Forms
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
Out of State Approval Request – Financial Services
Out of State Work Approval Request – Financial Services
Purpose: Use this form to request authorization for an employee to complete work for UNC Charlotte from a non-NC jurisdiction for a duration of greater than one (1) month. Note: This form must be submitted at least sixty (60) days prior to the proposed start date of the arrangement to permit an opportunity for receipt of all necessary approvals as indicated on the form. For more details, please refer to the Out-of-State Employees Guidance web page.
Last Updated: August 14, 2024