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

ADA

• ADA-Req for Accommodation for Employee-Template

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

• Adption Leave
• Advance Leave

Crisis Leave

• Crisis Leave Donation
• Crisis Leave Request

Family Medical Leave Act

• 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

Reward and Recognition

• Gold U Nomination Form
• UPoster
• Reward & Recognition Tutorial
• Silver U Nomination Form

Seperation

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

Worker Compensation

• Choice of Doctor-English
• Choice of Doctor-Spanish
• [http://www.unmc.edu/hr/forms/emp_rel/First%20Report%20of%20Alleged%20Incident.pdf First Report of Alleged Occupational Injury or Illness (Worker’s Compensation)
• HIPAA Compliant Medical Release
• State of Nebraska GB First Fill Form - English
• UNMC Incident Report

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