Employee Relations

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

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

SHRA Grievance Purpose: Use this form to initiate the SHRA grievance process. Questions? Contact Employee Relations through HR Connect. Last Updated: August 14, 2024

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 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

EHRA Review and Appeal Form Purpose: Use this form to initiate the EHRA non-faculty grievance process. Questions? Contact Employee Relations through HR Connect. Last Updated: August 14, 2024

EEO Informal Complaint Intake Purpose: Use this form to file an informal complaint of potential discrimination. Questions? Contact Employee Relations through HR Connect. Last Updated: August 14, 2024

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

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