HR - Employee Relations Forms

Guidelines List | Forms | Procedures | UNMC Policies

Welcome to HR Employee Forms

Benefits

Records

Staffing

Compensation

Employee Relations

Other

Employee Relations Forms

Request for Accommodation

• ADA-Req for Accommodation for Employee-Template
• UNMC Employee Request for ADA (medical Exemption) to COVID-19 Vaccination
• UNMC Employee Religious Accommodation Request Form

Corrective and Disciplinary

• Corrective and Disciplinary Action Form

Fitness for Duty

• Fit for Duty Observation checklist
• Fit for Duty Certification

Grievance Process

• ER - Grievance Filing Form

Leave

• Adoption Leave
• Advance Leave

Crisis Leave

• Crisis Leave Donation
• Crisis Leave Request

Family Medical Leave Act

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

Leave of Absence

• LOA - Request for Nebraska Military Family Leave
• LOA -Mil-USSERA
• Vacation / Sick Leave / Holiday Accrual
• LOA without Pay Request Form

Reward and Recognition

• Gold U Nomination Form
• Silver U Nomination Form
• Silver-Gold U Informational Poster

Separation

• Employee Separation - Employee Exit Checklist
• Employee Separation - Mgr Exit Checklist
• Employee Exit Information
• Retiree Guide

Worker Compensation

• UNMC Incident Report

If you have any questions about any of the Employee Relations form/templates please email employeerelations