Forms

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

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

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 (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 (Computer) Purpose: Use this form to request FLSA Exempt designation under the Computer duties test. Last Updated: July 26, 2024

FLSA Exemption Request (Administrative) Purpose: Use this form to request FLSA Exempt designation under the Administrative duties test. Last Updated: July 25, 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). Email Contact: benefits@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

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

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