Policies & Forms
Policies
Benefit Forms
- 403(b) Salary Reduction Form
- 457 Compensation Deferral Enrollment (TIAA or Fidelity)
- ADA Medical Inquiry Request
- ADA Request
- Application/Notification of Family Medical Leave (FMLA)
- Postponement of RTP and Post Tenure Review
- Paid Parental Leave Form
- Maternity Guidelines and Checklist
- Medical Certification (FMLA - Employee's Own Illness)
- Medical Certification (FMLA - Family Member Illness)
- Direct Deposit
- Flexible Spending Account Claim Form
- Medical Change - Online
- Voluntary Shared Leave Donation Form
Leave Keeping Forms
Worker's Compensation Forms
- Employee's Statement for Work-Related Injury
- Employee completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
- Supervisor's Accident Report
- Supervisor completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
- Witness Statement Form
- Witness completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
- Refusing Medical Treatment Form
- Employee then supervisor completes/signs DocuSign form, and copy automatically sent to HR Benefits Counselor
- UNCW Workers' Compensation Handout
- NC Office of State Human Resources Workers' Compensation Employee Handbook
- NC Office of State Human Resources Workers' Compensation Supervisor Handbook
- First Fill Prescription Card Program
Tax Forms
- Instructions for employees to access and update NC-4 and W-4 withholdings online
- Tax Forms via Payroll
