Employee

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

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 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

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/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 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

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

SHRA Grievance Purpose: Use this form to initiate the SHRA grievance process. Email Contact: employee-relations@charlotte.edu Last Updated: July 31, 2024

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

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