities; <br />
** Rest and Recuperation activities; <br />
** Post deployment activities; and/or <br />
** Additional activities not encompassed in the other activities, but agreed to by the employer and employee.<br />
====Caregiver Leave for an Injured Service Member====<br />
* This benefit provides 26 weeks of FMLA leave during a single 12-month period for a spouse, son, daughter, parent, or nearest blood relative caring for a recovering service member. A recovering service member is defined as:<br />
** A member of the Armed Forces who suffered an injury or illness while on active-duty that may render the person unable to perform the duties of the member's office, grade, rank or rating; or <br />
** A veteran who is undergoing medical treatment, recuperation, or therapy for serious injury or illness and who was a member of the Armed Forces at any time during the five years preceding the date on which the veteran undergoes such treatment, recuperation, or therapy.<br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Request for Family Medical Leave Form]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Request for Military Qualifying Exigency Leave and Medical Caregiver Leave Form]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification of Health Care Provider for Employees Serious Health Condition]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]]'''<br/><br />
'''[[HR_-_Employee_Relations_Forms| FMLA - Certification of Qualifying Exigency for Military Family Leave]]''' <br />
=== Nebraska Family Military Leave ===<br />
The Nebraska Unicameral enacted the Nebraska Family Military Leave Act effective April 4, 2007. As such, UNMC provide unpaid leave to qualifying University employees who are spouses or parents of military service members under federal or state deployment orders.<br /><br />'''Qualifying employees''' shall include any employee who:<br />
* Has been employed by the University of Nebraska for at least twelve months. <br />
* Has provided at least one thousand two hundred fifty (1,250) hours of service during the twelve-month period immediately preceding the commencement of the leave. <br />
* Is the spouse or parent of a person called to military service lasting over one hundred seventy-nine days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States.<br />
'''Requests for Family Military Leave (Nebraska Family Military ACT):''' may be made to the employee's immediate supervisor any time the deployment orders are in effect. Employees requesting five (5) or more consecutive days of Family Military Leave shall provide at least fourteen calendar day's prior notice, and where able, will consult with the supervisor to schedule leave to avoid work disruptions. For leave of less than five (5) consecutive days, employees shall give advance notice as practical. Certification/proof of the call to service, from the proper military authority, may be required.<br /><br />
<br />
Maximum leave allowable under the Nebraska Family Military Leave Act shall be thirty (30) working days of unpaid leave. The employee may elect to apply accrued vacation leave, compensatory time off, or floating or banked holiday during the leave period.<br /><br />
<br />
Employees involved in any of the University of Nebraska insured benefit programs may continue to participate in said programs and will receive continued employer contributions for the period of the leave. They are, however, responsible for their employee contributions required to maintain those benefits when on an unpaid status.<br /><br />
<br />
Upon expiration of the leave, the employee is entitled to be restored to the position held prior to commencement of leave or to an equivalent position.<br /><br />
<br />
'''[[HR_-_Employee_Relations_Forms| Request for Nebraska Military Family Leave Form]]'''<br />
=== Holiday Leave ===<br />
UNMC provides twelve paid holidays a year to all regular employees. UNMC recognizes seven (7) traditional holidays where non-essential business operations are closed. UNMC also recognizes five (5) floating/banked holidays, during which UNMC operations are open; employees may use these days on or after the date on which they are observed, with supervisory approval.<br /><br />
{| style="color: black; width="0%" class="wikitable"<br />
| colspan="2" | '''Traditional Holidays'''<br />
|-<br />
| style="width: 33%; ;"| New Year's Day<br />
| style="width: 67%; ;"| January 1<br />
|- <br />
| Memorial Day <br />
|Last Monday in May <br />
|- <br />
| Independence Day <br />
| July 4 <br />
|- <br />
| Labor Day <br />
| First Monday in September <br />
|- <br />
| Thanksgiving Day <br />
| Fourth Thursday in November <br />
|- <br />
| Day After Thanksgiving <br />
| Friday following the Fourth Thursday in November <br />
|- <br />
| Christmas <br />
| December 25 <br />
|} <br />
Holidays falling on the first day of the weekend will be observed on the day before; holidays falling on the last day of the weekend will be observed the following day.<br /><br />
{| style="color: black; width="0%" class="wikitable"<br />
| colspan="2" | '''Floating/Banked Holidays'''<br />
|-<br />
| style="width: 50%; ;"| Martin Luther King, Jr. Day<br />
| style="width: 50%; ;"| Third Monday in January<br />
|- <br />
| President's Day <br />
|Third Monday in February <br />
|- <br />
| Arbor Day <br />
| Last Friday in April <br />
|- <br />
| Columbus Day <br />
| Second Monday in October <br />
|- <br />
| Veteran's Day <br />
| November 11<br />
|}<br />
=== Inclement Weather===<br />
Chancellors of the University of Nebraska have the discretion to close campuses due to local weather conditions. In the event of a closing of a University of Nebraska campus due to inclement weather, employees will receive paid leave, if they were scheduled to work during the closure.<br /><br /><br />
UNMC, as a health sciences center, has a number of activities that must be kept operational regardless of the weather conditions. These include activities that directly and indirectly support patient care at the hospital and clinics, as well as many research and educational functions. This is why UNMC is the only campus in the University of Nebraska System that does not close down during semester break in late December. Because so many employees must report, regardless of the weather, the determination has been made for the entire campus to be considered open and operational, even when other University of Nebraska campuses and area businesses may be closed. All supervisors are asked to be as reasonable as conditions allow in staffing their departments during severely inclement weather. It is recognized that some employees may not be able to report or will want to leave early due to safety concerns. Employees who do not report, or leave early, with supervisor approval must use vacation, floating holiday, or leave without pay to account for any time not worked. Salaried employees who are exempt from FLSA cannot take unpaid leave in increments of less than one work day.<br /><br />
<br />
Employees of UNMC who are located on:<br /><br />
* Other University of Nebraska campuses (i.e., Kearney), will comply with the directions of the Chancellors of those campuses regarding closings due to weather. If the individual campus is closed during inclement weather, the time reporting should be coded in a manner prescribed by payroll. <br />
* On locations other than University campuses (i.e., Lincoln), will comply with the directions of the Dean of those Colleges (CON) regarding closing due to weather. If the individual location is closed during inclement weather, the time reporting should be coded in a manner prescribed by payroll.<br />
=== Injury Leave ===<br />
If the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Injury leave will not be charged to sick leave or vacation; the time reporting should be coded in a manner prescribed by Payroll.<br /><br />
<br />
The Nebraska Workers' Compensation Act is found in Neb. Rev. Stat. &sect;&sect;48-101 to 48-1,118. Portions of the act which are specific to state workers' compensation claims are found in Neb. Rev. Stat. &sect;&sect; 48-192 to 48-1,109.<br />
=== Leave of Absence without Pay ===<br />
Due to extenuating circumstances, regular employees may be granted a leave of absence without pay for maximum of one year. A leave of absence will be granted only when it is in the best interest of UNMC. Upon return from leave the employee will be entitled to the same or comparable position with the department granting the leave. <br />
===Military Leave - USERRA ===<br />
UNMC shall comply with the Uniformed Service Employment and Reemployment Rights Act of 1994 (USERRA) and Neb. Rev. Stat. &55-l60 et seq. concerning the treatment of University employees with military obligations. <br /><br />
<br />
In general, USERRA requires employers to grant leave to employees serving in the United States armed forces and the various reserve units; protects applicants and employees against discrimination on the basis of military service in the areas of hiring, job retention and advancement; provides certain rights to reemployment upon return from leave; and extends health care and retirement plan coverage during military leave.<br /><br />
<br />
'''Nebraska Statute:''' In accordance with State law, the University provides fifteen workdays of paid military leave per calendar year, without regard to the specific nature of the military leave (e.g. active military duty annual training, emergency assignment, assignments of an unspecified length). Military service beyond fifteen workdays will be charged against accrued vacation or taken without pay, as designated by the employee within a reasonable time of receiving notice of his or her leave.<br /><br />
<br />
'''Employee Responsibilities:''' Employees serving in the military are required to provide advance notice to the University concerning their military obligation when possible and must inform the University when they plan to return to work once they have been discharged from their military duties.<br /><br />
<br />
'''Annual Training Defined:''' Generally defined, annual training refers to that temporary duty in which military reserve personnel engage, commonly serving one weekend per month and two consecutive weeks during the year.<br /><br />
<br />
'''Emergency Duty:''' Leave will be granted to any employee, who is a member of the National Guard or any other reserve component, ordered to active duty under emergency conditions. Should the military pay of such person be less than his/her full University pay, the University shall pay the differential while the person is in the active emergency service of the State.<br /><br />
<br />
'''[[HR_-_Employee_Relations_Forms|Request for Military Leave USERRA Form]]'''<br/><br />
=== Parental Leave === <br />
