Human Resources Forms

Frequently Used HR Forms

Conflict of Interest Disclosure

Employee Referral Program

Personnel Action Form

Personnel Action Form Multiple Changes

Recruitment Request Form

FMLA

FMLA For Employee’s Serious Health Condition and Additional Information for Healthcare Provider (Help for Healthcare Providers)

FMLA for Family Member’s Serious Health Condition 

FMLA for Military Family Leave for Qualifying Exigency 

HR Other Forms

ADA Accommodation Request Packet

Alternative Work Schedule Request

Anonymous Harassment Policy Violation Form

Authorization for Medical Treatment (Drug Screening & TB Test)

Close Relationship Disclosure

Employee Equipment Agreement

Employee Coaching Form

Form I-9 Employee Eligibility Verification

Form W-4 Tax Withholding Certificate

Job Description Template

Leave Donation Form

Leave Request Form

Leave Without Pay Approval Request Form

Performance Improvement Plan Template

Phased Retirement Agreement

Provider Profile Form

Reasonable Accommodation Request Form – Non ADA

Vacation Leave Payout Policy and Request Form

 

Fitness For Duty Forms

Fitness for Duty Concerns Reporting Form – Reporter or Self

Fitness for Duty Concerns Reporting Form – Supervisor

Health Care Provider – Medical Information Release Form

Notice to Employee for Fitness for Duty Evaluation

 

Clinical Supervision Forms

CSW Supervisor Verification (Contract)

ACMHC Supervisor Verification (Contract)

AMFT Supervisor Verification (Contract)