Family Medical Leave Act (FMLA) Forms
Human Resource Information Systems (HRIS)
Used to request permission to attend a Continuing Education course. Follow instructions on the form.
Required to authorize donation of sick leave to and participation in the Donated Sick Leave Program.
Required to enroll for the voluntary college savings plan.
Used by participants in the Optional Retirement Plan to designate contribution percentages to retirement vendors.
Used by newly benefited employees to elect participation in the Optional Retirement Plan or Teachers Retirement System.
Required to start, stop or modify payroll contributions to voluntary retirement accounts under tax code 403(b).
Required to start, stop or modify payroll contributions to voluntary retirement accounts under tax code 457(b).
Authorizes HR to request background information for criminal, credit or motor vehicle history as appropriate.
Federally required form used to document work eligibility and identity.
Hazardous chemical training required by the Board of Regents for all University System of GA employees.
Proposal for alternative work schedule.
FMLA - Family Medical Leave Act
Used to request job protection under the Family Medical Leave Act during a qualified medical Leave of Absence
Used by Faculty to Request a Leave of Absence through the University.
FMLA Medical Certification Forms for illness of injury of:
Used to certify FMLA status for an employee's medical Leave of Absence.
Used to certify FMLA status for an employee's Leave of Absence for the medical need of a family member.
Used to certify FMLA status for an employee's Leave of Absence due to military activation of a family member.
Used upon separation of employment or becoming benefits eligible to request refund of contributions made to GDCP while in a non-benefited employment status.
To request reimbursement of moving expenses when newly hired (eligibility requires pre-approval).
To request a change in federal income tax payroll withholding status (can also be submitted electronically via ADP Self Service).
To request a change in state income tax payroll withholding status.
Human Resources and Employee Development
University Center Bldg III
1205 N. Patterson Valdosta, GA 31698
1500 N. Patterson St.
Valdosta, GA 31698
- Phone: 229.333.5709
- Fax: 229.259.5030
- M-TH 8am - 5:30pm and Friday 8am-3pm. Email and/phone calls responded to within 24hrs. Thank you for your patience.