The Parental Leave policies are intended to establish and clarify the leaves available to University of Nebraska Medical Center staff in cases of pregnancy, childbirth, and adoption:<br />
* Medical Maternity Leave: UNMC staff is eligible for Leave requirements vary depending upon each employee's individual circumstances. An attending physician or other licensed health care provider will normally determine the appropriate length of leave. An eight-week total leave period for pre-partum and post-partum care and recovery during which time the employee will be excused from all duties, will be considered normal; however, more or less leave time may be taken based on individual health circumstances. <br />
* Parental Leave to Provide Care/Assistance to Mother and/or Child: for those employees who wish to take leave upon the birth of a child because the health of the employee's spouse or child requires the employee's presence, or because such presence would be beneficial to the employee's spouse or child, up to five days unpaid parental leave unless he has accrued sick leave or vacation leave that he/she may desire to use during parental leave. <br />
* Adoption Leave: UNMC staff is eligible for eight weeks unpaid adoption leave unless he/she has accrued sick leave or vacation leave that he/she may desire to use during the adoption leave. A newly adoptive parent, who is the primary caregiver, may take up to eight weeks unpaid leave upon the adoption of a child to provide care and assistance to the child. The declaration of which parent is the primary care-giver is made by the adopting parents. The non-primary care-giver of the adopted child may take up to five days unpaid parental leave, unless he/she has accrued sick leave or vacation leave that he/she may desire to use during parental leave, to provide assistance in the care of the child.<br />Any parental leaves taken in accordance with the above parental leave policies are, by definition, related to qualifying events under Family/Medical Leave Act(FMLA)(see Family/Medical Leave above). Eligible employees may take up to 12 weeks of leave under the FMLA and will be considered part of the 12 week FMLA entitlement.<br />
=== Sick Leave ===<br />
Sick leave means the period of time during which the employee is incapacitated or unable, due to illness or injury, to perform the regularly assigned duties of his or her position. Paid sick leave means a period of time that the employee is paid his or her regular salary during a period of illness or injury. The period of time shall begin and end when medically indicated to the satisfaction of the appropriate administrative officer.<br /><br /><br />
Eligible employees may choose to take any available sick leave balance for all or part of the unpaid Family/Medical Leave, if applicable, under certain circumstances. Any sick leave of 40 or more consecutive hours taken under this policy may be considered to be a qualifying event under the federal Family Medical Leave Act and the Family Medical Leave Policy approved by the Board of Regents.<br />
====Sick Leave Accruals====<br />
# Sick leave shall begin to accrue with the date of hire. Sick leave shall be charged against the sick leave accrued on a work-hour basis. Under appropriate circumstances, an employee shall be eligible to use sick leave as soon as it has accrued. <br />
# The rate at which an employee accrues sick leave shall be computed from the service date and adjusted by breaks in service if such break in service is less than three years.<br />
# Disability absences caused or contributed to by pregnancy, childbirth, and recovery there from are considered sick leave, and shall be governed by the provisions of the Parental Leave Policies. <br />
# The schedule of sick leave accrual is displayed on the leave procedure page.<br />
# Employees on Leave without Pay or Layoff shall not accrue sick leave during that time. <br />
====Sick Leave Use====<br />
# Sick leave must be requested as far in advance as possible. <br />
# One hour of sick leave shall be consumed for each working hour of absence due to illness or injury. <br />
# Vacation days or University holidays that may fall within the period of paid sick leave shall not be counted as days to be subtracted from sick leave. <br />
# The allowance of sick leave for any purpose under this policy shall be subject to the right of the University to require satisfactory evidence of illness or injury including the certification of an attending physician in the case of the employee or a member of his or her immediate family. Sick leave allowance shall be at the discretion of the University. <br />
# Employees may be advanced sick leave in an amount not to exceed a total of forty hours (40) (one work week), pro-rated for part-time employees. Employees shall reimburse the University for all used, unearned sick leave upon separation.<br />
<br />
'''[[HR_-_Employee_Relations_Forms| Advancement of Leave Request Form]]'''<br />
=== Vacation Leave ===<br />
# All regular employees of UNMC shall be granted vacation leave according to the schedule of vacation leave accrual displayed on the leave procedure page. <br />
# Vacation leave accrual begins the first day of employment and ends the last day of employment. <br />
# Employees accrue only when they are in a paid status. <br />
# Vacation leave requests must be approved in advance by management, consistent with the business needs of UNMC.<br />
# Vacation leave shall accrue on a pay period basis and an account of such leave earned and used shall be maintained and balanced annually. <br />
# Effective April 1, 2007, the maximum vacation leave which may be earned and accrued by members of the Managerial-Professional staff and members of the Office and Service staff shall be two hundred eighty (280) hours; provided that any employee who has accumulated more than 280 hours of vacation leave as of said effective date shall be entitled to retain any such excess vacation leave over 280 hours for future use. <br />
# The rate at which an employee accrues vacation leave shall be computed from the service date and adjusted by breaks in service if such break in service is less than three years. <br />
# All regular employees who transfer to another department at UNMC shall accrue vacation based on the original hiring date at UNMC and shall have their vacation leave balance transfer to the incoming department. <br />
# All regular employees who transfer from employment within any campus of the University of Nebraska shall accrue vacation leave based on the original hiring date with the campus from which they are transferring. <br />
# All regular employees who transfer from employment with the State government or the State colleges shall accrue vacation leave at a rate based on the hiring date with the organization from which they are transferring. <br />
# Unused vacation shall be paid out when an employee separates. Upon the death of an employee, his/her beneficiary shall be paid for any unused vacation leave of the employee. <br />
# The schedule of vacation leave accrual is displayed on the leave procedure page. <br />
# Employees may be advanced vacation leave in an amount not to exceed a total of forty hours (40) (one work week), pro-rated for part-time employees. Employees shall reimburse the University for all used and un-earned vacation time/leave upon separation.<br />
<br />
'''[[HR_-_Employee_Relations_Forms| Advancement of Leave Request Form]]'''<br />
==Notice of Non-Discrimination== <br />
Please see UNMC's [http://www.unmc.edu/titleix/notice-nondiscrimination.html Notice of Non-Discrimination] regarding the University of Nebraska Medical Center's commitment to creating a diverse and inclusive working and learning environment free from discrimination and harassment.<br />
==Additional Information==<br />
*Human Resources - Employee Relations at 402-559-7394 or 402-559-8534<br />
*[https://www.unmc.edu/hr/Proc/Procedure1001.pdf Employee Leave Procedures] <br />
*[https://www.unmc.edu/hr/Proc/PaidHolLeave%20Memo.pdf Paid Leave Memo]<br />
*[https://wiki.unmc.edu/index.php/Guidelines_-_Employee_Leave Employee Leave Guidelines]<br />
*All Forms mentioned in this policy are available on line at [[HR_-_Employee_Relations_Forms| Human Resources - Employee Relations Forms]]<br />
*[https://wiki.unmc.edu/images/7/76/ADA-Sec504GrievanceProcedures.pdf ADA - Americans with Disabilities Act and Section 504 Grievance Procedures]<br />
*[http://www.unmc.edu/hr/proc/Req%20for%20Reasonable%20Accommodation%20-%20ADA.pdf ADA - Americans with Disabilities Act - Requests for Reasonable Accommodation]<br />
*[http://www.unmc.edu/hr/Proc/Lactation%20Support%20Program.pdf Lactation Support Program]<br />
<br /><br />
This page maintained by [mailto:dpanowic@unmc.edu dkp].</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Human_Resources_-_Procedures&diff=12140Human Resources - Procedures2021-04-01T20:42:26Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | <strong>[[Human Resources - Procedures|Procedures]]</strong> | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
<br />
<strong>Human Resources Procedures</strong><br />
==Alphabetical Listing==<br />
==[https://www.unmc.edu/human-resources/_documents/Americans-with-Disabilities-Act-and-Section-504-Grievance-Procedures.pdf ADA - Americans with Disabilities Act and Section 504 Grievance Procedures]==<br />
==[http://www.unmc.edu/hr/proc/Req%20for%20Reasonable%20Accommodation%20-%20ADA.pdf ADA - Americans with Disabilities Act - Requests for Reasonable Accommodation]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1104.pdf AIDS, HIV, and Other Bloodborne Pathogens - Procedures #1104]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1010.pdf Background Check Policy - Procedures #1010]==<br />
==[http://www.unmc.edu/hr/proc/Institutional%20Bereavement%20Response%20for%20UNMC.pdf Bereavement Response In the Event of an Employee Death]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1007.pdf Compensation Administration - Procedures #1007]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1098.pdf Corrective and Disciplinary Action Policy - Procedures #1098]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1003.pdf Drug Free Campus - Procedures #1003]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1072.pdf Employee and Dependent Scholarship - Procedures #1072]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1020.pdf Employee Grievance Process Policy - Procedures #1020]==<br />
==[https://www.unmc.edu/hr/proc/Procedure1001.pdf Employee Leave Policy - Procedures #1001] / [http://www.unmc.edu/hr/proc/PaidHolLeave%20Memo.pdf President's Memo on Paid Holiday Leave Policy]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1093.pdf Employee Recognition and Reward - Procedures #1093]==<br />
==[http://www.unmc.edu/human-resources/_documents/procedures/Procedures1004.pdf Employment Policy - Procedures #1004]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1106.pdf Fitness for Duty Policy - Procedures #1106]==<br />
