Forms
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).
Email Contact: staff-recognition@charlotte.edu
Last Updated: August 14, 2024
Employment Verification
Purpose: Use this form to request verification of University employment (current or former employment).
Email Contact: employment@charlotte.edu
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).
Email Contact: benefits@charlotte.edu
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
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 (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 (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 (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
FMLA Request (12 Month)
Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 12 month employees.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
FMLA Request (9 Month)
Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 9 month employees.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
Former Employee Address Change Request
Former Employee Address Change Request
Purpose: Use this form to request an address change (former employees).
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024
I-9 Remote Access Request
Purpose: Use this form to request access to remote I-9 verification.
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024
Instructor Led Training Session Scheduling (Existing Course)
Instructor Led Training Session Scheduling (Existing Course)
Purpose: Use this form to request and/or confirm proposed date(s) for instructor-led training session(s) – current course(s).
Email Contact: hrtraining.charlotte.edu
Last Updated: August 14, 2024
NinerTalent User Group Access Request
NinerTalent User Group Access Request
Purpose: Use this form to request access to NinerTalent User Groups for employees (supervisors/business officers).
Last Updated: August 14, 2024
Optional Retirement Program Acknowledgement (ORP-3)
Optional Retirement Program Acknowledgement (ORP-3)
(Please reference the forms section under the “Optional Retirement Program Information” and click on the OTP-3 acknowledgement with instructions.
Purpose: Use this form to acknowledge participation in the Optional Retirement Plan (ORP) at the time of employee separation.
Email Contact: benefits@charlotte.edu
Last Updated: August 15, 2024