Forms

Paid Parental Leave Request

Purpose: Use this form to request eligibility for participation in the Paid Parental Leave (PPL) program.

Questions? Contact Benefits through HR Connect.

Last Updated: August 14, 2024

Preferred Email Address Change Request

Purpose: Use this form to request a preferred email address change (former employees).

Questions? Contact Records Management through HR Connect.

Last Updated: August 14, 2024

Prior Creditable State Service Verification Request (included with new hire forms)

Purpose: Use this form to request verification of creditable prior State service.

Questions? Contact Benefits through HR Connect.

Last Updated: August 14, 2024

Professional Administrator Certification (PAC) Enrollment

Purpose: Use this form to enroll in the Professional Administrator Certification (PAC) program.

Questions? Contact Learning and Organizational Development through HR Connect.

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.

Questions? Contact Talent Acquisition through HR Connect.

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.

Questions? Contact Employee Engagement and Retention through HR Connect.

Last Updated: August 14, 2024

Severance Pay Request

Purpose: Use this form to submit a request for severance pay when Employee Relations has approved a discontinuation of service with severance pay.

Questions? Contact Employee Relations through HR Connect.

Last Updated: March 3, 2025

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.

Questions? Contact Benefits through HR Connect.

Last Updated: August 14, 2024

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.

Questions? Contact Benefits through HR Connect.

Last Updated: August 14, 2024

Short Term Disability Benefits Request (Form 701)

Purpose: Use this form to request short-term benefits through the Disability Income Plan of North Carolina.

Questions? Contact Benefits through HR Connect.

Last Updated: August 14, 2024

SHRA Grievance

Purpose: Use this form to initiate the SHRA grievance process.

Questions? Contact Employee Relations through HR Connect.

Last Updated: August 14, 2024

SHRA Supplemental Filing Form

Purpose: Use this form to provide documentation in support of a SHRA grievance.

Questions? Contact Employee Relations through HR Connect.

Last Updated: August 14, 2024

Sign On Bonus Request

Purpose: Use this form to request a sign on bonus.

Questions? Contact Talent Acquisition through HR Connect.

Last Updated: August 14, 2024

Supplemental Employment

Purpose: Use this form to request approval of a supplemental work assignment with the University.

Questions? Contact Talent Acquisition through HR Connect.

Last Updated: August 14, 2024