==[http://www.unmc.edu/hr/proc/Lactation%20Support%20Program.pdf Lactation Support Progam]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1101.pdf Nepotism Policy - Procedures #1101]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1099.pdf Non-Discrimination and Harassment - Procedures #1099]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1049.pdf Outside Employment - Procedures #1049]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1097.pdf Performance Evaluation Policy - Procedures #1097]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1060.pdf Political Activities - Procedures #1060]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1017.pdf Recurring - Additional Payment - Procedures #1017]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1028.pdf Reduction In Force - Procedures #1028]==<br />
==[http://www.unmc.edu/hr/proc/UNMC%20Employee%20Sexual%20Misconduct%20Procedures.pdf UNMC Employee Sexual Misconduct Procedures]==<br />
==[http://www.unmc.edu/hr/proc/Procedures1005.pdf Work Schedules - Procedures #1005]==</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Recurring/Additional_Payment&diff=12071Recurring/Additional Payment2021-03-05T23:29:12Z<p>Daniel.carlson: </p>
<hr />
<div><table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20"><br />
[[Human Resources]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Safety/Security]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Research Compliance]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Compliance]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Privacy/Information Security]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Business Operations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Intellectual Property]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Faculty]]</td><br />
</tr><br />
</table><br />
<br><br />
[[Employee Leave]] | [[Drug Free Campus]] | [[Employment]] | [[Work Schedules]] | [[Employee Separation]] | [[Compensation Administration]] | [[Dress Code]] | [[Background Check]] | [[Recurring/Additional Payment]] | [[Employee Grievance Process]] | [[Reduction-in-Force]] | [[Outside Employment]] | [[Political Activities]] | [[Employee/Dependent Scholarship]] | [[Employee Recognition and Reward]] | [[Performance Evaluation]] | [[Corrective/Disciplinary Action]] | [[Non-Discrimination and Harassment]] | [[Tobacco-Free Campus]] | [[Nepotism]] | [[Influenza]] | [[Consensual Relationships]] | [[AIDS, HIV, and Other Bloodborne Pathogens]] | [[Personnel Action Documentation]] | [[Fitness for Duty]] | [[Sexual Misconduct]] | [[Personnel Files]]<br /><br /><br />
Policy No.: '''1017'''<br /><br />
Effective Date: '''06/25/09'''<br /><br />
Revised Date: '''DRAFT'''<br /><br />
Reviewed Date: ''''''<br /><br />
<br /><br />
<big>'''Recurring/Additional Payment Policy'''</big><br /><br />
'''Wage Code Types 4601, 06F3, 0623, 1401 1404, 1420, 1419, 4605, 1410, 1412, 1413, 1010'''<br />
== Purpose == <br />
'''1.1''' To provide guidance regarding appropriate payments to employees outside of their base compensation and associated wage code usage.<br />
== Scope == <br />
'''2.1''' This policy is applicable to all UNMC staff and faculty. <br />
== Basis of the Policy == <br />
'''3.1''' [https://nebraska.edu/-/media/projects/unca/faculty-staff/resources/employee-policy-manual.pdf University of Nebraska Administration Human Resources Handbook for Policies], UNMC Policy No. 1007, [[Compensation Administration]], UNMC Policy No. 3039, [[Supplemental Compensation Plan]], UNMC Policy No. 6102, [[Institutional Base Salary]], Executive Memorandum No. 19, [https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/policy-on-overload-assignments.pdf Overload Assignments], annually published UNMC Budget and Salary Increase Guidelines, administrative practices of the University of Nebraska, and the federal Fair Labor Standards Act (FLSA). <br />
== Authorities and Administration == <br />
'''4.1''' Business units are responsible for the funding and approval of payments in accordance with applicable University policy and procedures. Human Resources Compensation and Payroll, Financial Controls and Compliance, the Finance Controller and Academic Affairs are responsible for policy/procedure development and monitoring.<br /><br />
<br />
All payments for wage code types 4601, 06F3, 0623, 1401 1404, 1420, 1419, 4605, 1410, 1412, 1413, 1010 will be submitted via the Recurring and Additional Payment Authorization Form in ADIS for review by either Human Resources Compensation or Payroll in accordance with the Payroll Schedule for Recurring and Additional Payments (located in [https://info.unmc.edu/wiki/index.php/NU_Values_-_Recurring-Additional_Payment NU Values - Recurring-Additional Payment] web page).<br /><br />
<br />
There are various reasons that employees may receive additional compensation above their base wage/salary, either as a one-time payment or on a recurring basis. It is the policy of UNMC to comply with all University of Nebraska guidelines and state/federal laws/regulations regarding the payment of additional compensation to employees that is outside of base wage/salary.<br />
== Policy == <br />
'''5.1''' The correct administration of these payments includes the appropriate SAP coding, documentation, and approval process for each type of payment that is outlined in UNMC Procedures No. 1017, [https://www.unmc.edu/human-resources/_documents/procedures/Procedures1017.pdf Recurring/Additional Payment]. Departments may review information available in [https://info.unmc.edu/wiki/index.php/NU_Values_-_Recurring-Additional_Payment NU Values - Recurring-Additional Payment] web page prior to completing a Recurring or Additional Payment Form in ADIS. <br /><br />
<br />
It is imperative that all payments comply with federal regulations regarding nonexempt biweekly paid employees in relation to the FLSA as well as the Cost Accounting Standards on contracts, grants and cooperative agreements involving federal funds found in OMB Circular A-21.<br />
<br />
'''Human Resources Payroll completes data entry in SAP for the following payments:'''<br />
#4601 Awards<br />
#06F3 Outstanding Performance Stipend (NON-FACULTY ONLY)<br />
#O623 Moving Relocation Allowance<br />
'''Human Resources Records completes data entry in SAP for the following payments:'''<br />
#1401 Additional Compensation<br />
#1404 Overload. Overload assignments for Academic-Administrative should not exceed 20% of base salary without prior approval of the President (except summer teaching/research appointment).<br />
#1420 July 1 In Lieu Payment Stipend (NON-ACADEMIC ONLY)<br />
#1419 New Faculty/Retention Stipend (FACULTY ONLY)<br />
#4605 Honorarium<br />
'''Business Unit/Department completes data entry for the following payments:'''<br />
#1410 Supplemental Compensation Stipend. A fully signed Supplemental Compensation Plan Terms of Employment Agreement covering the payment period(s) must be on file and loaded in ADIS to pay supplemental compensation.<br />
#1412 Summer Instructional<br />
#1413 Summer Research<br />
#1010 Administrative Stipend<br />
<br />
It should be noted that additional payment options are not intended for work assignments that can be considered part of an employee’s regular job duties, or “other duties as assigned.” <br /><br />
<br />
If a position sustains ongoing significant changes in duties due to business necessity that appear to have increased the scope of the position, payments outside of base pay should not be used to compensate an affected employee for the change in duties. The position should be submitted to HR Compensation for review and evaluation.<br /><br />
<br />
For payment processing questions please contact [mailto:hrrecords@unmc.edu Human Resources Records] or [mailto:unmcpayroll@unmc.edu Payroll].<br />
==Notice of Non-Discrimination== <br />
Please see UNMC's [http://www.unmc.edu/titleix/notice-nondiscrimination.html Notice of Non-Discrimination] regarding the University of Nebraska Medical Center's commitment to creating a diverse and inclusive working and learning environment free from discrimination and harassment.<br />
==Additional Information==<br />
*Contact [mailto:unmccompensation@unmc.edu HR Compensation]<br />
*[https://nebraska.edu/-/media/projects/unca/faculty-staff/resources/employee-policy-manual.pdf?la=en University of Nebraska Administration Human Resources Handbook for Policies]<br />
*Executive Memorandum No. 19, [https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/executive-memorandum/policy-on-overload-assignments.pdf Overload Assignments]<br />
*UNMC Policy No. 1007, [[Compensation Administration]]<br />
*UNMC Policy No. 3039, [[Supplemental Compensation Plan]]<br />
:*[https://info.unmc.edu/management/finance/fincompliance/policies/SuppCompProcedureUpdate.pdf Supplemental Compensation Plan Procedures]<br />
*UNMC Policy No. 6102, [[Institutional Base Salary]]<br />
*UNMC Procedures No. 1017, [https://www.unmc.edu/human-resources/_documents/procedures/Procedures1017.pdf Recurring/Additional Payment] <br />
*Recurring or Additional Payment Authorization Form, in [https://edge.unmc.edu/adis/ ADIS] for UNMC employees<br />
*[https://info.unmc.edu/wiki/index.php/NU_Values_-_Recurring-Additional_Payment NU Values - Recurring-Additional Payment]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/User-Guide-ADIS-Recurring-Additional-Payment-Authorization-Form.pdf User Guide (ADIS) - Recurring Additional Payment Authorization Form]<br />
*[https://info.unmc.edu/wiki/images/d/d3/WAGE-TYPES-AND-PAYMENT-TYPES_11-16-19.pdf Wage Types and Payment Types]<br />
*[https://www.unmc.edu/human-resources/_documents/nu-values/2021-Payroll-Schedules-for-Recurring-Additional-Payments-Form.pdf 2021 - Payroll Schedule for Recurring and Additional Payments]<br />
<br />
<br /><br />
This page maintained by [mailto:dpanowic@unmc.edu dkp].</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Reward_and_Recognition&diff=12070Guidelines - Reward and Recognition2021-03-05T16:59:24Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
The University of Nebraska Medical Center (UNMC) has a variety of programs to recognize and reward employees with non-cash and with cash awards. These awards recognize employees whose performance is above and beyond the scope of their position and their achievements add value to the vision and mission of UNMC. All University-wide, UNMC campus-wide and Unit/department-wide recognition and reward programs are based on the availability of funds at each level.<br />
<br />
<br />
===[[Employee_Recognition_and_Reward_Policy| Employee Recognition and Reward Policy #1093]]===<br />
===[http://www.unmc.edu/hr/proc/Procedures1093.pdf Employee Recognition and Reward Procedures]===<br />
<br />
==Gold U Award==<br />
<br />
