Human Resources Forms are posted below. The forms should not be editted, reformatted or otherwise amended or changed.
Please direct questions to Mary Sonner, Director of Personnel Services at msonner@tusculum.edu
TABLE OF CONTENTS
- 1.00 – Complaint Resolution Form
- 2.00 – Waiver of Investigation or Appearance before Faculty Affairs Committee
- 5.00 – Fitness for Duty
- 6.00 – Employee Request for Accommodation
- 7.00 – Accommodation Evaluation Form
- 8.00 – Diagnosing Professionals Documentation of Disability
- 9.00 – Functional Limitations
- 10.00 – FCRA Disclosure Statement (updated)
- 11.00 – Conditional Reinstatement
- 12.00 – Addition, Deletion, Change or Exception
- 13.00 - Employee Search Requistion
- 14.00 – Employment Change Request
- 15.00 – Interview Requisition
- 16.00 – Employment Requisition
- 16.01 - New Employee Campus Set-up
- 17.00 – Reference Check
- 18.00 - Background Authorization
- 19.00 - I-9 Employment Eligibility Verification
- 20.00 – Employee Receipt of Workplace Violence Policy and Consent to Searches
- 21.00 – Counseling Discussion
- 22.00 – Written Employee Warning
- 23.00 – Termination
- 24.00- Time Sheet
- 25.00 - Personal Time Off (PTO) Request
- 26.00 - PTO Tracking Form
Family Medical Leave Act (FMLA) Policies and Forms
Please refer to the Employee Handbook pages 39-43 for the Tusculum College FMLA Policy
- FMLA Poster
- 3.00 – Family and Medical Leave Request
- WH-380-E -Certification of Health Care Provider for Employee’s Serious Health Condition
- WH-380-F -Certification of Health Care Provider Family Member’s Serious Health Condition
- WH-384 -Certification of Qualifying Exigency for Military Family Leave
- WH-385 -Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave
For more information. please contact the Human Resources Office.

