Forms
Academic Assistance Request
Purpose: Use this form to request reimbursement for academic course work directly related to position role assigned.
Questions? Contact Learning and Organizational Development through HR Connect.
Last Updated: August 14, 2024
ADA Accommodation Request
Purpose: Use this form to request an accommodation under the Americans with Disabilities Act (ADA).
Questions? Contact Employee Relations through HR Connect.
Last Updated: September 10, 2025
Beneficiary Designation (TSERS Retirement)
Beneficiary Designation (TSERS Retirement)
Purpose: Use this form to request employee beneficiary information addition(s) and/or update(s) associated with the Teacher’s and State Employee Retirement plan (TSERS).
Questions? Contact Benefits through HR Connect.
Last Updated: August 14, 2024
Bereavement Leave Request
Purpose: Use this form to request to Bereavement Leave for the death of an immediate family member or colleague.
Questions? Contact Benefits through HR Connect.
Last Updated: January 13, 2025
Center for Creative Leadership Nomination/Application
Center for Creative Leadership Nomination/Application
Purpose: Use this form to submit an application and/or nomination for Leadership Development Program sponsorship (Center for Creative Leadership).
Questions? Contact Learning and Organization Development through HR Connect.
Last Updated: August 14, 2024
ComPsych Authorization Request – Employee Assistance
ComPsych Authorization Request – Employee Assistance
Purpose: Use this form to request authorization for participation in the Employee Assistance Program (ComPsych).
Questions? Contact Employee Relations through HR Connect.
Last Updated: August 14, 2024
Dual Employment (CP-30)
Purpose: Use this form to request additional payment to employees for work performed for another state agency.
Questions? Contact Talent Acquisition through HR Connect.
Last Updated: August 14, 2024
EEO Informal Complaint Intake
Purpose: Use this form to file an informal complaint of potential discrimination.
Questions? Contact Employee Relations through HR Connect.
Last Updated: August 14, 2024
EHRA Analysis Guide
Purpose: Use this form to determine if a new position meets criteria for EHRA designation.
Last Updated: August 14, 2024
EHRA Performance Bonus Recommendation
EHRA Performance Bonus Recommendation
Purpose: Use this form to recommend an EHRA performance bonus (Supervisor/Manager only).
Last Updated: August 14, 2024
EHRA Review and Appeal Form
Purpose: Use this form to initiate the EHRA non-faculty grievance process.
Questions? Contact Employee Relations through HR Connect.
Last Updated: August 14, 2024
EHRA Staff Agreement/Offer Letter
EHRA Staff Agreement/Offer Letter: Please contact Talent Acquisition through HR Connect to obtain the appropriate EHRA Staff Agreement/Offer Letter.
Purpose: Use this form to extend an offer of employment for a permanent EHRA staff appointment.
Questions? Contact Talent Acquisition through HR Connect.
Last Updated: November 22, 2024
Emergency Loan Request Fund
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
Employee of the Year Nomination
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
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