The Gold U Award recognizes members of the UNMC community who consistently deliver outstanding performance and service to UNMC. Managerial professional and office service employees are eligible for the Chancellor’s Commendation Gold ‘U’ Award. Faculty and administrative staff are not eligible for this award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form]====<br />
<br />
==Faculty Awards - UNMC==<br />
<br />
===Outstanding Faculty Mentor of Graduate Students===<br />
Because of the profound effects of mentors on graduate students, the UNMC Faculty Senate wishes to recognize faculty who exemplify excellence in the mentoring of graduate students at UNMC. In doing so UNMC wishes to honor these individuals to provide models for other faculty to emulate. The Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the award on documentation that provides evidence of and a record of continuous accomplishment of mentoring graduate students over a period of at least the last five years.<br />
<br />
====[http://info.unmc.edu/media/facsen/mentor_grad_students_1112.pdf The Outstanding Faculty Mentor of Graduate Students Award Nomination Form and Selection Criteria]====<br />
<br />
===Outstanding Teaching Award===<br />
Nominations should clearly substantiate a meritorious record of excellence in teaching activities by the nominee at UNMC. Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the awards on documentation that clearly provides evidence of and a track record of outstanding teaching. <br />
<br />
====[http://info.unmc.edu/media/facsen/otacrite_1112.pdf Outstanding Teaching Award Nomination Form and Selection Criteria ]====<br />
<br />
===Spirit of Community Service Award===<br />
This merit award is presented to a faculty member who, through continuing commitment to the surrounding underserved or isolated communities has used expertise, resources, talent, and time without remuneration or has enabled others to provide community service in the following types of programs/projects. The Honorary Degree and Awards Committee (HDAC) bases its selections of recipients for the award on documentation that provides evidence of and a record of accomplishment of continuous community service within the last three years.<br />
<br />
====[http://info.unmc.edu/media/facsen/community_service_1112.pdf The Spirit of Community Service Award Nomination Form and Selection Criteria]====<br />
<br />
==Faculty Awards - University-Wide==<br />
<br />
===Outstanding Research and Creativity Award (ORCA)===<br />
This award honors members of the University of Nebraska faculty who have conducted outstanding research or creative activity of national/international significance<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Research and Creative Activity Award (ORCA)]====<br />
<br />
===Outstanding Teaching and Creativity Award (OTICA)===<br />
This award honors members of the University of Nebraska faculty who have developed meritorious and sustained records of excellence in teaching and creativity related to teaching.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Teaching and Instructional Creativity Award (OTICA)]====<br />
<br />
===University-wide Departmental Teaching Award (UDTA)===<br />
This award honors a department/unit of the University of Nebraska which has outstanding esprit de corps in its dedication to the education of students at the undergraduate, graduate, or professional levels.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards University-wide Departmental Teaching Award (UDTA)]====<br />
<br />
===Engagement Award (IDEA)===<br />
This awards honors members of the University of Nebraska faculty who have extended their academic expertise beyond the boundaries of the university in ways that have enriched the broader community.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Innovation, Development and Engagement Award (IDEA)]====<br />
<br />
==Outstanding Performance Stipends==<br />
The Outstanding Performance Stipend is intended to recognize and reward outstanding employee performance with discretionary cash rewards. The program is funded through a set aside of 0.25% of the annual salary increase pool. The maximum amount any individual may receive is $1,250; awards may be given from August 1 through April 30 in a fiscal year, in recognition of sustained performance exceeding expectations.<br />
<br />
[https://info.unmc.edu/management/finance/budget/opsguidelines1819.pdf Outstanding Performance Stipends Guidelines Fiscal Year 2018-19]<br />
<br />
==Research/Scientist Awards==<br />
<br />
Faculty are eligible for the UNMC Scientist Laureate Award, the Distinguished Scientist Award and the New Investigator Award. The award recipients are selected by a panel composed of UNMC deans and directors, as well as the office of the vice chancellor for research. These awards are sponsored by the Chancellor and administered by UNMC Office of the Vice Chancellor for Research.<br />
For additional information contact the Office of the Vice Chancellor for Research at 559-6162.<br />
<br />
===The UNMC Scientist Laureate Award===<br />
This award is the highest recognition given to a UNMC investigator. Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding. research.<br />
<br />
===The Distinguished Scientist Award===<br />
Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding during the past 5 years.<br />
<br />
===The New Investigator Award===<br />
This award is given to outstanding UNMC scientists who in the past one to three years have secured their first federal funding from the National Institutes of Health, the Department of Defense or other federal sources. The recipients also have to demonstrate scholarly activity such as publishing their research and/or presenting their findings at national conventions and gatherings.<br />
<br />
==Service Awards==<br />
Length of Service Awards are based solely on the number of years of employment in the University of Nebraska system and are given in 5-year increments for staff (managerial professional and office service) and 10 year increments for faculty. Employees receive an anniversary gift in recognition to their service.<br />
<br />
==Silver U Award Program==<br />
This award is given monthly to employees whose overall performance is above and beyond the scope of their position. The number of recipients from each unit is based on unit population (please review deadlines and allocations document below). Recipients receive a Silver 'U' pin, a shirt with program logo, and will be invited to lunch with the chancellor. Managerial professional, office service, graduate assistant, other academic employees, faculty and administrative staff are eligible for the Chancellor’s Council Silver ‘U’ Award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Award Nomination Form]====<br />
<br />
==People Are Everything – UNMC Reward and Recognition website==<br />
People Are Everything is UNMC’s comprehensive web-based reward and recognition platform that allows employees to acknowledge, reward and recognize their colleagues in many different ways. The platform includes internal social media, peer-to-peer recognition and eCards. In addition, the online program is used to submit Silver U and Gold U nominations and to acknowledge Service Anniversaries. Employees will be able to receive and send points to each other and the points can be redeemed for quality merchandise and gifts via the website. Points never expire and there are no limits on how many you can redeem in year.<br />
<br />
To send a Vital Thank 'U' Gram<br />
====[https://www.peopleareeverything.com/unmc People Are Everything ]====</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12069HR - Employee Relations Forms2021-03-05T14:53:32Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== ADA ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ADA-Req_for_Accommodation_for_Employee-Template.pdf ADA-Req for Accommodation for Employee-Template] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/human-resources/_documents/forms/emp-rel/UNMC-Incident-Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12057HR - Employee Relations Forms2021-02-23T20:41:03Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== ADA ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ADA-Req_for_Accommodation_for_Employee-Template.pdf ADA-Req for Accommodation for Employee-Template] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Gold-U-Nomination-Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/hr/forms/emp_rel/UNMC%20Incident%20Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=12052HR - Employee Relations Forms2021-02-15T22:18:07Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== ADA ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ADA-Req_for_Accommodation_for_Employee-Template.pdf ADA-Req for Accommodation for Employee-Template] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Crisis-Leave-Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Gold%20U%20Nomination%20Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/hr/forms/emp_rel/UNMC%20Incident%20Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Employee_Recognition_and_Reward&diff=11985Employee Recognition and Reward2021-02-03T21:03:24Z<p>Daniel.carlson: </p>
<hr />
<div><table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20"><br />
[[Human Resources]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Safety/Security]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Research Compliance]] </td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Compliance]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Privacy/Information Security]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Business Operations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Intellectual Property]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" <br />
width="20">[[Faculty]]</td><br />
</tr><br />
</table><br />
<br /><br />
[[Employee Leave]] | [[Drug Free Campus]] | [[Employment]] | [[Work Schedules]] | [[Employee Separation]] | [[Compensation Administration]] | [[Dress Code]] | [[Background Check]] | [[Recurring/Additional Payment]] | [[Employee Grievance Process]] | [[Reduction-in-Force]] | [[Outside Employment]] | [[Political Activities]] | [[Employee/Dependent Scholarship]] | [[Employee Recognition and Reward]] | [[Performance Evaluation]] | [[Corrective/Disciplinary Action]] | [[Non-Discrimination and Harassment]] | [[Tobacco-Free Campus]] | [[Nepotism]] | [[Influenza]] | [[Consensual Relationships]] | [[AIDS, HIV, and Other Bloodborne Pathogens]] | [[Personnel Action Documentation]] | [[Fitness for Duty]] | [[Sexual Misconduct]] | [[Personnel Files]]<br /><br /><br />
Policy No.: '''1093'''<br /><br />
Effective Date: '''10/25/02'''<br /><br />
Revised Date: '''10/28/20'''<br /><br />
Reviewed Date: '''10/28/20'''<br /><br />
<br /><br />
