Forms & Documents

The following is a list of the most frequently requested forms. Forms must be printed, filled out, and returned to Office of People & Culture.

FMLA, Disability, & Worker's Comp

• Request for FMLA
• 380-E Certification of Health Care Provider for Employee
• 380-F Certification of Health Care Provider Certification for Family Member
• 384 Certification of Qualifying Exigency for Military Family Leave
• 385 Certification for Serious Injury or Illness of Current Servicemember
• 385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
• Return-to-Work Certification
• FMLA Summary
• Short-Term Disability Claim
• Worker's Comp First Report of Injury

Summer Camps Forms

• Affidavit of Good Moral Character
• Employee Information Sheet - Summer Camps
• Policy re: Camps and Other Programs Involving Minors

Miscellaneous Other Forms

• ADA Accommodations & Disability Resources
  • Request for ADA Accommodations
• Hiring
  • Position Description Template
• Conflict of Interest Disclosure Form
• Managing & Requesting Benefits
  • HSA Election Form
• Military Leave Request Form 
•  Offboarding
  
  • Exit Interview
• Recognition
  • Nominate an Employee of the Month
• Remote / Flex Work
  • Request an Alternate Work Location / Schedule
• Retirement Eligibility Verification
  • Retirement Eligibility Verification Form