Resources

• Applying for SURS Disability
• Child of Emloyee Tuition Waiver
• Civil Service Employee Tuition Waiver
• Conflict of Interest Disclosure Form (Civil Service Employees)
• Extra Help Non-Clerial Appointment Form
• Transfer List Request Form
• Reciprocal Service Time Request
• Remote and Hybrid Work Agreement
• Report of Non-University Activities (RNUA- Academic Employees)
• Request to Access Employee Records
• Statement of SURS Annuity Status

• Release Form

• Employee Separation and Exit Form (For Graduate Assistants, Graduate Hourly, Academic Hourly, and Extra Help Employees — employee and unit)
• Employee Separation and Exit Form (For Faculty, Postdoctoral Research Associates, Academic Professional and Civil Service Employees — employee and unit)

FMLA Form And Instructions

The Family and Medical Leave Act (FMLA) form is used to grant eligible employees up to 12 weeks of leave entitlement for the birth or adoption of a child; for the care of a child, spouse, or parent who has a serious health condition; when an employee is unable to perform the function of his or her position due to a serious health condition; or for a qualifying military-related exigency; or up to 26 weeks of leave entitlement for the care of an ill/injured covered servicemember.

Carefully read the Employee Rights and Responsibilities section before completing the FMLA form. The employee requesting leave should complete the FMLA application section of the form (except in cases where the employee is incapacitated). The employee’s Health Care Provider should complete the FMLA Medical Certification section of the form.

The Leave Application Form requires Adobe Acrobat Reader

FMLA Certification Forms:

• Employee’s Serious Health Condition: PDF | RTF
• Family Member’s Serious Health Condition: PDF | RTF
• Serious Injury or Illness of Covered Servicemember: PDF | RTF
• Qualifying Exigency for Military Family Leave: PDF | RTF

VESSA Form And Instructions

The Victims’ Economic Security and Safety Act (VESSA) form is used to grant up to 12 weeks of leave entitlement to eligible employees who are victims of domestic or sexual violence or who have a family or household member who is a victim.

Carefully read the Employee Rights and Responsibilities section before completing the VESSA form. The employee requesting leave should complete the VESSA application (except in cases where the employee is incapacitated). If medical certification is required, the employee’s Health Care Provider should complete the FMLA Medical Certification form.

• VESSA Form (PDF) requires Adobe Acrobat Reader
• VESSA Form (RTF) for download

Please use the following forms should you need to request a conditional hire before the background check process is complete.

Documents as PDFs:

Conditional Hire Employee Acknowledgement
and Agreement

Conditional Hire Request Form

Retroactive Conditional Hire Form

Documents in Word:

Conditional Hire Employee Acknowledgementand Agreement

Conditional Hire Request Form

Retroactive Conditional Hire Form

• Employee Separation and Exit form For Graduate Assistants (all titles), Graduate Hourly, Academic Hourly, and Extra Help Employees) 

• Employee Separation Checklist For Faculty, Postdoctoral Research Associates, Academic Professional and Civil Service Employees 

FMLA Form And Instructions

The Family and Medical Leave Act (FMLA) form is used to grant eligible employees up to 12 weeks of leave entitlement for the birth or adoption of a child; for the care of a child, spouse, or parent who has a serious health condition; when an employee is unable to perform the function of his or her position due to a serious health condition; or for a qualifying military-related exigency; or up to 26 weeks of leave entitlement for the care of an ill/injured covered servicemember.

Carefully read the Employee Rights and Responsibilities section before completing the FMLA form. The employee requesting leave should complete the FMLA application section of the form (except in cases where the employee is incapacitated). The employee’s Health Care Provider should complete the FMLA Medical Certification section of the form.

The Leave Application Form (PDF) requires Adobe Acrobat Reader.

FMLA Certification Forms:

• Employee’s Serious Health Condition: PDF | RTF
• Family Member’s Serious Health Condition: PDF | RTF
• Serious Injury or Illness of Covered Servicemember: PDF | RTF
• Qualifying Exigency for Military Family Leave: PDF | RTF

VESSA Form and Instructions

The Victims’ Economic Security and Safety Act (VESSA) form is used to grant up to 12 weeks of leave entitlement to eligible employees who are victims of domestic or sexual violence or who have a family or household member who is a victim.

Carefully read the Employee Rights and Responsibilities section before completing the VESSA form. The employee requesting leave should complete the VESSA application (except in cases where the employee is incapacitated). If medical certification is required, the employee’s Health Care Provider should complete the FMLA Medical Certification form.

• VESSA Form (PDF) requires Adobe Acrobat Reader
• VESSA Form (RTF) for download

Offer Letter Language & Additional Resources

Faculty

• Faculty on Indefinite Tenure
• Faculty on “Q” Appointments
• Tenure-Track Assistant Professors 
• Tenure-Track Assistant Professors with ABD 
• Specialized Faculty — collectively bargained 
• Specialized Faculty — NOT collectively bargained 
• Postdoc Research Associates 

Staff

• Academic Hourly 
• Academic Professionals 
• Civil Service
• Non-Clerical Extra Help
• Visiting Academic Professionals

Student

• Recommended Offer Letter Template For GA
• Recommended Offer Letter Template for Grad Research Assistant
• Recommended Offer Letter Template for PGA
• Recommended Offer Letter Template for TA
• Recommended Offer Letter Template for TAR
• Undergrad Students

• 6 Month Probationary Civil Service Employee Performance Evaluation 
• 12 Month Probationary Civil Service Employee Performance Evaluation 

• Change in FTE Acceptance Statement For Civil Service Employees
• Change in Percent Time/FTE Acceptance Form for Academic Employees 
• Employee Request for Exception to the Limit on Summer Appointment
• Employee Group Change Authorization
• Graduate Assistantship Summer Limit Exception
• Position Cancellation Form

• Employment of Relatives Form
• Personnel File Request Review – Supervisor

• Service in Excess/Lump Sum Form – Overtime Eligible
• Service in Excess/Lump Sum Form – Overtime Exempt