Compensation Forms

• Job Description Template (Word.doc)

Evaluation Forms

• Individual Contributor Performance Appraisal Form - This form is used for all benefits eligible employees who do not have employees reporting to them.
• People Manager/Supervisor & Management A&P Performance Appraisal Form - This for is used for all Management A&P and for managers who have people reporting to them.
• Hourly Employee Performance Appraisal Form - This form is used for all non-benefits eligible casual, part-time and temporary employees.
• Probationary Evaluation Form - Use for probationary reviews at 2, 4, and 6 months.

Employment Related Forms

• Clearance Request for Minor in the Workplace Study or Employment (Word.doc)
• Criminal Background Check Form
• Reference Checking Template (Word.doc)
• Retiree Questionnaire Form (Word.doc)
  For State Employee Retirees only

Equal Employment Opportunity (EEO) Forms

• Request for Reasonable Accommodations-Employees
• Request for Reasonable Accommodations-Employees (Medical)
• Request Response for Reasonable Accommodations-Employees
  
• Request for Reasonable Accommodations-Student
• Request for Reasonable Accommodations-Student (Medical)
• Request Response for Reasonable Accommodations-Student

Family Medical Leave Act Forms

• Request for Family Medical Leave (Word.doc)
• Notification of Eligibility and Rights and Responsibilities
• Certification of Health Care Provider for Employee’s Serious Health Condition
• Certification of Health Care Provider for Family Member’s Serious Health Condition
• Certification of Qualifying Exigency for Military Family Leave
• Certification of Serious Injury or Illness of Covered Servicemember
• Designation Notice
• Certification of Fitness for Duty (Word.doc)
• FMLA Time Log (Word.doc)

Pre-Employment Forms

Authorization to Work Forms

• I-9 Employment Eligibility Verification
• Federal Tax Withholding Form (W-4)

Direct Deposit Forms

• Authorization Agreement for Direct Deposit (Optional)

Prior State Service Forms

• Prior State Service Form (Word)
• Retiree Questionnaire Form (Word.doc)
  For State Employee Retirees only

Additional Forms

• Public Access Form
• Selective Service Form (Word.doc)
• EEO Employee Data Form (PDF)
• Veteran Verification Form (PDF)
• New Employee Registration and Health History
• Summary of Policies Relating to UTHealth Property
• Background Check Authorization Form
• Emergency Notification Form

Verification of Employment Forms

Verification of employment requests are completed by the Office of Human Resources. Information will only be provided to external agencies/organizations upon written release/authorization from the employee or previous employee, as verified with an individual’s signature.

• Prior State Service Form (Word.doc)
• Employment Verification Letter (For immigration purposes only)

Training Forms

• Request for Training
• Tuition Reimbursement Form (Adobe 6.0 or higher required)