Benefits
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). Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024
Emergency Loan Request Fund
Emergency Loan Fund Request 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
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
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
ADA Accommodation Request
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