Forms

Sign On Bonus Request Purpose: Use this form to request a sign on bonus. Email Contact: employment@charlotte.edu Last Updated: August 14, 2024

SHRA Supplemental Filing Form Purpose: Use this form to provide documentation in support of a SHRA grievance. Email Contact: employee-relations@charlotte.edu Last Updated: August 14, 2024

SHRA Grievance Purpose: Use this form to initiate the SHRA grievance process. Email Contact: employee-relations@charlotte.edu Last Updated: August 14, 2024

Short Term Disability Benefits Request (Form 701) Purpose: Use this form to request short-term benefits through the Disability Income Plan of North Carolina. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024

Short Term Disability Benefits Earnings and Medical Eligibility Report (Form 703) Purpose: Use this form to report monthly certification from the medical provider for short term disability benefits. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024

Separation Notice Purpose: Use this form to provide advance notification of your intended separation from University service. Note: If you are retiring, changing positions within UNC Charlotte, completing a partial separation or student separation, you do not need to complete this form. Email Contact: employment@charlotte.edu Last Updated: August 14, 2024

Secondary Employment Purpose: Use this form to request approval of a secondary job with an external employer. Email Contact: employment@charlotte.edu Last Updated: August 14, 2024

Retention Bonus Request Purpose: Use this form to request a retention bonus. Last Updated: August 14, 2024

Professional Administrator Certification (PAC) Enrollment Purpose: Use this form to enroll in the Professional Administrator Certification (PAC) program. Email Contact: hrtraining@charlotte.edu Last Updated: August 14, 2024

Prior Creditable State Service Verification Request (included with new hire forms) Purpose: Use this form to request verification of creditable prior State service. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024