Forms

Supplemental Employment

Supplemental Employment Purpose: Use this form to request approval of a supplemental work assignment with the University. Questions? Contact Talent Acquisition through HR Connect. Last Updated: August 14, 2024

Sign On Bonus Request

Sign On Bonus Request Purpose: Use this form to request a sign on bonus. Questions? Contact Talent Acquisition through HR Connect. Last Updated: August 14, 2024

SHRA Supplemental Filing Form

SHRA Supplemental Filing Form Purpose: Use this form to provide documentation in support of a SHRA grievance. Questions? Contact Employee Relations through HR Connect. Last Updated: August 14, 2024

SHRA Grievance

SHRA Grievance Purpose: Use this form to initiate the SHRA grievance process. Questions? Contact Employee Relations through HR Connect. Last Updated: August 14, 2024

Short Term Disability Benefits Request (Form 701)

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

Short Term Disability Benefits Earnings and Medical Eligibility Report (Form 703)

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. Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024

Separation Notice

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. Questions? Contact Employee Engagement and Retention through HR Connect. Last Updated: August 14, 2024

Secondary Employment

Secondary Employment Purpose: Use this form to request approval of a secondary job with an external employer. Questions? Contact Talent Acquisition through HR Connect. Last Updated: August 14, 2024

Retention Bonus Request

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

Professional Administrator Certification (PAC) Enrollment

Professional Administrator Certification (PAC) Enrollment Purpose: Use this form to enroll in the Professional Administrator Certification (PAC) program. Questions? Contact Learning and Organizational Development through HR Connect. Last Updated: August 14, 2024