Human Resources

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Human Resources
PO Box 1510
Pembroke, NC 28372

Phone: 910.521.6279
Fax: 910.521.6553
Email: hr@uncp.edu

Location: Lumbee Hall, Room 347
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Forms

Human Resources' forms are now available in Microsoft Word 97/2003 or PDF format. Clicking the link for the desired document will open the form in Word 97/2003 or PDF. You will be prompted to open or save to disk. Once the file is open, type in information, print form, and return to Human Resources.

• Address / Name Change

• Address/Name Change Form (Word)
• Instructions to Change Address or Name (Please review and complete all necessary forms for payroll and benefit purposes.) (Word)

• Employment Forms
  • Contract and Tax Forms
    • Additional Employment Form (Word)
    • Affiliate Information Form (Word)
    • Independent Contractor Checklist (Word)
    • Personal Services Contract (Word)
    • Student Assignment Agreement (Word)
    • Temporary Assignment Agreement (Word)
    • I-9 Employment Eligibility Verification (PDF)
  • Career Banding Salary Worksheet (Word)
  • Certifying Employee Status Under Retirement Reemployment Laws - (ESSR Form) Completion of this Form is required by any permanent, temporary or student employee who is receiving retirement benefits upon hire or rehire (PDF)
  • Criminal Background Check Form (Word)
  • EEO Letter Template for EPA Hires (Word)
  • EEO Letter Template for SPA Hires (Word)
  • Off-Site Part-Time Lecturer New Hire Instructions & Notary Public Affidavit (Word)
  • Reference Check Form (Word)
  • Request for New Position Form (Word)
  • Request to Recruit Vacant Position (Word)
  • Secondary Employment Form (Word)
  • Temporary Employee Requisition (Word)

• Leave & Personnel Action Forms
  • Budget Adjustment Form (Excel)
  • EPA/SPA Leave Adjustment Form (Excel)
  • EPA/SPA Employee Timesheet (Excel)
• Family Medical Leave Forms
  • Serious Illness and Disability Leave for Faculty (Word)
  • Request for Family Medical Leave (Word)
  • Family Medical Leave Act - Employee Rights & Responsibilities (link)
  • FMLA Form WH-380E (Certification of Health Care Provider for Employee's Serious Health Condition (PDF)
  • 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) (PDF)
  • FMLA Form WH-385 (Certification Serious Injury or Illness Covered Service Member- Military Family Leave
• Voluntary Shared Leave Forms
  • Request for Voluntary Shared Leave (Word)
  • Request to Donate Voluntary Shared Leave (Word)
• Miscellaneous Forms
• Checklist for Non-Returning Employees (Word)
• Degree Verification (must be delivered to HR in sealed envelope from Registrar's Office) - (Word)
• Probationary Status Form
• Payroll Forms
  • Direct Deposit Form (Excel)
  • NC-4 Tax Withholding Certificate (PDF)
  • W-4 Tax Withholding Certificate (PDF)
  • Timesheet to Report Late Hours (Bi-Weekly)
  • Bi-Weekly Web Time Entry Correction Form
• Performance Evaluation Forms
• EPA Non-Teaching Performance Evaluation Form (Word)
• Methods of Evaluation (Word)
• SPA Performance Appraisal and Work Plan Form (Word)
• Performance Factors (Word)
• Position Description Forms
• ADA Checklist (Word)
• Career Banding Position Description Form (Word)
• EPA Position Description Template (Word)
• Training Forms
  • Faculty/Staff Tuition Waiver (Word)
  • Training Enrollment Form (Word)
• Workers' Compensation Forms:
  • Instructions to Injured Employees (Word)
  • Employee Statement (Word)
  • Supervisor Statement (Word)
  • Form 19 (Word)
  • WC 18 (PDF)

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