Frequently Accessed Forms

Employee-Related Forms

Leave Request
Non-Disclosure Forms
Dual Employment
TDCJ Access/Clearance
Exit Checklist
Exit Feedback Questionnaire

Department-Related Forms

Adverse Events Toolkit
Emergency Classification and Acknowledgement Form (For all employees; click here for helpful FAQs)
Fitness for Duty – Observation Report
JCAHO Checklist
Without Salary Appointment Checklist
Job Description Template – A&P
Job Description Template – Classified
Job Analysis Questionnaire – A&P
Job Analysis Questionnaire – Classified
Contractor Order Form

Employee Health Requirements and Forms

Immunization Requirements
Initial Health Questionnaire
Respiratory Questionnaire
Influenza Vaccine Declination
Hepatitis B Declination
Foreign Travel Form
TB Skin Test Form
TB Evaluation Form
TB Certificate – For CMC Only
N-95 and PAPR Medical Questionnaire
Annual Research Questionnaire
FAQs with Research Questionnaire
Immunization Requirements for Research Questionnaire
BBP Exposure Process and Forms

Injury/Illness-Related Forms

Injury Report Form
Workers’ Compensation Network Acknowledgement Form
Ergonomic Worksite Evaluation Request
Temporary Job Modification Request
Permanent Job Accomodation Request
Physician's Work Certification

Leave-Related Forms

Application for LOA Request Under FMLA – Employee Statement and Health Care Provider Certification
Application for LOA Request Under FMLA – Qualifying Exigency for Military Family Leave
Application for LOA Request Under FMLA – Serious Injury/Illness of Covered Servicemember
Application for Sick Leave Pool
Direct Sick Leave Donation Form

Telecommuting Forms

Telecommuting Form
Telecommuting Justification
Home Office Safety


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