HR: Employee Relations Consult Form

Department of Human Resources

Employee Relations Consult Form
Employee Relations Consult Form
*

Inquiry/Request Notification
Date Form Submitted Date Form Submitted * / MM / DD YYYY
EMPLOYEE COMPLETING FORM:
Contact UIN *
Must be 8 characters. Currently Entered: 0 characters.
Contact Name *
Contact Employee Classification *

Classified, AP Faculty or Hourly
Contact Title *
Contact Supervisor *
Contact Department *
Contact Work Phone Contact Work Phone * - ### - ### ####
Contact Work Email *
MATTER CONCERNING:
Employee Status:

Employee Status: Active Separated On Leave (Medical) On Leave (Admin)
Employee UIN
Must be 8 characters. Currently Entered: 0 characters.
Employee Title
Employee Classification *

Classified, AP Faculty or Hourly
Employee Supervisor
Employee Department
Employee Work Phone Employee Work Phone - ### - ### ####
Employee Work Email
Reason for Contact: