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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
Corrective and Disciplinary
Fitness for Duty
Grievance Process
Leave
Crisis Leave
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
- LOA without Pay Request Form
Reward and Recognition
Separation
- 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
- 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