<big>'''Employee Recognition and Reward Policy'''</big><br />
== Purpose == <br />
'''1.1''' The Employee Recognition and Reward program is designed to provide incentives to individuals and groups to maximize their contributions to UNMC and to enhance UNMC's ability to hire and retain qualified employees in competitive labor market conditions. This program allows the administrative units and/or department flexibility in creating appropriate recognition and reward structures. <br />
== Scope == <br />
'''2.1''' All regular employees whose overall performance is above and beyond the scope of their position should be given the same opportunity to be rewarded for going the extra mile and for adding value to UNMC. <br /><br />
<br />
Service Awards are based solely on the number of years of employment in the University of Nebraska system and are given in 5-year increments for staff and 10-year increments for faculty.<br /><br />
<br />
Managerial professional, office service, graduate assistant and other academic employees are eligible for the Outstanding Performance Stipend Award. Faculty and administrative staff are not eligible for this award. <br /><br />
<br />
Managerial professional, office service, graduate assistant, other academic employees, faculty and administrative staff are eligible for the Chancellor’s Council Silver ‘U’ Award. <br /><br />
<br />
Managerial professional and office service employees are eligible for the Chancellor’s Commendation Gold ‘U’ Award. Faculty and administrative staff are not eligible for this award. <br /><br />
<br />
Faculty are eligible for the Outstanding Teacher Award, the Spirit of Community Service Award, the Outstanding Faculty Mentor of Graduate Students Award, the Outstanding Research and Creativity Award (ORCA), the Outstanding Teaching and Instructional Creativity Award (OTICA), the Innovation, Development, and Engagement Award (IDEA), and the University-wide Departmental Teaching Award (UDTA). <br /><br />
<br />
Faculty are also eligible for the UNMC Scientist Laureate Award, the Distinguished Scientist Award and the New Investigator Award. <br /><br />
<br />
All paid employees are eligible to access the People Are Everything site. <br />
== Basis of the Policy ==<br />
'''3.1''' The [http://www.unmc.edu/ University of Nebraska Medical Center] (UNMC) has a variety of programs to recognize and reward employees with non-cash and with cash awards. These awards recognize employees whose performance is above and beyond the scope of their position and their achievements add value to the vision and mission of UNMC.<br /><br />
<br />
UNMC Policy No. 1099, [[Non-Discrimination/Sexual Harassment|Non-Discrimination and Sexual and Other Prohibited Harassment]], should be considered during recognition and reward selection. <br /><br />
<br /><br />
All University-wide, UNMC campus-wide and Unit/department-wide recognition and reward programs are based on the availability of funds at each level. <br /><br />
<br />
Outstanding Performance Stipend Awards are based on criteria established at the Unit level (exceeding performance, major contributions to the department or unit, special projects that require exceptional effort, suggestions that improve operations, etc.). <br />
== Authorities and Administration == <br />
'''4.1''' The UNMC Human Resources Associate Director of Employee Relations is responsible for the administration, implementation, and maintenance of the Employee Recognition and Reward Policy at the campus level in consultation with the Associate Vice Chancellor for Business and Finance- Executive Director of Human Resources and the Vice Chancellor for Business and Finance.<br />
== Policy == <br />
'''5.1''' It is the policy of the University of Nebraska Medical Center that, when appropriate, a unit or department may make a non-cash or a cash award to an employee or groups of employees for significant accomplishments, achievements, or excellent work performance.<br /><br /><br />
For unit/department-wide recognition and rewards programs, units/departments need to provide Human Resources - Employee Relations and Finance - Payroll the unit/department reward and recognition program plan summary and program plan administration. Once program plan summary and plan administration is in compliance with accounting and payroll policies and procedures, the unit/department reward and recognition program may be implemented.<br /><br /> <br />
'''5.2''' Centrally funded and administered programs include the following: the Chancellor's Commendation Gold 'U' Award, the Chancellor's Council Silver 'U' Awards, People Are Everything recognition and reward eCards, and Service Awards.<br /><br />
<br />
Unit administered programs include the following: Outstanding Performance Stipend Award and any incentive or recognition program developed and implemented at the Unit or department level.<br /><br />
<br />
UNMC Faculty Senate administered programs include the following: Outstanding Teacher Award, Spirit of Community Service Award and Outstanding Faculty Mentor of Graduate Students Award. These programs are centrally funded. <br /><br />
<br />
UNMC Office of the Vice Chancellor for Research administered programs include the following: the UNMC Scientist Laureate Award, the Distinguished Scientist Award and the New Investigator Award.<br /><br />
<br />
University of Nebraska - Central Administration administered and funded programs include the following: Outstanding Research and Creativity Award (ORCA), Outstanding Teaching and Instructional Creativity Award (OTICA), University-wide Departmental Teaching Award (UDTA), and Engagement Award (IDEA).<br />
<br /><br />
<br />
'''5.3''' The fair market value of personal property gifts over $50.00 to UNMC employees will be added to taxable wages. Income and social security taxes will be withheld in accordance with the [http://www.irs.gov/ Internal Revenue Service]. Gifts that will be excluded from taxation include: 1) personal property gifts for length of service achievement, other special service achievement, or retirement; 2) personal property or gift certificates that may only be used for personal property, when the value is of a De Minimus (small) amount, such as holiday gifts of hams, turkeys, candy or a gift certificate only redeemable for specific products or services of $50 or less.<br /><br />
<br />
All cash value awards are subject to taxation. <br />
== Record Keeping ==<br />
'''6.1''' Each unit is responsible for keeping records relating to reward and recognition activity for a period of three years afterward. <br />
*Employee name and UNMC personnel number <br />
*Reason for the recognition <br /><br />
*Type of recognition given with reference to purchase order number<br />
==Notice of Non-Discrimination== <br />
Please see UNMC's [http://www.unmc.edu/titleix/notice-nondiscrimination.html Notice of Non-Discrimination] regarding the University of Nebraska Medical Center's commitment to creating a diverse and inclusive working and learning environment free from discrimination and harassment.<br />
==Additional Information==<br />
*Contact Human Resources-Employee Relations at 402-559-6020 or 402-559-7394<br />
*UNMC Procedures No. 1093, [http://www.unmc.edu/hr/Proc/Procedures1093.pdf Employee Recognition and Reward]<br />
*https://info.unmc.edu/management/finance/budget/OPSguidelines20_21.pdf Outstanding Performance Stipends Guidelines]<br />
===Nomination Forms===<br />
*[https://www.unmc.edu/hr/Forms/emp_rel/Gold%20U%20Nomination%20Form.pdf Gold ‘U’ Award Nomination Form] <br /><br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Chancellor’s Council Silver ‘U’ Award Nomination Form] <br /><br />
*[http://www.nebraska.edu/recognition-and-awards/idea.html Innovation, Development and Engagement Award] (IDEA) <br /><br />
*[http://www.nebraska.edu/recognition-and-awards/orca.html Outstanding Research and Creative Activity Award] (ORCA) <br /><br />
*[http://www.nebraska.edu/recognition-and-awards/otica.html Outstanding Teaching and Instructional Creativity Award] (OTICA) <br /><br />
*[http://info.unmc.edu/media/facsen/otacrite_0809.doc Outstanding Teaching Award Nomination Form and Selection Criteria] <br /><br />
*[http://info.unmc.edu/media/facsen/mentor_grad_students_0809.doc The Outstanding Faculty Mentor of Graduate Students Award Nomination Form and Selection Criteria] <br /><br />
*[http://info.unmc.edu/media/facsen/community_service_0809.doc The Spirit of Community Service Award Nomination Form and Selection Criteria] <br /><br />
*[http://www.nebraska.edu/recognition-and-awards/udta.html University-wide Departmental Teaching Award] (UDTA)<br /><br />
<br />
===Reward and Recognition web sites===<br />
*[http://www.peopleareeverything.com/unmc People Are Everything] Employee Online Rewards & Recognition Program (Sign in with your UNMC NetID & Password)<br /><br />
<br />
This page maintained by [mailto:dpanowic@unmc.edu dkp].</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Reward_and_Recognition&diff=11984Guidelines - Reward and Recognition2021-02-03T21:01:37Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
The University of Nebraska Medical Center (UNMC) has a variety of programs to recognize and reward employees with non-cash and with cash awards. These awards recognize employees whose performance is above and beyond the scope of their position and their achievements add value to the vision and mission of UNMC. All University-wide, UNMC campus-wide and Unit/department-wide recognition and reward programs are based on the availability of funds at each level.<br />
<br />
<br />
===[[Employee_Recognition_and_Reward_Policy| Employee Recognition and Reward Policy #1093]]===<br />
===[http://www.unmc.edu/hr/proc/Procedures1093.pdf Employee Recognition and Reward Procedures]===<br />
<br />
==Gold U Award==<br />
<br />
The Gold U Award recognizes members of the UNMC community who consistently deliver outstanding performance and service to UNMC. Managerial professional and office service employees are eligible for the Chancellor’s Commendation Gold ‘U’ Award. Faculty and administrative staff are not eligible for this award.<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Gold%20U%20Nomination%20Form.pdf Gold U Nomination Form]====<br />
<br />
==Faculty Awards - UNMC==<br />
<br />
===Outstanding Faculty Mentor of Graduate Students===<br />
Because of the profound effects of mentors on graduate students, the UNMC Faculty Senate wishes to recognize faculty who exemplify excellence in the mentoring of graduate students at UNMC. In doing so UNMC wishes to honor these individuals to provide models for other faculty to emulate. The Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the award on documentation that provides evidence of and a record of continuous accomplishment of mentoring graduate students over a period of at least the last five years.<br />
<br />
