Forms

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) Purpose: Use this form to request FLSA Exempt designation under the Executive duties test. Last Updated: August 14, 2024

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) Purpose: Use this form to request FLSA Exempt designation under the Computer duties test. Last Updated: August 14, 2024

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 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 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 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

Employee of the Year Nomination Purpose: Use this form to submit nomination(s) for Employee of the Year. Questions? Contact Employee Engagement and Retention through HR Connect. Last Updated: August 14, 2024

Emergency Loan Fund Request Purpose: Use this form to request a loan from the Emergency Loan Fund ($100 to $250 once per year). Questions? Contact Employee Relations through HR Connect. Last Updated: August, 2024