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 | 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
• Education Verification Authorization
• Notice Regarding Background Investigation Pursuant to California Law

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Classification & Compensation

• BOT/BOG Personnel Action Approval
• SHRA Supplemental Pay Request

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Education & Development

• Academic Assistance Plan Application
• Faculty/Staff Tuition Waiver
• Pathways Leadership Development Program, Intent To Enroll Form

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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

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Employee Relations

• Asset Tracking Form
• EHRA Review and Appeal
• Exit Survey
• Mediation Request Form
• Reasonable Suspicion Drug and Alcohol Testing Notice and Consent Form
• Reasonable Suspicion Testing Checklist
• SHRA Formal Internal Grievance Form
• Temporary Employees – Request to Pay Over Hourly Pay Rate
• Transfer Appraisal Form, SHRA
• Transfer Employee Separation Checklist

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Employment

• Certification of Temporary Employment Terms (non UTS)
• Employment Verification Record
• I-9, Employment Eligibility Verification Form
• Patent Agreement
• Secondary Employment Certification Form
• Temporary Employee Application (non UTS)
• Work Hour Exception Form

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HR System

• Personnel Action Form – Education/Contract
• Personnel Action Form – Job Data
• Personnel Action Form – Personal Information

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Insurance

• Cancer Plan Claim Form (Diagnosed)
• Cancer Plan Claim Form (Wellness/Checkup)
• Cancer Plan Evidence of Insurability Form
• 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
• Vision Plan Claim Form
• Work Hour Exception Form

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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

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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
• Reference Check Guidelines
• Sample Competency Based Interview Questions
• SHRA Offer Letters
• SHRA Sample Notification Letter
• Telephone Reference Check

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Retirement

• 401(k) Forms
• NC 401(k) and 457(b) One Time Contribution
• 403(b) Salary Reduction Agreement Form
• NC 457b
• 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)

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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

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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

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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
• Article 23-A of the New York Correction Law
• Asset Tracking Form

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B

• Background Check Guidelines
• BOT/BOG Personnel Action Approval

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C

• Cancer Plan Claim Form (Diagnosed)
• Cancer Plan Claim Form (Wellness/Checkup)
• Cancer Plan Evidence of Insurability Form
• 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

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D

• Deduction Cancellation Form
• Dental Claim Form
• Direct Deposit Update/Change
• Duplicate Form 1042-S Request Form
• Duplicate W-2 Request Form

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E

• Education Verification Authorization
• 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

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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

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G

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H

• H-1B Sample Sponsor Letter
• Met Life Legal Enrollment Form

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I

• I-9, Employment Eligibility Verification Form
• Interview Questions Template
• Inclusive Dates, Timesheet 2020

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J

• Job Action Checklist
• Job Posting and Background Check Requirements Chart

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K

• Kaba Missed Punch Log Report
• Key Personnel Designation – Emergency Conditions
• Knowledge Transfer Plan

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L

• Leave Options Form, Workers Compensation
• Lincoln Financial Group Enrollment/Change/Cancel Form
• Liberty Mutual Statement of Health Form
• Lost Check Affidavit

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M

• Mediation Request Form
• Military Leave Request Form

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N

• NC 457b
• New Employee Safety Training Checklist
• New Hire Checklist
• Non Salary and Deferred Compensation Form
• Notice Regarding Background Investigation Pursuant to California Law

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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

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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

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Q

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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

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S

• Salary Supplements Chart
• Sample Competency Based Interview Questions
• Scholarly Assignment Leave Form
• Secondary Employment Certification Form
• Shared Leave Donation Authorization Form
• Shared Leave Request Form
• SHRA Offer Letters
• SHRA Formal Internal Grievance Form
• 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
• State of North Carolina First Fill (coming soon)
• Supervisor’s Medical Treatment Authorization Form

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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)
• 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

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U

• UNC 457 Form (TIAA-CREF/Fidelity)
• Undergrad Teaching Assistant, Request to Appoint
• UTS Employee Performance Evaluation
• UTS Job Order Form

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V

• Vision Plan Claim Form

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W

• Wolfpup Childcare Registration Form
• Work Hour Exception Form

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X

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Y

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Z

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