HR Forms
If you need any of these documents in an alternative format for accessibility purposes, please contact the Human Resources Office at 919-515-2135.
By Category
Background Checks | Classification & Compensation | Education & Development | EHRA/EPS Administration | Employee Relations | Employment | HR System | Insurance | International Employment | Leave | Recruitment | Retirement | Temporary Employment | Workers Compensation
By Alphabetical Listing
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
Background Checks
- A Summary of Your Rights Under the Fair Credit Reporting Act
- Article 23-A of the New York Correction Law
- Background Check Guidelines (coming soon)
- Education Verification Authorization
- Notice Regarding Background Investigation Pursuant to California Law
Classification & Compensation
Education & Development
- Academic Assistance Plan Application
- Faculty/Staff Tuition Waiver
- Pathways Leadership Development Program, Intent To Enroll Form
EHRA/EPS Administration
- EHRA Personnel Actions Requiring BOT or BOG Approval (HR-017)
- Non Salary and Deferred Compensation Form
- Request for Additional Payment to the Employee for Work Performed at Another State Agency
Employee Relations
- Asset Tracking Form
- EHRA Review and Appeal
- Exit Survey
- Mediation Request Form
- Separation Clearance Checklist
- SHRA Formal Internal Grievance Form
- Temporary Employees – Request to Pay Over Hourly Pay Rate
- Transfer Appraisal Form, SHRA
- Transfer Employee Separation Checklist
Employment
- At Will Appointments & EHRA Contract Reference Chart (coming soon)
- Certification of Temporary Employment Terms (non UTS)
- Checklist for Recruitment and Selection
- EHRA Sample Notification Letter
- Employment Verification Record
- I-9, Employment Eligibility Verification Form
- Interview Questions Template
- Offer Letters, SHRA
- Patent Agreement
- Posting Requirements
- Pre-Employment Inquiry Guide
- Recruitment and Selection Guidelines
- Reference Check Guidelines
- Sample Competency Based Interview Questions
- Secondary Employment Certification Form
- Telephone Reference Check
- Temporary Employee Application (non UTS)
- Work Hour Exception Form
HR System
- Personnel Action Form – Education/Contract
- Personnel Action Form – Job Data
- Personnel Action Form – Personal Information
Insurance
- AD&D Portability Form (coming soon)
- Cancer Plan Claim Form (Diagnosed) (coming soon)
- Cancer Plan Claim Form (Wellness/Checkup) (coming soon)
- Cancer Plan Evidence of Insurability Form (coming soon)
- Dental Claim Form
- Met Life Legal Enrollment Form
- Lincoln Financial Group Enrollment/Change/Cancel Form
- Liberty Mutual Statement of Health Form
- Post-doc Health Plan Enrollment Form
- Standard Long Term Disability Enrollment Form
- Standard Long Term Disability Medical History Statement
- State Health Plan – Appeal, Reimbursement and Prescription Drug Forms (coming soon)
- Term Life Beneficiary Change Form (coming soon)
- Term Life Coverage Continuation Request (coming soon)
- Term Life Death Claim Form (coming soon)
- Vision Plan Claim Form (coming soon)
- Work Hour Exception Form
International Employment
Leave
- Certification for Serious Injury of Illness of a Veteran for Military Caregiver Leave
- Certification of Healthcare Provider for Employee’s Serious Health Condition
- Certification of Healthcare Provider for Family Member’s Serious Health
- Certification of Qualifying Exigency for Military Family Leave
- Certification of Serious Injury or Illness of Covered Servicemember for Military Family Leave
- Military Leave Request Form
- Scholarly Reassignment Leave Form
- Shared Leave Donation Authorization Form
- Shared Leave Request Form
Recruitment
- Checklist for Recruitment and Selection
- EHRA Appointment Letters, Guidelines & Checklists
- EHRA Sample Notification Letter
- Interview Questions Template
- Posting Requirements
- Pre-Employment Inquiry Guide
- Recruitment and Selection Guidelines
- Sample Competency Based Interview Questions
- SHRA Offer Letters
- SHRA Sample Notification Letter
Retirement
- 401(k) Forms (coming soon)
- 403(b) Salary Reduction Agreement Form
- NC Prudential 457 (coming soon)
- ORP 1 – Election of Optional Retirement Program
- ORP 2 – Notice of Change to Investment Election Optional Program
- ORP 3 – ORP Actions When Leaving NC State
- TSERS & LEORS EHRA Enrollment Form
- UNC 457 Form (TIAA-CREF/Fidelity)
Temporary Employment
- Certification of Temporary Employment Terms (non UTS)
- Temporary Employee Application (non UTS)
- Temporary Employee Recruitment Guidelines
- UTS Employee Performance Evaluation
- UTS Job Order Form
Workers Compensation
- Employee Statement Form, Workers’ Compensation
- First Report of Incident Form
- Leave Options Form, Workers Compensation
- State of North Carolina First Fill (coming soon)
- Supervisor’s Medical Treatment Authorization Form
A
- A Summary of Your Rights Under the Fair Credit Reporting Act
- Academic Assistance Program Application
- Academic Family and Medical Leave Letter
- Accounting Support Questionnaire
- ADAAA Checklist
- Address Change Form – Human Resource System
