University of Wisconsin–Milwaukee

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About HR
grey_bot-160x8Department of Human Resources

Office Hours:
Monday-Friday
7:45 a.m. to 4:30 p.m.

Office Location:
Engelmann, Room 125
Campus Map

Contact HR:
Phone: 414-229-4463
Fax: 414-229-4102
hr-contact@uwm.edu

FORMS

For Absences/Leaves

FMLA
Academic Personnel Leave Accounting Blank Form
PDF  
Certification by Health Care Provider for Employee's Serious Health Conditions (UW82)
PDF  
WFMLA-Only Certification by Health Care Provider for Employee's Serious Health Condition (UWS 82a)
PDF  
Certification by Health Care Provider for Family Member's Serious Health Conditions (UW83) PDF  
WFMLA-Only Certification by Health Care Provider for Family Member's Serious Health Condition (UWS 83a)
PDF  
Certification of Qualifying Exigency For Military Family Leave (UW84)
PDF  
Certification of Serious Injury Or Illness of Covered Service Member for Military Leave (UW85)
PDF  
Classified Leave Accounting Correction Form
PDF  
Designation Notice (UWS 86)
PDF  
Employee Request for Family and/or Medical Leave (UW 80)
PDF  
Fitness-for-Duty Medical Certification to Return to Work from Family/Medical Leave of Absence
PDF  
Leave Without Pay Request/Authorization (Classified Employees Only)
PDF  
Notice of Eligibility and Rights & Responsibilities
PDF  

Worker's Compensation
Authorization For Release of Medical Information
PDF DOC
Employee Record of Lost Time
PDF DOC
Employee's Work Injury and Illness Report PDF  
Employer's First Report of Injury or Disease 
PDF DOC
Labor Market Availability Restriction Statement
  DOC
Lost Time Fact Sheet
PDF DOC
Supervisor's Accident Analysis and Prevention Report
PDF  
Supervisor's Evaluation of Repetitive Motion and/or Materials Handling Activities
PDF DOC

 
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