Forms
Academic Assistance Request
Purpose: Use this form to request reimbursement for academic course work directly related to position role assigned.
Contact Email: hrtraining@webmaster
Last Updated: July 25, 2024
ADA Accommodations Request
Purpose: Use this form to request an accommodation under the Americans with Disabilities Act (ADA).
Contact Email: ada-hr@charlotte.edu
Last Updated: July 10, 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).
Contact Email: benefits@charlotte.edu
Last Updated: July 22, 2024
Center for Creative Leadership Nomination/Application
Center for Creative Leadership Nomination/Application
Purpose: Use this form to submit an application and/or nomination for Leadership Development Program sponsorship (Center for Creative Leadership).
Contact Email: hrtraining@charlotte.edu
Last Updated: July 25, 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).
Email Contact: employee-relations@charlotte.edu
Last Updated: July 25, 2024
Dual Career Couples Employment Assistance Program
Dual Career Couples Employment Assistance Program
Purpose: Use this form to request enrollment in the Dual Career Couples Employment Assistance Program (spouses of faculty or professional staff).
Email Contact: employment@charlotte.edu
Last Updated: July 25, 2024
Dual Employment (CP-30)
Purpose: Use this form to request additional payment to employees for work performed for another state agency.
Email Contact: employment@charlotte.edu
Last Updated: July 25, 2024
EEO Informal Complaint Intake
Purpose: Use this form to file an informal complaint of potential discrimination.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 25, 2024
EHRA Analysis Guide
Purpose: Use this form to determine if a new position meets criteria for EHRA designation.
Last Updated: July 25, 2024
EHRA Performance Bonus Recommendation
EHRA Performance Bonus Recommendation
Purpose: Use this form to recommend an EHRA performance bonus (Supervisor/Manager only).
Last Updated: July 25, 2024
EHRA Review and Appeal Form
Purpose: Use this form to initiate the EHRA non-faculty grievance process.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 25, 2024
EHRA Staff Agreement/Offer Letter
EHRA Staff Agreement/Offer Letter
Purpose: Use this form to extend an offer of employment for a permanent EHRA staff appointment.
Email Contact: employment@charlotte.edu
Last Updated: July 25, 2024
Emergency Loan Request Fund
Purpose: Use this form to request a loan from the Emergency Loan Fund ($100 to $250 once per year).
Email Contact: employee-relations@charlotte.edu
Last Updated: July 25, 2024
Employee of the Year Nomination
Employee of the Year Nomination
Purpose: Use this form to submit nomination(s) for Employee of the Year.
Email Contact: staff-recognition@charlotte.edu
Last Updated: July 25, 2024
Employee of the Year Nomination Approval
Employee of the Year Nomination Approval
Purpose: Use this form to request signature authorization for an Employee of the Year nominee (Vice Chancellor level).
Email Contact: staff-recognition@charlotte.edu
Last Updated: July 25, 2024
Employment Verification
Purpose: Use this form to request verification of University employment (current or former employment).
Email Contact: employment@charlotte.edu
Last Updated: July 25, 2024
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).
Email Contact: benefits@charlotte.edu
Last Updated: July 25, 2024
FLSA Exemption Request (Administrative)
FLSA Exemption Request (Administrative)
Purpose: Use this form to request FLSA Exempt designation under the Administrative duties test.
Last Updated: July 25, 2024
FLSA Exemption Request (Computer)
FLSA Exemption Request (Computer)
Purpose: Use this form to request FLSA Exempt designation under the Computer duties test.
Last Updated: July 26, 2024
FLSA Exemption Request (Creative Professional)
FLSA Exemption Request (Creative Professional)
Purpose: Use this form to request FLSA Exempt designation under the Creative Professional duties test.
Last Updated: July 26, 2024
FLSA Exemption Request (Executive)
FLSA Exemption Request (Executive)
Purpose: Use this form to request FLSA Exempt designation under the Executive duties test.
Last Updated: July 26, 2024
FLSA Exemption Request (Learned Professional)
FLSA Exemption Request (Learned Professional)
Purpose: Use this form to request FLSA Exempt designation under the Learned Professional duties test.
Last Updated: July 26, 2024
FMLA Request (12 Month)
Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 12 month employees.
Email Contact: benefits@charlotte.edu
Last Updated: July 26, 2024
FMLA Request (9 Month)
Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 9 month employees.
Email Contact: benefits@charlotte.edu
Last Updated: July 26, 2024
Former Employee Address Change Request
Former Employee Address Change Request
Purpose: Use this form to request an address change (former employees).
Email Contact: employment@charlotte.edu
Last Updated: July 26, 2024
I-9 Remote Access Request
Purpose: Use this form to request access to remote I-9 verification.
Email Contact: employment@charlotte.edu
Last Updated: July 26, 2024
Instructor Led Training Session Scheduling (Existing Course)
Instructor Led Training Session Scheduling (Existing Course)
Purpose: Use this form to request and/or confirm proposed date(s) for instructor-led training session(s) – current course(s).
Email Contact: hrtraining.charlotte.edu
Last Updated: July 26, 2024
Medical Report for Disability Eligibility (Form 7A)
Medical Report for Disability Eligibility (Form 7A)
Purpose: Use this form to request medical eligibility for short-term disability coverage under the Disability Income Plan of North Carolina.
