Employee Related Forms

• Leave Request Form
• Tuition Reimbursement Form
• Career Interest Worksheet
• New Employee Packet
• On-Call Authorization
• Sample Notice of Resignation Form for Employees
• Exit Checklist
• Exit Interview Questionnaire
• Dual Employment form
• Benefit Exit Information



Telecommuting Forms

• Telecommuting Form
• Telecommute Software
• Telecommute Justification
• Home Office Safety
• Equipment Payroll Deduction
• Keys to Success




Employee and Department Related

• Employee Acknowledgement Form
• Employment Eligibility Verification
• Standards of Conduct and Political Activities
• Telecommuting Form
• Departmental Checklist


• Non-Disclosure Forms (IS Access)



Sick Leave Pool

• SLP Application Instructions
• Sick Pool Application for Withdrawal
• SLP Employee Statement
• SLP Physician's Medical Statement
• SLP Physician's Medical Statement, Part 2




Family Medical Leave Act Forms

• Employee Rights and Responsibilities
• FMLA Employee Statement
• FMLA - Cert of Health Care Provider for Family Member's Serious Health Condition
• FMLA - Cert of Health Care Provider for Employee's Serious Health Condition
• FMLA - Cert of Qualifying Exigency for Military Family Leave
• Cert for Serious Injury or Illness of Covered Servicemember



Employee Injury Management Related Forms

• Ergonomic Job-site Evaluation
• Employee Injury Statement Form
• Request for Temporary Job Modification Form
• Physician's Work Certification

Human Resources Forms Library

This section is devoted to any forms HR may provide the UTMB campus.  

These forms (where applicable) will allow you to type information in and then print out the form 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 now that is not on this list, please contact your departmental Human Resources Consultant. 

Forms can also be found on the Payroll / Benefits Related forms page.

Forms for specific systems access (Non-Disclosure forms) can also be found on the Information Services page.

Please click here for TDCJ Access / Clearance.

 

• Employee Guide
• Guide to Employee Relations
• Mediation Services
• HR FACTS - Retroactive Pay Adjustments
• HR FACTS - Non Recurring Merits (NRM)

• Employee Health Clinic Questionnaires

• Initial Health Assessment
• Initial Research Laboratory
• Initial Clinical Respiratory
• Initial Research Respiratory
• Annual Update Research Laboratory Questionnaire
• Annual Update Clinical Respiratory Questionnaire
• Annual Update Research Respiratory Questionnaire


• TB Skin Test Documentation
• Foreign Travel



Department Related

• Adverse Events Toolkit
• JCAHO Checklist
• Salary Determination Worksheet
• Selection Packet
• Criminal Background Check
• Without Salary Appointment Checklist



Performance Management Tool (PMP)

• PMP Instructions
• On-Line PMP Evaluation form
• PREP Coaching Documentation
• PMP Action Plan

Job Questionnaire for Reclassifications

• Classified
• Administrative & Professional

The University of Texas Medical Branch is an Equal Opportunity / Affirmative Action University

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This site is maintained by UTMB / Human Resources Information Services, under the auspices of the Web Advisory Board.
Please review our privacy policy and Internet guidelines. Send mail to Human Resources with questions or comments about this web site. 
Contact UTMB Human Resources by telephone at (409) 772-2758;
by fax at (409) 772-8698; by mail at 301 University Boulevard, Galveston, Texas, 77555-0141.