====[http://info.unmc.edu/media/facsen/mentor_grad_students_1112.pdf The Outstanding Faculty Mentor of Graduate Students Award Nomination Form and Selection Criteria]====<br />
<br />
===Outstanding Teaching Award===<br />
Nominations should clearly substantiate a meritorious record of excellence in teaching activities by the nominee at UNMC. Honorary Degree and Awards Committee (HDAC) bases its selection of recipients for the awards on documentation that clearly provides evidence of and a track record of outstanding teaching. <br />
<br />
====[http://info.unmc.edu/media/facsen/otacrite_1112.pdf Outstanding Teaching Award Nomination Form and Selection Criteria ]====<br />
<br />
===Spirit of Community Service Award===<br />
This merit award is presented to a faculty member who, through continuing commitment to the surrounding underserved or isolated communities has used expertise, resources, talent, and time without remuneration or has enabled others to provide community service in the following types of programs/projects. The Honorary Degree and Awards Committee (HDAC) bases its selections of recipients for the award on documentation that provides evidence of and a record of accomplishment of continuous community service within the last three years.<br />
<br />
====[http://info.unmc.edu/media/facsen/community_service_1112.pdf The Spirit of Community Service Award Nomination Form and Selection Criteria]====<br />
<br />
==Faculty Awards - University-Wide==<br />
<br />
===Outstanding Research and Creativity Award (ORCA)===<br />
This award honors members of the University of Nebraska faculty who have conducted outstanding research or creative activity of national/international significance<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Research and Creative Activity Award (ORCA)]====<br />
<br />
===Outstanding Teaching and Creativity Award (OTICA)===<br />
This award honors members of the University of Nebraska faculty who have developed meritorious and sustained records of excellence in teaching and creativity related to teaching.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Outstanding Teaching and Instructional Creativity Award (OTICA)]====<br />
<br />
===University-wide Departmental Teaching Award (UDTA)===<br />
This award honors a department/unit of the University of Nebraska which has outstanding esprit de corps in its dedication to the education of students at the undergraduate, graduate, or professional levels.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards University-wide Departmental Teaching Award (UDTA)]====<br />
<br />
===Engagement Award (IDEA)===<br />
This awards honors members of the University of Nebraska faculty who have extended their academic expertise beyond the boundaries of the university in ways that have enriched the broader community.<br />
<br />
====[https://nebraska.edu/offices-policies/provosts-office/academic-affairs/presidents-excellence-awards Innovation, Development and Engagement Award (IDEA)]====<br />
<br />
==Outstanding Performance Stipends==<br />
The Outstanding Performance Stipend is intended to recognize and reward outstanding employee performance with discretionary cash rewards. The program is funded through a set aside of 0.25% of the annual salary increase pool. The maximum amount any individual may receive is $1,250; awards may be given from August 1 through April 30 in a fiscal year, in recognition of sustained performance exceeding expectations.<br />
<br />
[https://info.unmc.edu/management/finance/budget/opsguidelines1819.pdf Outstanding Performance Stipends Guidelines Fiscal Year 2018-19]<br />
<br />
==Research/Scientist Awards==<br />
<br />
Faculty are eligible for the UNMC Scientist Laureate Award, the Distinguished Scientist Award and the New Investigator Award. The award recipients are selected by a panel composed of UNMC deans and directors, as well as the office of the vice chancellor for research. These awards are sponsored by the Chancellor and administered by UNMC Office of the Vice Chancellor for Research.<br />
For additional information contact the Office of the Vice Chancellor for Research at 559-6162.<br />
<br />
===The UNMC Scientist Laureate Award===<br />
This award is the highest recognition given to a UNMC investigator. Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding. research.<br />
<br />
===The Distinguished Scientist Award===<br />
Criteria for the award include the researcher’s history of leading outstanding research program(s), publishing research results in journals of the highest quality, and showing the ability to attract and retain additional funding during the past 5 years.<br />
<br />
===The New Investigator Award===<br />
This award is given to outstanding UNMC scientists who in the past one to three years have secured their first federal funding from the National Institutes of Health, the Department of Defense or other federal sources. The recipients also have to demonstrate scholarly activity such as publishing their research and/or presenting their findings at national conventions and gatherings.<br />
<br />
==Service Awards==<br />
Length of Service Awards are based solely on the number of years of employment in the University of Nebraska system and are given in 5-year increments for staff (managerial professional and office service) and 10 year increments for faculty. Employees receive an anniversary gift in recognition to their service.<br />
<br />
==Silver U Award Program==<br />
This award is given monthly to employees whose overall performance is above and beyond the scope of their position. The number of recipients from each unit is based on unit population (please review deadlines and allocations document below). Recipients receive a Silver 'U' pin, a shirt with program logo, and will be invited to lunch with the chancellor. Managerial professional, office service, graduate assistant, other academic employees, faculty and administrative staff are eligible for the Chancellor’s Council Silver ‘U’ Award.<br />
<br />
====[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Award Nomination Form]====<br />
<br />
==People Are Everything – UNMC Reward and Recognition website==<br />
People Are Everything is UNMC’s comprehensive web-based reward and recognition platform that allows employees to acknowledge, reward and recognize their colleagues in many different ways. The platform includes internal social media, peer-to-peer recognition and eCards. In addition, the online program is used to submit Silver U and Gold U nominations and to acknowledge Service Anniversaries. Employees will be able to receive and send points to each other and the points can be redeemed for quality merchandise and gifts via the website. Points never expire and there are no limits on how many you can redeem in year.<br />
<br />
To send a Vital Thank 'U' Gram<br />
====[https://www.peopleareeverything.com/unmc People Are Everything ]====</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=HR_-_Employee_Relations_Forms&diff=11983HR - Employee Relations Forms2021-02-03T20:58:56Z<p>Daniel.carlson: </p>
<hr />
<div>[[Guidelines List]] | <strong>[[Human Resources - Forms|Forms]]</strong> | [[Human Resources - Procedures|Procedures]] | [[Policies_and_Procedures|UNMC Policies]] <br />
<br />
==Welcome to HR Employee Forms==<br />
<br />
<table style="background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"><br />
<tr><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Benefits_Forms|Benefits]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Records_Forms|Records]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Staffing_Forms|Staffing]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Compensation_Forms|Compensation]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:white; line-height:0.95em; border:solid 2px #A3B1BF; border-bottom:0; font-weight:bold;" width="20">[[HR_-_Employee_Relations_Forms|Employee Relations]]</td><br />
<td style="border-bottom:2px solid #A3B1BF" width="3">&#160;</td><br />
<td style="padding:0.5em; background-color:#e5e5e5; font-size:90%; line-height:0.95em; border:1px solid #A3B1BF; border-bottom:solid 2px #A3B1BF" width="20">[[HR_-_Other_Forms|Other]]</td><br />
</tr><br />
</table><br />
<br />
<br />
<br />
__TOC__<br />
<br />
==Employee Relations Forms==<br />
=== ADA ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ADA-Req_for_Accommodation_for_Employee-Template.pdf ADA-Req for Accommodation for Employee-Template] <br />
=== Corrective and Disciplinary ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Corrective%20and%20Disciplinary%20Action%20Form.pdf Corrective and Disciplinary Action Form] <br />
=== Fitness for Duty ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20for%20Duty%20Observation%20checklist.pdf Fit for Duty Observation checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Fit%20forDuty%20Certification.pdf Fit for Duty Certification]<br />
=== Grievance Process ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/ER%20-%20Grievance%20Filing%20Form.pdf ER - Grievance Filing Form] <br />
=== Leave ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advance Leave]<br />
<br />
===Crisis Leave===<br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp_rel/Crisis-Leave-Donation.pdf Crisis Leave Donation] <br />
*[http://www.unmc.edu/hr/forms/emp_rel/Crisis%20Leave%20Request.pdf Crisis Leave Request] <br />
===Family Medical Leave Act===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf FMLA - Certification for Health Care Provider for Family Members Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Veteran%20for%20Military%20Caregiver%20Leave.pdf FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf FMLA - Certification of Health Care Provider for Employees Serious Health Condition]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf FMLA - Certification of Qualifying Exigency for Military Family Leave]<br />
*[https://wiki.unmc.edu/images/e/e8/Employee_Request_for_FMLA_-_10-24-19.pdf FMLA - Request for Family Medical Leave]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave]<br />
<br />
===Leave of Absence===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-%20Request%20for%20Nebraska%20Military%20Family%20Leave.docx LOA - Request for Nebraska Military Family Leave]<br />
*[https://wiki.unmc.edu/images/1/14/LOA-RequestforMilitaryLeave-USSERA-10-22-18.pdf LOA -Mil-USSERA]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/VACATION%20SICK%20LEAVE%20HOLIDAY%20ACCRUAL.pdf Vacation / Sick Leave / Holiday Accrual]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/LOA%20Without%20Pay%20Request%20Form.doc LOA without Pay Request Form]<br />
<br />
=== Reward and Recognition ===<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Gold%20U%20Nomination%20Form.pdf Gold U Nomination Form] <br />
