Managers & Supervisors

Forms

Leave of Absence

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

Declaration of Relationship

Designation Notice

FML Exempt Employee Workweek Agreement

FML Usage Tracking Calculator

Leave of Absence Request form

Liberty Mutual Attending Physician's Statement

Liberty Mutual Disability Claim Form

Liberty Mutual Disability Claim Form - Spanish

Liberty Mutual Reporting Your Disability Claim Online

Notice of Eligibility and Rights & Responsibilities

Return to Work Certification

Return to Work Certification non-FML

Employment

Cybersecurity Checklist

Employee Agreement- University Purchased Equipment

Employee Flex Schedule Agreement Form

Home Office Checklist

New Hire Checklist

Probationary Period Report Form

Telecommute - Remote Work Agreement

Compensation

Employee Flex Schedule Agreement Form

Employee Self-Assessment Form

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

Probationary Period Report Form

Vacation Policy Request for Exception Form

Employee Services

Employee Request for Reasonable Accommodation

Medical Response for a Reasonable Accommodation Request

Medical Response for Reasonable Accommodation - ESA

Reasonable Accommodation Agreement

Transitional Work Program Agreement

Work Status Form

Employee-initiated Reduction In Time (ERIT) Contract - 7/1/12–6/30/14