The Office of Human Resources

UVA Health Plans

• Authorization to Disclose Protected Health Information
• Authorization to Disclose Protected Health Information to Family Member or Other Person
• Foreign Country Enrollment Form

VRS Forms

• Election to Participate
• VRS Hybrid Forms Website

Life and AD&D Insurance

• VRS - Minnesota Life Optional Life Enrollment Form
• VRS - Minnesota Life Optional Life Change Form
• VRS - Minnesota Life Beneficiary Change Form
• VRS - Minnesota Life Evidence of Insurability
• VRS - Minnesota Life Conversion Form
• Standard Life Beneficiary Form

ORP, MCRP, TDSP and Cash Match

• Fidelity Enrollment, Fund and Performance Information
• Fidelity 401a Beneficiary form
• Fidelity 401a/403b Combination Beneficiary Form
• TIAA-CREF Enrollment, Fund and Performance Information

• Sign-On Bonus Agreement Form and Policy

• Immigration Forms
  • H-1B Packet
  • TN Packet USA
  • TN Visa Packet (Port of Entry processing only)

• Time and Labor Manual (Medical Center Only)
• Alternative Work Schedules
• Career Development
• Compensation Program for University Staff Employees
• Drafting Telecommuting Plan
• Managing Short-Term Wage Employment
• Probationary Period for University Staff Employees
• Professional Service and External Consulting for University Staff Employees
• Recruiting and Hiring of University Staff and Wage Employees
• Recruitment and Hiring of University Staff and Wage Employees Hiring Guide
• Safety Checklist for Telecommuting
• Telecommuting From Alternative Work Locations
• Telecommuting Needs Assessment
• 1. Telecommuting Plan Sample (Word document downloads bottom of screen)
• 2. Telecommuting Plan Sample (PDF opens in browser)
• Terms and Conditions of University Staff Employment
• Travel Time Guidelines for Non-Exempt Staff
• University Staff Employees Engaged in Teaching

• Faculty Salaried Personnel Hire Form
• Faculty Wage/Student Personnel Hire Form
• Knowledge Transfer Template
• Offboarding Checklist

• FICA Release Letter
• Off-Cycle Payroll Request
• Time Management Form
• Time Management Form Shift Work

• Academic Emergency & Disaster Leave Form
• Academic Request for Family Medical Leave (FMLA) Form
• Medical Center Request for Family Medical Leave (FMLA) Form
• Academic Leave Sharing Donor Application
• Academic Leave Sharing Recipient Application
• Medical Center PTO Donation Form
• Medical Center PTO Donation Request Form
• Paid Parental Leave Request forms and policies:
  • Classified Staff Paid Parental Leave Request Form
  • Health System Paid Parental Leave Request Form
  • University Staff Paid Parental Leave Request Form
  • UPG Paid Parental Leave Form
  • UPG Paid Parental Leave Policy
• University Physicians Group Paid Time Off Policy
• University Physicians Group Civil Leave Policy
• University Physicians Group FMLA Policy
• Request for Overtime Leave Payment
• Recognition Award Request

• Exceptional Performance Form
• Notice of Improvement Needed
• Probationary Progress Review/Extension/Completion Form

• Candidate Reference Check
• Dual Employment Request
• Reassignment Request Form
• Job Catalog Details Report (Replaces Title Summary Tool)
• EOCR Search Committee Training
• EOCR Recruitment and Hiring Resource Guide
• EOCR Posting and Training Requirements
• Behavioral Interviewing Guide
• Affirmative Action - EOCR
• Hiring and Recruiting Individuals with Disabilities
• Recruitment and Hiring of UVA Staff and Wage Employees policy
• Position Description Degree Requirement Analysis worksheet
• Sample Candidate Reference Check For Guidance
• Virginia Workforce Center Flyer
• Virginia Department of Rehabilitative Services Quick Reference Resources
• Virginia Career Works - Piedmont Region
• Remote Hire Notice Form
• Move Agreement Form

• VA Tax Forms
• W-4 Form

Forms

• Accident Report - Academic Division (Facilities Management Employees: Do not use this form. Please complete your department's online form)
• Accident Report - Health System
• Accident-Injury Report - UPG
• Workers’ Compensation Panel - Academic Division
• Workers' Compensation Panel - Health System
• Workers' Compensation Panel - UPG
• Employee Checklist for Workers’ Compensation
• Workers' Compensation Prescription Form - Health System

Policies

• DHRM 4.60 - Academic Division Classified and University Staff
• HR 512 - Workers' Compensation - Health System
• HR 513 - Transitional Work Program - Health System
• HRM 038 - Faculty Leave 
• Worker's Compensation Policy - UPG