*[http://www.unmc.edu/human-resources/_documents/forms/emp-rel/Silver-U-Nomination-Form.pdf Silver U Nomination Form]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Silver-Gold%20U%20Info%20Poster.pdf Silver-Gold U Informational Poster]<br />
<br />
=== Separation ===<br />
*[https://wiki.unmc.edu/images/1/1e/Revised_3.4.20_employee_exit_checklist_%28for_employee%29.pdf Employee Separation - Employee Exit Checklist]<br />
*[https://wiki.unmc.edu/images/3/3c/Revised_3-3-20Employee_Separation_-_Employee_Exit_Checklist_%281%29.pdf Employee Separation - Mgr Exit Checklist]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Employee_exit_info.pdf Employee Exit Information]<br />
*[http://www.unmc.edu/hr/forms/emp_rel/Retiree_Guide.pdf Retiree Guide]<br />
<br />
=== Worker Compensation ===<br />
*[https://www.unmc.edu/hr/forms/emp_rel/UNMC%20Incident%20Report.pdf UNMC Incident Report]<br />
<br />
If you have any questions about any of the Employee Relations form/templates please email [mailto:employeerelations@unmc.edu employeerelations]</div>Daniel.carlsonhttps://wiki.unmc.edu/index.php?title=Guidelines_-_Employee_Leave&diff=11935Guidelines - Employee Leave2020-12-14T15:19:38Z<p>Daniel.carlson: /* Employee Leave Procedures */</p>
<hr />
<div>[[Guidelines List]] | [[Human Resources - Forms|Forms]] | [[Human Resources - Procedures|Procedures]] <br />
<br />
<br />
UNMC provides for various types of paid and unpaid employee leave. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, ADA, the Uniformed Service Employment and Reemployment Rights Act (USERRA) of 1994, Nebraska Revised Statutes §55-160 et seq. §81-1391, Nebraska Family Military Act of 2007, University of Nebraska Central Administration and the Bylaws of the Board of Regents of the University of Nebraska (3.4.2; 3.4.3; and 3.6). <br />
<br />
It is the intent of UNMC to grant paid or unpaid leave to regular employees under appropriate circumstances. For regular part-time employees, the rate is adjusted according to the employee's FTE. All leave must be recorded in a manner prescribed by Payroll. A record-keeping system for leave usage must be maintained by departments. UNMC leave policies are based on the federal Family and Medical Leave Act (FMLA) of 1993, the Uniformed Service Employment and Re-employment Rights Act (USERRA) of 1994, Nebraska Revised Statutes §55-160 et seq. and §81-1391, and University of Nebraska Central Administration Employee Absences and Crisis Leave Sharing policies and practices. The Employee Leave Policy includes: Administrative Leave, Bereavement/Funeral Leave, Civil Leave, Crisis Leave, Family Medical and Family Military Leave - FMLA, Holiday Leave, Inclement Weather, Injury Leave, Leave of Absence without Pay, Military Leave, Parental Leave, Sick Leave, and Vacation Leave.<br />
<br />
<br />
===[[Employee_Leave|Employee Leave Policy #1001]]===<br />
===[http://www.unmc.edu/hr/Forms/PaidHolLeave%20Memo.pdf President's Memo on Paid Holiday Leave Policy]===<br />
===[https://www.unmc.edu/hr/Proc/Procedure1001.pdf Employee Leave Procedures]===<br />
<br />
==Administrative Leave==<br />
<br />
Under certain conditions, administrative leave with pay may be granted in situations in which employees perform a community service such as volunteer fire fighters, volunteer rescue squad call and other specific instances. Individuals and departments should contact Human Resources – Employee Relations at 402/559-5827 for guidance in using this type of administrative leave. Documentation of the leave may be required.<br />
<br />
<br />
==Bereavement/Funeral Leave==<br />
<br />
When necessary, up to five consecutive workdays of bereavement/funeral leave may be granted in the event of a death within the employee’s immediate family. Notice of the need to use bereavement/funeral leave must be given in advance to the supervisor.<br />
<br />
<br />
==Civil Leave==<br />
<br />
All regular employees may be granted paid civil leave for the purpose of providing civil service, if the performance of such service is required during normal working hours. Paid civil leave will be granted for jury duty, election board duty, witness duty with a valid subpoena, court appearances regarding the affairs of the State of Nebraska or University, emergency civilian duty in connection with national defense or natural disaster.<br />
<br />
<br />
==Crisis Leave==<br />
<br />
===Donations to Crisis Leave Bank===<br />
<br />
Employees may donate accumulated vacation leave of up to three (3) days for potential use in emergency situations by other UNMC employees, whose leave has been exhausted. <br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Crisis%20Leave%20Donation.pdf Crisis Leave Donation Form]====<br />
<br />
===Requests for Crisis Leave===<br />
<br />
Regular employees, including-office service employees who have completed their probationary period, may be eligible to receive crisis leave when all of their available sick leave, vacation and floating/banked holiday hours, appropriate to the circumstances, have been exhausted and when they have a qualifying event for crisis leave.<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Crisis%20Leave%20Request.pdf Crisis Leave Request Form]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Advance%20Leave.pdf Advancement of Leave Request Form]====<br />
<br />
<br />
<br />
==Family Medical and Family Military Leave - FMLA==<br />
<br />
UNMC will grant up to twelve weeks of unpaid family/medical leave for any of the following reasons:<br />
<br />
# The employee’s own serious health condition that make the employee unable to perform the essential functions of the job. <br />
# A serious health condition of the employee’s spouse, child or parent or a person bearing the same relationship to the employee’s spouse. <br />
# Maternal/paternal concerns related to the birth and first year care of a child or adoption of a child, or the placement of a child with the employee for foster care. <br />
# A death in the immediate family. <br />
# Family Leave Due to a Call to Active Duty: This benefit provides 12 weeks of FMLA leave due to a spouse, son, daughter or parent being on active duty or having been notified of an impending call or order to active duty in the Armed Forces. Leave may be used for any "qualifying exigency" arising out of the service member’s current tour of active duty or because the service member is notified of an impending call to duty in support of a contingency operation. <br />
# Caregiver Leave for an Injured Service member: This benefit provides 26 weeks of FMLA leave during a single 12-month period for a spouse, son, daughter, parent, or nearest blood relative caring for a recovering service member. A recovering service member is defined as a member of the Armed Forces who suffered an injury or illness while on active-duty that may render the person unable to perform the duties of the member’s office, grade, rank or rating. <br />
<br />
For additional information please go to the [http://wiki.unmc.edu/index.php?title=Employee_Leave#Family_Medical_.26_Family_Military_Leave_-_FMLA Family Medical & Family Military Leave - FMLA]<br />
<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Health%20Care%20Provider%20for%20Employees%20Serious%20Health%20Condition.pdf Certification of Health Care Provider for Employees Serious Health Condition]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Health%20Care%20Provider%20for%20Family%20Members%20Serious%20Health%20Condition.pdf Certification of Health Care Provider for Family Members Serious Health Condition]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20of%20Qualifying%20Exigency%20for%20Military%20Family%20Leave.pdf Certification of Qualifying Exigency for Military Family Leave]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Certification%20for%20Serious%20Injury%20or%20Illness%20of%20a%20Current%20Servicemember%20for%20Military%20Family%20Leave.pdf Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Family%20Medical%20Leave.doc FMLA - Request for Family Medical Leave Form]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Military%20Qualifying%20Exigency%20Leave%20and%20Military%20Caregiver%20Leave.pdf FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave Form]====<br />
<br />
==Holiday Leave==<br />
<br />
UNMC provides twelve paid holidays a year to all regular employees, who are in a paid status.<br />
<br />
Banked - UNMC recognizes one (1) banked holiday, during which UNMC operations are open,'' Martin Luther King, Jr. Day - Third Monday in January''. Banked holidays must be used within 12 months of being earned. Floating - UNMC recognizes four (4) floating holidays, during which UNMC operations are open; employees may use these days on or after the date on which they are observed, with supervisory approval. ''President’s Day - Third Monday in February, Arbor Day - Last Friday in April, Columbus Day - Second Monday in October, Veteran’s Day - November 11. ''Floating holidays must be used within 12 months of being earned. <br />
<br />
Traditional - UNMC recognizes seven (7) traditional holidays where non-essential business operations are closed. ''New Year’s Day - January 1, Memorial Day - Last Monday in May, Independence Day - July 4, Labor Day - First Monday in September, Thanksgiving Day - Fourth Thursday in November, Day After Thanksgiving - Friday following the Fourth Thursday in November, Christmas Day - December 25. ''Holidays falling on the first day of the weekend will be observed on the day before; holidays falling on the last day of the weekend will be observed the following day.<br />
<br />
==Inclement Weather==<br />
See Work Schedules (Policy 1005)<br />
At UNMC, in times of extreme/severe weather, natural or other disasters, essential employees may be required to remain on campus for an extended period of time or to report to campus.<br />
<br />
==Injury Leave==<br />
<br />
If the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Injury leave will not be charged to sick leave or vacation; the time reporting should be coded in a manner prescribed by Payroll.<br />
<br />
The Nebraska Workers’ Compensation Act is found in Neb. Rev. Stat. §§48-101 to 48-1,118. Portions of the act which are specific to state workers’ compensation claims are found in Neb. Rev. Stat. §§ 48-192 to 48-1,109.<br />
<br />
===Workers Compensation===<br />
<br />
The University of Nebraska Medical Center is self-insured through the State of Nebraska. For employees injured on the job, if the work-related injury or illness causes an employee to remain off work, up to 40 hours will be paid as injury leave during the seven (7) calendar day waiting period, pro-rated based on the FTE. Loss wage benefits are paid at 66 2/3% of the employee’s weekly wage, subject to the minimum and maximum per week allowed by Nebraska Worker’s Compensation laws, as long as the employee is unable to work. All reasonable medical and/or hospital expenses, related to the injury, are paid. If the employee is unable to return to his/her position, the individual employee is entitled to vocational rehabilitation services. <br />
