Human Resources - Forms

Guidelines List | Forms | Procedures | UNMC Policies

Adoption Leave

Advancement of Leave

Benefits Forms (Forms are located on the left menu)

Choice of Doctor's Form 50 (English)

Choice of Doctor's Form 50 (Spanish)

Corrective and Disciplinary Action Form

Crisis Leave Donation

Crisis Leave Request

Employee Exit Checklist (Manager's Form)

Employee Exit Checklist (Employee's Form)

Employee Exit Information

First Report of Alleged Occupational Injury or Illness (Worker’s Compensation)

Fitness for Duty Observation Checklist

Fitness for Duty Certification Template

FMLA - Certification for Health Care Provider for Family Members Serious Health Condition

FMLA - Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave

FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

FMLA - Certification of Health Care Provider for Employees Serious Health Condition

FMLA - Certification of Qualifying Exigency for Military Family Leave

FMLA - Request for Family Medical Leave

FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave

Form I-9 and I-9 Central (USCIS Information Page)

Gold U Nomination

Gold/Silver U Poster

Grievance Filling Form

HIPAA Compliant Medical Release

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

LOA-Request for Military Leave -USSERA

LOA - Request for Nebraska Military Family Leave

Nepotism Exception Template

Observation Check List

Request for Accommodation

Retirement FAQ

Silver U Nomination Form

State of Nebraska GB First Fill Form - English

Reward & Recognition Tutorial

UNMC Employee Incident Report