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Human Resources Forms
Office of Human Resources website
Benefits
Employee Change of Address
Insurance
Compensation & Classification
PV PAWS
Email Account Request
Faculty/Staff E-mail Account Form
(Completed by Hiring Department Only)
Employment
Confidential Release Form
(
Background Check Policy
)
Confidential Release Form -
Summer Camp Hires
Employment Application
Faculty Application
I-9 Documentation (
English
) (
Spanish
)
Minor's Employment Release
(completed for employees younger than 18)
Volunteer Waiver
Offer Letters
Prior State Service Form
Employee Relations
Employee Registering in Classes During Work Hours
Formal Complaint Form
Exiting Employees
Employee Clearance
External Employment Request
External Employment and Consulting Application and Approval Form
Immigration
Students
Faculty/Staff
Advisors Report
(New)
H-1B Packet
Affidavit of Support
Invitation Letter
Request To Travel
Change of Address
Extension of Stay
Change of Address
Concurrent Enrollment
(New)
Curricular Practical Training
(New)
Full Course Waiver
(New)
Invitation Letter
(New)
Reinstatement
(New)
School Transfer
(New)
Leave
Certification of Health Care Provider for Employee's Serious Health Condition
[Formerly Medical Certification]
Sick Leave Pool Acknowledgement Form
Sick Leave Pool Donation Form
Sick Leave Pool Withdrawal Request
Statement of Previous State Employment
FMLA
WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition
WH-380-F Certification
of Health Care Provider for Family Member's Serious Health Condition
WH-381 Notice of Eligibility and Rights & Responsibilities
WH-382 Designation Notice
WH-384 Certification of Qualifying Exigency For Military Family Leave
WH-385 Certification for Serious Injury or Illness of Covered Service Member - for Military Family Leave
Emergency Leave Request Form
- To be completed by employee's supervisor in an emergency situation where employee is unable to submit their leave.
Leave Coordinator
Statement of Responsibility
Time / Leave Traq Forms
New Employee Orientation
New Employee Orientation Packet
Performance Evaluation
Supervisor Evaluation Form
Employee Evaluation Form
Retirement
Application for Participation in Early Retirement with Modified Service (ER/MS)
ORP Information Acknowledgment Form
ORP/TDA Representative Acknowledgment Form
ORP Salary Reduction Acknowledgment/Change of Vendor
ORP Notification of Change in Employment Status
ORP/TDA Transfer Verification Form
Prior ORP Participation Acknowledgment Form
Tax-Deferred Account Maximum Contribution Limit Worksheet
TDA Salary Reduction Agreement/Change of Vendor Form
Summer Camps
Summer Camp Information Sheet
Workers' Compensation
Bona Fide Offer of Employment
(Early return to work with restrictions)
Employees First Report of Injury or Illness
Employee's Claim for Compensation for a Work-Related Injury or Occupational Disease (
Eng
) or (
Sp
)
Employer's Wage Statement
Request for Paid Leave
(Submit if absent from work for more than three days)
Supplemental Report of Injury