<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/UNMC%20Incident%20Report.pdf UNMC Incident Report ]====<br />
<br />
[https://wiki.unmc.edu/images/e/eb/1WC-Form-DoctorsChoiceForm50-2018.pdf '''Doctors Choice - Form 50''']<br />
<br />
[https://wiki.unmc.edu/images/1/18/2WC-Form-HIPAA-AuthorizationforReleaseofInfo-2018.pdf '''HIPAA Authorization for Release of Information''']<br />
<br />
==Leave of Absence without Pay==<br />
Regular employees may be granted a leave of absence without pay for maximum of one year, only when it is in the best interest of UNMC. <br />
<br />
==Military Leave==<br />
UNMC complies with the [[https://www.dol.gov/agencies/vets/programs/userra Uniformed Service Employment and Reemployment Rights Act of 1994 (USERRA)]] and Neb. Rev. Stat. §55-l60 et seq. concerning the treatment of University employees with military obligations. In general USSERA requires employers to grant leave to employees serving in the United States armed forces and the various reserve units; protects applicants and employees against discrimination on the basis of military service in the areas of hiring, job retention and advancement; provides certain rights to re-employment upon return from leave; and extends health care and retirement plan coverage during military leave.<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-Mil-USSERA.pdf LOA - Request for Military Leave - USSERA - Form]====<br />
<br />
==Nebraska Family Military Leave==<br />
The Nebraska Family Military Leave Act requires employers to provide up to 30 working days of unpaid leave to qualifying employees whose spouse or parent has been called to military service under federal or state deployment orders. Qualifying employees include any employee who has been employed by UNMC for at least 12 months, has provided at least 1,250 hours of service during the 12 month period immediately preceding the commencement of leave and is the spouse or parent of a person called to military service lasting over 179 days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States. Employees requesting 5 or more consecutive days of leave shall provide at least 14 calendar day's prior notice. <br />
<br />
===Nebraska Family Military Leave Act===<br />
The Nebraska Unicameral enacted the Nebraska Family Military Leave Act effective April 4, 2007. Effective immediately, UNMC will implement the Nebraska Family Military Leave Act by providing unpaid leave to qualifying University employees who are spouses or parents of military service members under federal or state deployment orders.<br />
<br />
'''Qualifying employees''' shall include any employee who:<br />
* has been employed by the University of Nebraska for at least twelve months<br />
* has provided at least one thousand two hundred fifty (1,250) hours of service during the twelve-month period immediately preceding the commencement of the leave<br />
* is the spouse or parent of a person called to military service lasting over one hundred seventy-nine days or longer with the state or United States pursuant to the orders of the Governor or the President of the United States<br />
<br />
'''Requests for Family Military Leave''' may be made to the employees immediate supervisor any time the deployment orders are in effect. Employees requesting five (5) or more consecutive days of Family Military Leave shall provide at least fourteen calendar days prior notice, and where able, will consult with the supervisor to schedule leave to avoid work disruptions. For leave of less than five (5) consecutive days, employees shall give advance notice as practical. Certification/proof of the call to service, from the proper military authority, may be required.<br />
<br />
'''Maximum leave allowable''' under the Family Military Leave Policy shall be thirty (30) working days of unpaid leave. The employee may elect to apply accrued vacation leave, compensatory time off, or floating or banked holiday during the leave period.<br />
<br />
'''Employees involved in any of the University of Nebraska insured benefit programs''' may continue to participate in said programs and will receive continued employer contributions for the period of the leave. They are, however, responsible for their employee contributions required to maintain those benefits when on an unpaid status.<br />
<br />
'''Upon expiration of the leave''', the employee is entitled to be restored to the position held prior to commencement of leave or to an equivalent position.<br />
<br />
If you have any question regarding the Family Military Leave please contact Michelle Coe at ''402-559-5827''.<br />
<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/LOA%20-Mil-USSERA.pdf LOA - Request for Family Military Leave - Form]====<br />
<br />
==Parental Leave==<br />
<br />
UNMC employees ''may'' be eligible for parental leave (unpaid or paid). Employees ''may'' be eligible for paid leave if employee has accrued sick leave and/or vacation leave. An eight-week total ''maternity'' leave period for pre-partum and post-partum care and recovery, during which time the employee will be excused from all duties, will be considered normal; however, more or less leave time may be taken based on individual health circumstances. Please refer to Policy #1001, Employee Leave Policy. Employees ''may'' be eligible for 5 days Paternity Leave under Policy #1001, Employee Leave Policy. <br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/Adoption%20Leave.doc Adoption Leave]====<br />
<br />
====[http://www.unmc.edu/hr/forms/emp_rel/FMLA%20-%20Request%20for%20Family%20Medical%20Leave.doc Family Medical Leave Request]====<br />
<br />
==Sick Leave==<br />
Sick leave means the period of time during which the employee is incapacitated or unable, due to illness or injury, to perform the regularly assigned duties of his or her position. Paid sick leave means a period of time that the employee is paid his or her regular salary during a period of illness or injury. The period of time shall begin and end when medically indicated to the satisfaction of the appropriate administrative officer.<br />
<br />
#Managerial Professional Staff: Members of the Managerial-Professional staff shall accumulate one day of sick leave per month for the first two years of employment. After two years of service, sick leave balances will be restored annually on a calendar year basis for managerial/professional employees. In no event shall payment be made to managerial/professional employees with over two years service) or to academic/administrative employees for any one disability which exceeds six months (1040 hours) although such disability exist partially in one calendar year and partially in the next calendar year (i.e., overlaps from one calendar year to the next).<br />
#Office Service Employees: Office and Service personnel shall accrue sick leave according to the following schedule<br />
<br />
{| Class="wikitable"<br />
|-<br />
! Years of Employment<br />
! Hours per Months<br />
! Hours per Year<br />
! Days per Year<br />
! Hours per Day<br />
|-<br />
| 1st through 5th year<br />
| 8.00<br />
| 96.00<br />
| 12.00<br />
| 0.26301<br />
|- <br />
| Beginning of 6th yr.<br />
| 11.33<br />
| 136.00<br />
| 17.00<br />
| 0.37260<br />
|- <br />
| Beginning of 7th yr.<br />
| 12.00<br />
| 144.00<br />
| 18.00<br />
| 0.39452<br />
|- <br />
| Beginning of 8th yr.<br />
| 12.67<br />
| 152.00<br />
| 19.00<br />
| 0.41644<br />
|- <br />
| Beginning of 9th yr.<br />
| 13.33<br />
| 160.00<br />
| 20.00<br />
| 0.43836<br />
|- <br />
| Beginning of 10th yr.<br />
| 14.00<br />
| 168.00<br />
| 21.00<br />
| 0.46027<br />
|- <br />
| Beginning of 11th yr.<br />
| 14.67<br />
| 176.00<br />
| 22.00<br />
| 0.48219<br />
|- <br />
| Beginning of 12th yr.<br />
| 15.33<br />
| 184.00<br />
| 23.00<br />
| 0.50411<br />
|- <br />
| Beginning of 13th yr.<br />
| 16.00<br />
| 192.00<br />
| 24.00<br />
| 0.52603<br />
|- <br />
| Beginning of 14th yr.<br />
| 16.67<br />
| 200.00<br />
| 25.00<br />
| 0.54795<br />
|- <br />
| Beginning of 15th yr.<br />
| 17.33<br />
| 208.00<br />
| 26.00<br />
| 0.56986<br />
|- <br />
| Beginning of 16th yr.<br />
| 18.00<br />
| 216.00<br />
| 27.00<br />
| 0.59178<br />
|- <br />
| Beginning of 17th yr.<br />
| 18.67<br />
| 224.00<br />
| 28.00<br />
| 0.61370<br />
|- <br />
| Beginning of 18th yr.<br />
| 19.33<br />
| 232.00<br />
| 29.00<br />
| 0.63562<br />
|- <br />
| Beginning of 19th year<br />
| 20.00<br />
| 240.00<br />
| 30.00<br />
| 0.65753<br />
|- <br />
| '''Maximum Accrual'''<br />
| <br />
| '''1,440.00'''<br />
| '''180.00'''<br />
| <br />
|}<br />
<br />
==Vacation Leave==<br />
Regular employees of UNMC shall be granted vacation leave according to the schedule of vacation leave accrual displayed on the leave procedure page.<br />
===Academic/Administrative Employees===<br />
{| Class="wikitable"<br />
|-<br />
!width="75pt"|Years of Continuous Employment<br />
!width="75pt"|Number of Hours Accrued per Month<br />
!width="75pt"|Number of Hours Accrued per Year<br />
!width="75pt"|Number of Days Accrued per Year<br />
|- <br />
| 1 & Thereafter<br />
| 16<br />
| 192<br />
| 24<br />
|} <br />
<br />
===Managerial/Professional Employees===<br />
{| Class="wikitable"<br />
|-<br />
!width="75pt"|Years of Continuous Employment<br />
!width="75pt"|Number of Hours Accrued per Month<br />
!width="75pt"|Number of Hours Accrued per Year<br />
!width="75pt"|Number of Days Accrued per Year<br />
|- <br />
| 1-2<br />
| 8.00<br />
| 96.00<br />
| 12<br />
|- <br />
| 3-5<br />
| 12.00<br />
| 144.00<br />
| 18<br />
|- <br />
| 6 & over<br />
| 16.00<br />
| 192.00<br />
| 24<br />
|}<br />
<br />
===Office/Service Employees===<br />
{| Class="wikitable"<br />
|-<br />
!width="75pt"|Years of Continuous Employment<br />
!width="75pt"|Number of Hours Accrued per Month<br />
!width="75pt"|Number of Hours Accrued per Year<br />
!width="75pt"|Number of Days Accrued per Year<br />
|- <br />
| 1-5<br />
| 8.00<br />
| 96.00<br />
| 12<br />
|- <br />
| 6<br />
| 10.00<br />
| 120.00<br />
| 15<br />
|- <br />
| 7<br />
| 10.67<br />
| 128.00<br />
| 16<br />
|- <br />
| 8<br />
| 11.33<br />
| 136.00<br />
| 17<br />
|- <br />
| 9<br />
| 12.00<br />
| 144.00<br />
| 18<br />
|- <br />
| 10<br />
| 12.67<br />
| 152.00<br />
| 19<br />
|- <br />
| 11<br />
| 13.33<br />
| 160.00<br />
| 20<br />
|- <br />
| 12<br />
| 14.00<br />
| 168.00<br />
| 21<br />
|- <br />
| 13<br />
| 14.67<br />
| 176.00<br />
| 22<br />
|- <br />
| 14<br />
| 15.33<br />
| 184.00<br />
| 23<br />
|- <br />
| 15<br />
| 16.00<br />
| 192.00<br />
| 24<br />
|- <br />
| 16 & over<br />
| 16.67<br />
| 200.00<br />
| 25<br />
|}</div>Daniel.carlson