Forms

A page for commonly requested forms and associated documents

Compensation, Taxes, Deductions & Savings

Wellness, Insurance & Retirement

Wellness

2024 Flexible Spending Account Enrollment Form

Application to Donate Dedicated Sick Leave

Application to Receive Dedicated Sick Leave

Catastrophic Sick Leave Application to Change Donation/Withdraw

Catastrophic Sick Leave Application to Donate

Emergency Family Leave and Expansion Act Attestation and Request Form

Emergency Paid Sick Leave Attestation and Request Form

FMLA Certification of Family Relationship

FMLA Certification of Health Care Provider for Employee's Serious Health Condition

FMLA Certification of Qualifying Exigency for Military Family Leave

FMLA Fitness for Duty Certification

FMLA Request Form

Health Benefits Application

Leave for Breast and Prostate Cancer Screening and for Blood Donation

Paid Parental Leave Application

Insurance

Retirement

Hiring, Promotion & Personal Info.

Evaluation, Transfers & Employment Letters

Remote Work Agreement

Reasonable Accommodations Request Form

SOTA System Role Designation Form

Revised: July 17, 2025