Forms

• ADA Forms
  
  

  Medical Information Request Form (to be completed by healthcare practitioner)	MS Word format	PDF Format
  Accommodation Request Form (to be completed by employee requesting accommodation)	MS Word format	PDF Format
  Central Access Fund Guidelines (to be completed for employee requesting accommodation)	MS Word format	PDF Format

  
  
• Additional Level of Review/Hiring Request Form
  
  • Memo about Additional Level of Review
    
    
• Background Check Authorization Request Form (PDF format)
  
  
• Compensation Guidelines (PDF format)
  
  • Voluntary Hour Reduction Template Letter
  • Compensation Exceptions Form
  • Shift Differential Designation Request Form
  • On-Call Pay Designation Request Form
  • Differential Pay Exception Form
  • Discretionary Pay Quick Reference Chart
  • Base Building Discretionary Pay Differential Agreement Forms
    
    • Base Building Counter Offer
    • Delayed Promotion
    • New Hire Pay Adjustment
    • Salary Range Compression
  • Non-Base Building Discretionary Pay Differential Agreement Forms
    
    • Referral Award
    • Signing Bonus
    • Temporary Pay Acting Assignment
    • Temporary Pay Counter Offer
    • Temporary Pay Critical Skills
    • Temporary Pay Long-Term Project
    • Senior Level Critical Skills
  • Outside Employment Authorization Form
  • Dual Employment Overtime Agreement



• Exit Guide Checklist for Departing Employees at CU-Boulder (PDF format)



• Exit Guide for Liaisons at CU-Boulder (PDF format)
  
  
• Exit Survey Form (PDF format)
  
  
• Exit Survey Form (Web based)
  
  
• Faculty Exit Checklist (Word format)
  
  
• Faculty Exit Checklist (PDF format)
  
  
• Fair Labor Standards Act (FLSA) and Overtime
  
  
• Human Resources (PeopleSoft) Forms
  
  
• I-9 Employment Eligibility Verification requirements
  
  • Form I-9, Employment Eligibility Verification(PDF format)
  • State of Colorado Affirmation Form
  • Tips for Completing I-9(PDF format)


• Intern to Target Form (Word format)
  
  
• Labor, Trades, and Crafts (LTC) Addendum Form
  
  
• Leave/ Absence Request Form - revised for UCB
  
  
• Leave/ Absence Request Form - State of Colorado
  
  
• Leave Sharing - Annual Leave Donation Form
  
  
• Leave Sharing - Application Form
  
  
• New Employee Checklist
  
  
• Offer Letter Templates for Classified Staff
  
  
• Offer Letter and Addenda Templates for Officer/Exempt Professionals
  
  
• Performance Pay Program Evaluation Forms
  Automatic Calculations Version - this version is formatted to populate the summary table and perform calculations.
  
  • Boulder Campus (Word format)
    
    
  Manual Calculations Version - this version is formatted to print and manually write the evaluation scores and calculations on the summary table.
  
  • Boulder Campus (Word format)
  • Boulder Campus (pdf format)



• Professional Exempt/Officer Planning and Evaluation Forms
  
  • Officer and Exempt Professional Evaluation Form
  • Annual Performance Rating for Faculty, Officer and Exempt Professionals
  • Position Description Forms for Officer and Exempt Professionals



• Position Description Questionnaire (PDQ)
  Official job description form for classified employees. Employees and supervisors may use either the UCB specific PDQ form or the standard state PDQ form.
  • PDQ - UCB version - Updated November 2009
  • PDQ - State version


• Reference Check (PDF format)


• Retiree Application Form


• Scope of Work (SOW) - (Excel format)
  
  
• Special Qualifications for Education-Only Job Classes Form - (Word format)
  
  
• SSA-1945 (Word format)
  SSA-1945 (PDF format)
  
  
• State of Colorado Job Application Forms
  
  
• State of Colorado Leave/Absence Request and Authorization
  
  
• Supplemental Application (For use with temporary and mock job conversion positions)