Forms Directory

If you have any questions regarding how to complete any of these forms, please call Human Resources at 402-472-3101.

Benefits

All benefit forms are maintained by the University of Nebraska and can be found on their site at University of Nebraska benefits forms

CDL Drug and Alcohol Testing

• Certificate of Receipt of Drug and Alcohol Testing Policy
• Certificate of Drug and Alcohol Training

Leave Requests

• Certification of Health Care Provider
• Crisis Leave Request
• Family/Medical Leave (FML) Request
• Request for Leave

You may be eligible to use Crisis Leave in conjunction with Family Medical Leave per policy

Miscellaneous

• Overtime Authorization Agreement (PDF)
• Permission to Engage in Outside Activity
• Recurring Payment/Additional Payments from SAPPHIRE
• Student Field Trip Insurance
• Student Worker Agreement 

New Hire

• Confidentiality Agreement Form
• Compensatory Time Agreement
• Direct Deposit from SAPPHIRE
• I-9 Form from SAPPHIRE
• NCard for UNL Faculty & Staff
• PAF (Personnel Action Form) from SAPPHIRE

NU Values Compensation & Evaluation

• Login to the Job Description System (PeopleAdmin)
• Salary Determination Form
• Performance Evaluation Form (Performance Management Overview)

Recruitment and Offer

• Criminal History Disclosure Form (procedure)
• Position Requisition via PeopleAdmin
• Reference Check / Release of Liability

Templates:

• Letter of acknowledgment (PDF)
• Letters of Offer
  • Grant Funded Position (PDF)
  • Non Grant Funded/Regular Position (PDF)
  • Transfer Grant Funded Position (PDF)
  • Transfer Non Grant Funded/Regular Position (PDF)
  • Temporary Appointment
• Letters to Unsuccessful Candidates
  • Interviewed Candidates (PDF)
  • Not Interviewed Candidates (PDF)

Worker's Compensation

• First Report of Alleged Occupational Injury or Illness
• Supervisors Incident Analysis Report
• Workers' Compensation Incident Report
• 7 Day Waiting Period Acknowledgement
• Employee's Choice or Change of Doctor 
• Release to Return to Work
• Employee Mileage Forms
• First Script Workers Compensation Program- English (en español)
• HIPPA Compliant Release (Benefits Office use only)
• Witness Statement Form