Benefit Forms

Accommodation Forms

• Accommodation Request Form
• Medical Information Form

Adoption Assistance Forms

• Adoption Assistance Request Form
• IRS Form 8839

Bereavement Leave Forms

• Paid Bereavement Leave Request Form

FMLA Forms

• Certification of Health Care Provider Form for Employee
• Certification of Health Care Provider Form for Family Member
• Fitness For Duty Certification form
• The FMLA Leave Tracking form can be found in Ignite
• FMLA Request and Action Form

Maternity Leave & Primary Caregiver Leave Forms

• Baby Bears Program online form
• For Maternity Leave, complete section II of the Certification of Health Care Provider for Maternity Leave and Primary Caregiver Affidavit form
• For Primary Caregiver Leave, complete section III of the Certification of Health Care Provider for Maternity Leave and Primary Caregiver Affidavit form
• The Employee Request for Maternity Leave and Primary Caregiver Leave form can be found in Ignite
• Fitness For Duty Certification form

Non-Compensated Leaves of Absence

• Leave of Absence Request Form

Paid Military/Emergency Responder Leave

• Request for Paid Military/Emergency Responder Leave Form

Paid Parental or Paid Caregiver Leave Forms

• Certification of Health Care Provider Form for Employee
• Certification of Health Care Provider Form for Family Member
• The Monthly Absence Record for Exempt Employees can be found in Ignite
• Request for Paid Parental or Paid Caregiver Leave Form

Retirement Forms

• Prior University Work Experience Form