Forms
FMLA Request (9 Month)
FMLA Request (9 Month) Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 9 month employees. Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024
FMLA Request (12 Month)
FMLA Request (12 Month) Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 12 month employees. Questions? Contact Benefits through HR Connect. Last Updated: January 30, 2025
FLSA Exemption Request (Learned Professional)
FLSA Exemption Request (Learned Professional) Purpose: Use this form to request FLSA Exempt designation under the Learned Professional duties test. Last Updated: August 14, 2024
FLSA Exemption Request (Executive)
FLSA Exemption Request (Executive) Purpose: Use this form to request FLSA Exempt designation under the Executive duties test. Last Updated: August 14, 2024
FLSA Exemption Request (Creative Professional)
FLSA Exemption Request (Creative Professional) Purpose: Use this form to request FLSA Exempt designation under the Creative Professional duties test. Last Updated: August 14, 2024
FLSA Exemption Request (Computer)
FLSA Exemption Request (Computer) Purpose: Use this form to request FLSA Exempt designation under the Computer duties test. Last Updated: August 14, 2024
FLSA Exemption Request (Administrative)
FLSA Exemption Request (Administrative) Purpose: Use this form to request FLSA Exempt designation under the Administrative duties test. Last Updated: August 14, 2024
Fitness for Duty Certification
Fitness for Duty Certification Purpose: Use this form to provide verification of ‘fitness for duty’ when an employee has received medical authorization to return to work (with or without work restrictions). Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024
Employment Verification
Employment Verification Purpose: Use this form to request verification of University employment (current or former employment). Questions? Contact Talent Acquisition through HR Connect. Last Updated: October 30, 2025
Employee of the Year Nomination Approval
Employee of the Year Nomination Approval Purpose: Use this form to request signature authorization for an Employee of the Year nominee (Vice Chancellor level). Questions? Contact Employee Engagement and Retention through HR Connect. Last Updated: August 14, 2024