Manager Forms

Cost Saving Measures


Research Participation Bonus Form

Workforce Management Request (Human Capital Committee Submission Form)

Workforce Management Request (Human Capital Committee Submission Form) (MS Word Document)

Web Extender Confidentiality Agreement

Employee Development

Employee Disciplinary Notice

Attendance Report Template

Employee Recognition

Employee Commendation Form

Exiting Employees

All Employees & Faculty Exit Survey

Employee Separation / Clearance Form

Termination Codes (Use for Separation / Clearance Form)


FMLA Certification of Health Care Provider Form for Employee

FMLA Certification of Health Care Provider Form for Family Member

FMLA Certification of Qualifying Exigency (for Military Family Leave)

FMLA Certification for Serious Injury or Illness of Covered Service member – for Military Family Leave (FMLA)

FMLA Eligibility Notification

FMLA Designation Notification

FMLA HIPAA Authorization Form

Leave Request/Clocking Exceptions Daily

Leave Request/Clocking Exceptions Weekly

FMLA Usage Log

Hiring Employees

Concurrent Employment   (Instructions)

Confidentiality Agreement

Drug Testing Authorization Form

Employee Certification and Disclosure Form

I-9 (New Effective May 2013)

Medical Screening Form

Non-Employee Definitions

Notification of Release of Data to ACH

Payroll Forms (benefits eligible)

Payroll Forms (non-benefits eligible)

Position Classification Questionnaire (PCQ)

Reference Check Employment and Education Authorization

State Police Records Check

Voluntary Self-Identification of Disability

Welcome Letter for New Employee (word document) or PDF Copy

Workforce Management Instructions and Form



Workers’ Compensation


Payroll & Other Useful Forms

Clocking Exceptions Daily

Clocking Exceptions Weekly

Clocking instructions

Direct Deposit (ESS, paper forms no longer accepted to make direct deposit changes)

Direct Deposit Hardship Exemption Request Form

Outside Employment Form

Research Participation Bonus Form

Stop Deduction

UAMS Student FICA Exemption Certificate

Web Extender Confidentiality Agreement

W2 Reprint Request

W4 – Federal Withholding

For additional information on these forms and other manager information go to the Managers Page.