Email Contact: benefits@charlotte.edu
Last Updated: July 26, 2024
NinerTalent User Group Access Request
NinerTalent User Group Access Request
Purpose: Use this form to request access to NinerTalent User Groups for employees (supervisors/business officers).
Last Updated: July 26, 2024
Optional Retirement Program Acknowledgement (ORP-3)
Optional Retirement Program Acknowledgement (ORP-3)
Purpose: Use this form to acknowledge participation in the Optional Retirement Plan (ORP) at the time of employee separation.
Email Contact: benefits@charlotte.edu
Last Updated: July 26, 2024
Out of State Approval Request – Financial Services
Out of State Work Approval Request – Financial Services
Purpose: Use this form to request authorization for an employee to complete work for UNC Charlotte from a non-NC jurisdiction for a duration of greater than one (1) month. Note: This form must be submitted at least sixty (60) days prior to the proposed start date of the arrangement to permit an opportunity for receipt of all necessary approvals as indicated on the form. For more details, please refer to the Out-of-State Employees Guidance web page.
Last Updated: July 26, 2024
Paid Parental Leave Request
Purpose: Use this form to request eligibility for participation in the Paid Parental Leave (PPL) program.
Email Contact: benefits@charlotte.edu
Last Updated: July 26, 2024
Preferred Email Address Change Request
Preferred Email Address Change Request
Purpose: Use this form to request a preferred email address change (former employees).
Email Contact: employment@charlotte.edu
Last Updated: July 26, 2024
Prior Creditable State Service Verification Request
Prior Creditable State Service Verification Request (included with new hire forms)
Purpose: Use this form to request verification of creditable prior State service.
Email Contact: benefits@charlotte.edu
Last Updated: July 26, 2024
Professional Administrator Certification (PAC) Enrollment
Professional Administrator Certification (PAC) Enrollment
Purpose: Use this form to enroll in the Professional Administrator Certification (PAC) program.
Email Contact: hrtraining@charlotte.edu
Last Updated: July 26, 2024
Retention Bonus Request
Purpose: Use this form to request a retention bonus.
Last Updated: July 26, 2024
Secondary Employment
Purpose: Use this form to request approval of a secondary job with an external employer.
Email Contact: employment@charlotte.edu
Last Updated: July 31, 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.
Email Contact: benefits@charlotte.edu
Last Updated: July 31, 2024
Short Term Disability Benefits Earnings and Medical Eligibility Report (Form 703)
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.
Email Contact: benefits@charlotte.edu
Last Updated: July 31, 2024
Short Term Disability Benefits Request (Form 701)
Short Term Disability Benefits Request (Form 701)
Purpose: Use this form to request short-term benefits through the Disability Income Plan of North Carolina.
Email Contact: benefits@charlotte.edu
Last Updated: July 31, 2024
SHRA Grievance
Purpose: Use this form to initiate the SHRA grievance process.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 31, 2024
SHRA Supplemental Filing Form
Purpose: Use this form to provide documentation in support of a SHRA grievance.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 31, 2024
Sign On Bonus Request
Purpose: Use this form to request a sign on bonus.
Email Contact: employment@charlotte.edu
Last Updated: July 31, 2024
Supplemental Employment
Purpose: Use this form to request approval of a supplemental work assignment with the University.
Email Contact: employment@charlotte.edu
Last Updated: July 31, 2024
Telework / Remote Work Agreement
Telework/Remote Work Agreement
Purpose: Use this form to request a telework or remote work arrangement.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 31, 2024
Telework / Remote Work Agreement Renewal Request
Telework/Remote Work Agreement Renewal Request
Purpose: Use this form to renew current telework or remote work agreement.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 31, 2024
Telework and Remote Workspace Self-Certification Checklist
Telework and Remote Workspace Self-Certification Checklist
Purpose: Use this from to conduct an assessment of a remote work space.
Email Contact: employee-relations@charlotte.edu
Last Updated: July 31, 2024
Tuition Waiver Request
Purpose: Use this form to request management approval of planned course work at UNC Charlotte (or another University of North Carolina System institution) under Tuition Waiver program.
Email Contact: hrtraining@charlotte.edu
Last Updated: July 31, 2024
Voluntary Self Identification of Disability Status
Voluntary Self Identification of Disability Status
Purpose: Use this form to provide voluntary self identification of disability status.
Email Contact: eparecruitment@charlotte.edu
Last Updated: July 31, 2024
Voluntary Self Identification of Veteran Status
Voluntary Self Identification of Veteran Status
Purpose: Use this form to provide voluntary self identification of veteran status.
Email Contact: eparecruitment@charlotte.edu
Last Updated: July 31, 2024
Voluntary Shared Leave Donation
Voluntary Shared Leave Donation
Purpose: Use this form to make a donation to the Voluntary Shared Leave (VSL) program.
Email Contact: benefits@charlotte.edu
Last Updated: July 31, 2024
Volunteer Agreement
Purpose: Use this form to document authorization for a University volunteer.
Email Contact: employment@charlotte.edu
Last Updated: July 31, 2024
Waiver of Search Request (AA-23 EHRA Non-Faculty)
Waiver of Search Request (AA-23 EHRA Non-Faculty)
Purpose: Use this form to request a waiver of search for an EHRA non-faculty vacant position.
Email Contact: eparecruitment@charlotte.edu
Last Updated: July 31, 2024