header.gif Aurora, photo credit Jan Curtis 2003 Closeup photo of man in office setting Closeup of flower, photo credit Nile Mueller Woman at Sitka campus, photo credit UAS Mt. McKinley, photo credit © Rex Melton, Alaska Division of Tourism Woman in UAS Environmental Science field class, photo credit UAS UAS HR UAF HR UAA HR UA Human Resources Home University of Alaska Home
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HR Employee Forms

Leave Forms:

Form Name Available Formats
(Icon Legend)		 Form Descriptions
FML Leave w/o Pay (FMLWOP), Sick Leave (LWOP) Form
 Adobe PDF format file To arrange benefit payments while on LWOP.
FML Request Form Adobe PDF format file To request leave for a serious health condition (to be completed by employee).
FML Physician/Practitioner Cert of Health Care Form Adobe PDF format file To request leave for a serious health condition (to be completed by physician).
Leave Share Donation Form Adobe PDF format file To donate leave to leave share program participants (to be completed by employee donating leave).
Leave Share Transfer Request Form Adobe PDF format file To request leave donations from the leave share program (to be completed by employee receiving donated leave).

 

Please email syhr about any problems with this page   16-Aug-2005

  Photo credits: woman in field class and woman at Sitka campus photos courtesy of UAS; Mt. McKinley photo credit © Rex Melton,
Alaska Division of Tourism; flower photo credit Nile Mueller; aurora photo credit Jan Curtis 2003