Forms & Letters for Employee Relations

Catastrophic Leave Sharing Program

• Vacation Hours Transfer Form 

Compensatory Time Off (CTO)

• PPSM
  • Compensatory Time Off Election Form 
• Labor Contracts
  • See Labor Relations: Forms & Letters

Background Check

• Employee/Applicant Release and Disclosure Form 
• New Hires 
• Reclassification or Assignment of New Duties 
• Transfers 

Family & Medical Leave Packet

• Certifications
  • Medical Leave Form for Employees 
  • Medical Leave Form for Family Member 
  • Pregnancy Disability 
  • Return to Work 
• Forms, Checklists and Facts
  • Leave of Absence Request Form
  • Request to Continue/Cancel Benefits Form 
• Military Certifications
  • Caregiver Leave
  • Qualifying Exigency Leave 
• Letters
  • See sample letters on UCnet
• Other
  • Leave Usage Tracking Form 
  • Family and Medical Leaves Charting Calendar 

Labor Contracts

• Forms and Letters for Labor Contracts

Layoff

• Labor Contract
  • See Labor Relations: Forms & Letters

Medical Separation

• Notice of Leave of Absence and Special Placement Consideration (90 day transfer search) 
• Request for Review (Campus Accommodation and/or Medical Separation) form - please review the instructions before filling out this form.

Military Leave

• Special Leave of Absence Form (to be used for Military Leaves) 

Miscellaneous Template Letters

• Performance Improvement Plan

MSP Separation

• Notice of Intent to Separate MSP (position elimination)
• Notice of Intent to Reduce MSP Appointment Percentage
• Letter of MSP Separation (position elimination when employee responds)
• Letter of MSP Separation (position elimination when employee does not respond)
• Letter of MSP Reduction in Time (when employee responds)
• Letter of MSP Reduction in Time (when employee does not respond)
• Working Document [MSP]

Near Relative Approvals

• Near Relative Exception Request

Pregnancy Disability Leave (PDL)

• Employee FML Eligible - For combined PDL and Parental Leave
• Employee FML Eligible - For Requests Limited to PDL
• Employee FML Eligible but Leave Entitlement Exhausted - For Requests for PDL only
• Employee Not FML Eligible - For requests for PDL only
• Letter for Change in End Date of PDL - For Approved Combined PDL and Parental Leave
• Medical Certification for Employee's Pregnancy Disability 
• PDL Confirmation Letter - Employee Not FML Eligible or Employee FML Eligible but Leave Entitlement Exhausted
• Request to Continue/Cancel Benefits While on Leave 
• Return to Work Certification