Frequently Accessed Forms

Employee-Related Forms

• Contractor Tracking Form for Emergency Events
• Dual Employment
• Employee Demographic and Emergency Classification Form
  Note: The Employee Demographic and Emergency Classification Form will be unavailable until early 2025 for updating. Thank you for your patience and understanding.
• Employee Tracking Form for Emergency Events
• Exit Checklist
• Exit Feedback Questionnaire
• Leave Request
• Non-Disclosure Forms
• TDCJ Access/Clearance

Employee Accommodation Forms

• ADA Consent for the Release of Confidential Information
• Ergonomic Worksite Evaluation Request
• Permanent Job Accommodation Request
• Physician's Work Certification
• Temporary Job Modification Request

Employee Health Forms

• Annual Research Questionnaire
• Annual Research Questionnaire Immunization Requirements and FAQs
• Bloodborne Pathogen Exposure Notification and Management Form
• Bloodborne Pathogen Exposure Process
• Foreign Travel Form
• Hepatitis B Declination
• Influenza Vaccine Attestation
• Influenza Vaccine Declination
• Initial Health Questionnaire
• N-95 and PAPR Medical Questionnaire
• Reporting a Work-Related Injury or Illness
• Respiratory Questionnaire
• TB Annual Screen
• TB Skin Test Form
• TB Skin Test, Evaluation and Certificate (For CMC Only)

Department-Related Forms

• Adverse Events Toolkit
• Contractor Labor Order Request Form
• Fitness for Duty – Observation Report
• Independent Contractor Checklist for Appropriate Classification
• JCAHO Checklist
• Job Analysis Questionnaire – A&P
• Job Analysis Questionnaire – Classified
• Job Description Template
• License and Certification Verification Request
• Without Salary Appointment Checklist

Leave Forms

• Application for LOA Request Under FMLA
• Application for LOA Request Under FMLA – Qualifying Exigency for Military Family Leave
• Application for LOA Request Under FMLA – Serious Injury/Illness of Covered Servicemember
• Direct EIB Donation Form
• Application for Reduced Paid Leave

Remote Working Form

• Remote Working Request and Agreement

Tuition Reimbursement Forms

• Tuition Reimbursement Application and Agreement
• Tuition Reimbursement Payment Request Form

Work-Related Injury/Illness Forms

• Instructions and Forms for Reporting a Work-Related Injury or Illness
• Instructions for Reporting a Bloodborne Pathogen Exposure