Forms Directory

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

Many of the forms below are in portable document format (PDF). Learn how to fill and sign forms using Acrobat Reader.

Benefits

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

Retirement

• University of Nebraska retirement steps and forms
• Access to retirement funds require the University of Nebraska impact form 

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 Form can be completed through NUgrant at nugrant.unl.edu.
• Student Field Trip Insurance
• Student Worker Agreement 

New Hire

• Confidentiality Agreement Form
• Compensatory Time Agreement (PDF)
• 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)
• 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 (PDF)
• 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