HR Forms
WorkdayHR is now live. Visit the Workday website (louisville.edu/workday) and check UofL Today for more information and project updates.
Waiver Form (Effective March 22, 2018)
Benefits
- Affidavit of a Qualifying Adult (PDF- must download to electronically sign)
- Anthem Major Medical Claim Form (PDF)
- Optum Reimbursement Instructions & Claims Form (PDF)
- Health Information Authorization (DOC)
- University of Louisville 457(b) Fidelity Account Application (PDF)
- University of Louisville 457(b) Salary Reduction Authorization Form(DOC)
- University of Louisville 457(b) TIAA Account Application (PDF)
- Voluntary Benefit Cancellation Form(DOC)
Tuition Remission Forms
Compensation
- Postdoctoral Position Approval Form
- Job Description Template & Instructions
- Additional Pay Form
- Cellular/Mobile Device Stipend Request Form (For PDF instructions, click here)
Employee Relations
- Americans with Disabilities Act Accommodation (DOC)
- Discriminatory Conduct Complaint Form
- Performance Evaluation Form
- Performance Employee Self-Assessment Form
- Grievance Form (PDF)
- Exit Surveys
Employment Services
Leave Forms
Continuous or intermittent leave for self:
- Family & Medical Leave Request Guidance
- Employee Request for Family Medical Leave - Employee's Serious Health Condition
- Employee Request for Family Medical Leave - Birth, Adoption or Placement of a Child
- Employee Request for Temporary Medical Disability Leave (Used when FMLA is exhausted or unavailable)
- Administrator Request for Family Medical Leave (Administrators Only - Submit to Office of the President of Provost as appropriate)
Continuous or intermittent leave to care for someone else:
- Family & Medical Leave Request Guidance
- Employee Request for Family Medical Leave - Family Member's Serious Health Condition
- Employee Request for Family Medical Leave - Ill/Injured Servicemember
- Employee Request for Family Medical Leave - Ill/Injured Veteran
- Employee Request for Family Medical Leave - Qualifying Exigency For Military Family Leave