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HR Forms Library

This section is devoted to any forms the Department of Human Resources may provide the UTMB campus.  

These forms (where applicable) will allow you to type information in and print out immediately. Or you may print the form out to fill out at your leisure. We will be adding forms in the future.  If you need a form that is not on this list, please contact your departmental Human Resources Consultant. 

Employee Related Forms

Leave Request
Tuition Reimbursement
Career Interest Worksheet
New Employee Packet
New Hire Packet for WOS
Sample Notice of Resignation
Exit Checklist
Exit Interview Questionnaire
Dual Employment
Benefit Exit Information

Employee Health Clinic Forms

Initial Health Assessment
Employee Foreign Travel Form
TB Skin Test Documentation
TB Evaluation Form
Clinical Initial Respiratory Questionnaire
Annual Update Clinical Respiratory Questionnaire
Initial Research Respiratory
Research Initial Questionnaire
Research Annual Questionnaire

Telecommuting Forms

Telecommuting Form
Telecommuting Justification
Home Office Safety
Keys to Success

Departmental Related

Adverse Events Toolkit
JCAHO Checklist
Selection Packet
Salary Determination Worksheet
Criminal Background Check
Without Salary Appointment Checklist
Job Description Template, A&P
Job Description Template, Classified

Employee and Departmental Related

Employee Acknowledgement Form
Employment Eligibility Verification
Performance Management Coaching Document
Employee Guide

Performance Management Tool (PMP)

Online Employee Performance Evaluation Instructions
Online Performance Evaluation Form
Standards of Conduct and Political Activities

Sick Leave Pool

Sick Leave Pool Application

Job Questionnaire for Reclassification

Job Analysis Questionnaire, Classified
Job Analysis Questionnaire, A&P

Family and Medical Leave Act Forms

Family and Medical Leave Form and Information
Qualifying Exigency for Military Family Leave Form
Serious Injury or Illness of Covered Servicemember Form

Employee Injury Management Related Forms

Employee Injury Report Form
Ergonomic Worksite Evaluation
Request for Temporary Job Modification
Request for Permanent Job Accommodation
Physician's Work Certification

Other

Payroll / Benefits Related forms
Non Disclosure Forms
TDCJ Access / Clearance

Helpful Links

Contact HR:
Phone: (409)772-8699