Forms
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
Paid Parental Leave Request
Purpose: Use this form to request eligibility for participation in the Paid Parental Leave (PPL) program.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
Preferred Email Address Change Request
Preferred Email Address Change Request
Purpose: Use this form to request a preferred email address change (former employees).
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024
Prior Creditable State Service Verification Request
Prior Creditable State Service Verification Request (included with new hire forms)
Purpose: Use this form to request verification of creditable prior State service.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
Professional Administrator Certification (PAC) Enrollment
Professional Administrator Certification (PAC) Enrollment
Purpose: Use this form to enroll in the Professional Administrator Certification (PAC) program.
Email Contact: hrtraining@charlotte.edu
Last Updated: August 14, 2024
Retention Bonus Request
Purpose: Use this form to request a retention bonus.
Last Updated: August 14, 2024
Secondary Employment
Purpose: Use this form to request approval of a secondary job with an external employer.
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024
Separation Notice
Purpose: Use this form to provide advance notification of your intended separation from University service. Note: If you are retiring, changing positions within UNC Charlotte, completing a partial separation or student separation, you do not need to complete this form.
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024
Short Term Disability – Medical Report for Eligibility Review (Form 7A)
Short Term Disability – Medical Report for Eligibility Review (Form 7A)
Purpose: Use this form to request medical eligibility for short-term disability coverage under the Disability Income Plan of North Carolina.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
Short Term Disability Benefits Earnings and Medical Eligibility Report (Form 703)
Short Term Disability Benefits Earnings and Medical Eligibility Report (Form 703)
Purpose: Use this form to report monthly certification from the medical provider for short term disability benefits.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
Short Term Disability Benefits Request (Form 701)
Short Term Disability Benefits Request (Form 701)
Purpose: Use this form to request short-term benefits through the Disability Income Plan of North Carolina.
Email Contact: benefits@charlotte.edu
Last Updated: August 14, 2024
SHRA Grievance
Purpose: Use this form to initiate the SHRA grievance process.
Email Contact: employee-relations@charlotte.edu
Last Updated: August 14, 2024
SHRA Supplemental Filing Form
Purpose: Use this form to provide documentation in support of a SHRA grievance.
Email Contact: employee-relations@charlotte.edu
Last Updated: August 14, 2024
Sign On Bonus Request
Purpose: Use this form to request a sign on bonus.
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024
Supplemental Employment
Purpose: Use this form to request approval of a supplemental work assignment with the University.
Email Contact: employment@charlotte.edu
Last Updated: August 14, 2024