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SHRA Grievance Form - Step 1

SHRA Grievance Form - Step 2

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Family Medical Leave Act - Employee Rights & Responsibilities

Medical Leave Request Form

FMLA Form WH-380-E (Certification of Health Care Provider for Employee's Serious Health Condition)

FMLA Form WH-380-F (Certification of Health Care Provider for Family Member's Serious Health Condition)

FMLA Form WH-384 (Certification of Qualifying Exigency for Military Family Leave)

FMLA Form WH-385 (Certification Serious Injury or Illness Covered Service Member- Military Family Leave)

FMLA Form WH-385 V, Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

Serious Illness and Disability Leave for Faculty Request Form

Paid Parental Leave Form

Voluntary Shared Leave Request Form

Request to Donate Voluntary Shared Leave

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Address/Name Change Form

Faculty/Staff Tuition Waiver

Non-Salary Compensation Form

Permanent Exempt Employees Late Timesheet

Permanent Employee Leave Adjustment Form

Preferred Name Request Form

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Offboarding Form

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Time Entry Correction Form for Bi-Weekly Timesheets

Timesheet to Report Late Hours

NC-4 Withholding Certificate

NC-4 EZ Withholding Certificate

W-4 Tax Withholding Form

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Personnel Action Request Form

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Remote Work Plan and Agreement

Remote Work Position Request

Alternate Work Location Safety Attestation and Information Technology Requirements

Workers' Compensation Forms:

North Carolina Employee Incident Report

Employee Use of Leave Options Form

FM-16 Vehicle Accident Report

Injury Data Collections Form

North Carolina Supervisor Incident Report

North Carolina Witness Incident Report

Instructions to Injured Employees

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Human Resources

Lumbee Hall 347
PO Box 1510 Pembroke, NC 28372

Phone: 910.521.6279

Fax: 910.521.6553

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1 University Drive

Pembroke, NC 28372-1510

910.521.6000

PO Box 1510

Pembroke, NC 28372-1510

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