Benefits Forms
Leave Request Form
- Employee Leave Request Form (Replaces Sick & Vacation Leave Request Form)
Family and Medical Leave Act Forms
- Certification of Health Care Provider for Employee’s Serious Health Condition (FMLA)
- Certification of Health Care Provider for Family Member’s Serious Health Condition (FMLA – For family member)
- Certification of Qualifying Exigency For Military Family Leave
- Certification for Serious Injury or Illness of a Current Servicemember – for Military Family Leave
- Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
Tuition Assistance Forms
Online Directory Update Forms
Request to have your profile added to or updated in the campus online directory (and CUFind for faculty).
- New/Update Full-time Faculty or Staff Online Directory Profile
- New/Update CUFind profile for faculty
Payroll/HR Forms
- Direct Deposit Form (To change your direct deposit, please contact payroll)
- Changes in Payroll Deduction (Print and send to payroll)
- 2018-W-4 (Federal Withholding Allowance Certificate)
- Update Address Form (please complete, print and send to HR)
- Withholding Form for North Carolina State Tax (NC-4)
New/Returning Employee Forms
- Call Pilot Voice Messaging User Guide
- Fitness for Duty to Return From Leave Certification 2017
- Receipt Of Personnel Manual
Separating Employee Forms
Travel Forms
Voluntary Self-ID Forms
Individuals with a disability. Because we do business with the federal government, we must reach out to, hire, and provide equal opportunity and take affirmative action with respect to qualified individuals with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary. Your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
If you wish to voluntarily disclose this information go to: https://cuweb.wufoo.com/forms/voluntary-selfid-of-disabilityemployee/
Protected Veterans. The University is a Federal Government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. If you believe you belong to any of the categories of protected veterans listed above and wish to voluntarily self-identify, please complete the self-identification form found at the link below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA
If you wish to voluntarily disclose this information go to: https://cuweb.wufoo.com/forms/postoffer-invitation-to-selfidentify/