Family and Medical Leave Act Forms
- Volunteer State Community College Family Medical Leave Request Form
- Employee Rights Under the Family and Medical Leave Act
- Certification of Health Care Provider for Employee’s Serious Health Condition (Use when a leave request is due to the medical condition of the employee)
- Certification of Health Care Provider for Family Member’s Serious Condition (Use when a leave request is due to the medical condition of the employee’s family member)
Military Family Leave
- Certification for Serious Injury or Illness of a Current Servicemember (Use when requesting leave to care for a family member who is a current service member with a serious injury or illness)
- Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (Use when requesting leave to care for a family member is who a covered veteran with a serious injury or illness)
- Certification of Qualifying Exigency For Military Family Leave (Use when the leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent)
Tuition and Fee Forms
In order to ensure fee waiver and tuition reimbursement forms for employees are processed in a timely manner, all forms must be submitted no later than 2 weeks prior to the beginning of the semester/term at the institution where the employee will be taking classes. Proof of grades earned for any previous classes for which an employee has received a fee waiver must be submitted to the Office of Human Resources (Ramer room 127) before forms for upcoming classes can be processed. In the case of tuition/fee reimbursement, checks cannot be released until both proof of grades earned and proof of payment has been received. Receiving anything other than a passing grade (including withdrawal and incomplete status) in a course may disqualify an employee from future participation in these Educational Assistance Programs.
Full details are available in the following Tennessee Board of Regents' guidelines:
- Education Assistance for TBR System Employees: P-130
- Educational Assistance for Spouse & Dependents of TBR Employees: P-131
Application and forms:
- Application for Fee Waiver PC 191
- Clerical Support Staff Tuition or Maintenance Fee Reimbursement Form
- Faculty/Administrative Tuition or Maintenance Fee Reimbursement Form
- Spouse/Dependent Fee Discount Form
General Employee Forms
- Degree Advancement Request
- Designation of Beneficiary for Unused and Accrued Leave
- Employee Separation Checklist
- Outside Employment Request Form
- Personnel Action Form (PAF)
- Personal Information Form
- Reference Check Form