- Analysis Tool for FSLA Exemption
- Analysis Tool for Possible Non-Faculty EHRA Status (coming soon)
- Article 23-A of the New York Correction Law
- Asset Tracking Form
- At Will Appointments & EHRA Contract Reference Chart (coming soon)
B
- Background Check Guidelines (coming soon)
- BOT/BOG Personnel Action Approval
C
- Cancer Plan Claim Form (Diagnosed) (coming soon)
- Cancer Plan Claim Form (Wellness/Checkup) (coming soon)
- Cancer Plan Evidence of Insurability Form (coming soon)
- Certification for Serious Injury of Illness of a Veteran for Military Caregiver Leave
- Certification of Healthcare Provider for Employee’s Serious Health Condition
- Certification of Healthcare Provider for Family Member’s Serious Health
- Certification of Qualifying Exigency for Military Family Leave
- Certification of Serious Injury or Illness of Covered Servicemember for Military Family Leave
- Certification of Temporary Employment Terms (non UTS)
- Check Distribution Coordinator Update Form
- Checklist for Recruitment and Selection
- Cover Sheet for EHRA Personnel Actions Requiring BOT or BOG Approval
D
- Deduction Cancellation Form
- Dental Claim Form
- Direct Deposit Update/Change
- Duplicate Form 1042-S Request Form
- Duplicate W-2 Request Form
E
- Education Verification Authorization
- EHRA Additional Compensation Approval (coming soon)
- EHRA Appointment Letters, Guidelines & Checklists
- EHRA Contract & At Will Appointments Reference Chart
- EHRA Non-Faculty Status: Analysis Tool
- EHRA Personnel Actions Requiring BOT or BOG Approval (HR-017)
- EHRA Review and Appeal
- EHRA Sample Notification Letter
- Employee Statement Form, Workers’ Compensation
- Employment Verification Record
- Exit Survey
F
- Faculty/Staff Tuition Waiver
- Family and Medical Leave, Employees Rights and Responsibilities
- Final Paycheck Deduction Request
- First Report of Incident Form
- Flat Rate Appointment Guide, Permissible
- Flat Rate Request Form
- Flexible Spending Account Claim Form
G
H
I
- I-9, Employment Eligibility Verification Form
- Interview Questions Template
- Inclusive Dates, Timesheet 2020
J
K
- Kaba Missed Punch Log Report
- Key Personnel Designation – Emergency Conditions
- Knowledge Transfer Plan
L
- Leave Options Form, Workers Compensation
- Lincoln Financial Group Enrollment/Change/Cancel Form
- Liberty Mutual Statement of Health Form
- Lost Check Affidavit
M
N
- NC Prudential 457 (coming soon)
- New Employee Safety Training Checklist
- New Hire Checklist
- Non-Faculty EHRA Status: Analysis Tool (coming soon)
- Non Salary and Deferred Compensation Form
- Notice Regarding Background Investigation Pursuant to California Law
O
- Offboarding Checklist (Department)
- Offboarding Checklist (Employee)
- Off-Cycle Check Request Form
- Offer Letters, EHRA
- Offer Letters, SHRA
- ORP 1 – Election of Optional Retirement Program
- ORP 2 – Notice of Change to Investment Election Optional Program
- ORP 3 – ORP Actions When Leaving NC State
P
- Patent Agreement
- Pathways Leadership Development Program, Intent To Enroll Form
- Post-doc Health Plan Enrollment Form
- Posting Requirements
- Pre-Employment Inquiry Guide
- Print Pay Statement Request Form
Q
R
- Recruitment and Selection Guidelines
- Reference Check Guidelines
- Request for Additional Payment to the Employee for Work Performed at Another State Agency
- Request to Appoint Undergraduate Teaching Assistant
S
- Salary Supplements Chart
- Sample Competency Based Interview Questions
- Scholarly Assignment Leave Form
- Secondary Employment Certification Form
- Separation Clearance Checklist
- Shared Leave Donation Authorization Form
- Shared Leave Request Form
- SHRA Offer Letters
- SHRA Formal Internal Grievance Form
- SHRA Position Actions and Salary Adjustment (coming soon)
- SHRA Sample Notification Letter
- SHRA Supplemental Pay Request
- Social Security Exemption Form
- Standard Long Term Disability Enrollment Form
- Standard Long Term Disability Medical History Statement
- State Health Plan – Appeal, Reimbursement and Prescription Drug Forms (coming soon)
- State of North Carolina First Fill (coming soon)
- Supervisor’s Medical Treatment Authorization Form
T
- Teaching Assistant, Undergrad – Request to Appoint
- Telephone Reference Check
- Temporary Employee Application (non UTS)
- Temporary Employee Recruitment Guidelines
- Temporary Employees – Request to Pay Over Hourly Pay Rate
- Term Life Beneficiary Change Form (coming soon)
- Term Life Coverage Continuation Request (coming soon)
- Term Life Death Claim Form (coming soon)
- Termination Checklist
- Timesheet, Inclusive Dates 2020
- Timesheet, BiWeekly
- Timesheet, Monthly, Excel Version
- Transfer Appraisal Form, SHRA
- Transfer Employee Separation Checklist
- TSERS & LEORS EHRA Enrollment Form
U
- UNC 457 Form (TIAA-CREF/Fidelity)
- Undergrad Teaching Assistant, Request to Appoint
- UTS Employee Performance Evaluation
- UTS Job Order Form
V
- Vision Plan Claim Form (coming soon)
W
- Wolfpup Childcare Registration Form
- Work Hour Exception Form
- Work Plan and Performance Appraisal for SHRA Career Banded Employees (Valid 2016-2017 Performance Cycle) (coming soon)