Current Employees

Forms

Catastrophic Leave Donation Form

Catastrophic Leave Request Form

Certificate of Health Care Provider for Employee’s Pregnancy Disability

Certificate of Health Care Provider for Employee’s Serious Health Condition

Certificate of Health Care Provider for Family Member’s Serious Health Condition

Certificate of Healthcare Provider non-FML

Certification for Military Caregiver Leave

Certification for Qualifying Exigency Leave

Cybersecurity Checklist

Declaration of Relationship

Designation Notice

Employee Agreement- University Purchased Equipment

Employee Flex Schedule Agreement Form

Employee Self-Assessment Form

Employee-initiated Reduction In Time (ERIT) Contract (DocuSIgn)

FMLA and EFML Usage Tracking Calculator

Home Office Checklist

Leave of Absence Request form

Lincoln Financial Reporting Your Disability Claim Online

Lincoln Financial Attending Physician's Statement

Lincoln Financial Reporting Your Disability Claim

Lincoln Financial Disability Claim Form - English

Lincoln Financial Disability Claim Form - Spanish

Medical Response for a Reasonable Accommodation Request

Non-Represented Compensatory Time Election Form

Notice of Eligibility and Rights & Responsibilities

Performance Eval Form - Non-Represented Staff_2019-2020

Performance Eval Form - Non-Represented Staff (Type-In) Version_2017 for Mac

Performance Eval Form - Non-Represented Staff (Type-In) Version_2017 for Windows

Performance Eval Form - Non-Represented Staff (Type-In, No Drop-Downs) Version_2017

Performance Eval Form Represented Employee

Return to Work Certification

Return to Work Certification non-FML

Telecommute - Remote Work Agreement

UC Employee Request for Emergency Paid Sick Leave (EPSL) and/or Expanded Family Medical Leave (EFML)(Revised 10/12/20)

UC Employee Request for Emergency Paid Sick Leave (EPSL) and/or Expanded Family Medical Leave (EFML)(Revised 10/12/20)

UCPath Forms Library

UCPath Job Data Update Form

UCPath Position Update Form

UCSB Temporary Remote Work Agreement

UCSB Temporary Remote Work Agreement (DocuSign)