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Change of Address/Name | Family Medical Leave (FMLA) Forms and Notices | Life Status Event Change | Reasonable Accommodation Request | Retirees | Salary Reduction Agreement | Tuition Program Applications | Vacation Records | Additional Resources on Campus | Summer Employment for Students

 

Change of Address/Name

Change of Campus Address or Phone Active Employees – Change of Home Address/Name Retirees - Change of Home Address

 

Family Medical Leave (FMLA) Forms and Notices

FMLA Leave Record (PDF) FMLA Return to Work Record (PDF) FMLA Employee’s Serious Health Condition (PDF) FMLA Family Member’s Serious Health Condition (PDF) FMLA Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF) FMLA Qualifying Exigency For Military Family Leave (PDF) FMLA Serious Injury or Illness of a Current Servicemember FMLA Designation Notice (PDF) FMLA Notice of Eligibility and Rights & Responsibilities FMLA Employee Rights Under the Family and Medical Leave Act

 

Life Status Event Change

Benefit Enrollment/Changes

 

Reasonable Accommodations

In light of the varied impacts of COVID-19, Lafayette’s standard accommodations process has been streamlined and adjusted to provide necessary flexibility. Those who need teaching/working accommodations due to health vulnerabilities or other factors should complete this form for HR.

Reasonable Accommodations Request

 

Retirees

Information and Forms for Retirees Premium Reimbursement Form (PDF)

 

Salary Reduction Agreement

Salary Reduction Agreement

 

Tuition Program Applications

Full Time Tuition Program Application LVAIC Cross Registration Application Part Time Tuition Remission Application

 

Vacation Records

Download these files to print and complete or use as fillable pdf.

Administrative Staff Vacation Record (PDF) Exempt Support Vacation and Sick Leave Record  (PDF)

 

Additional Resources on Campus

Employee Discounts Faculty and Staff Meal Plans ITS Technology Help Lafayette Arts Lafayette Athletics Library FAQ Payroll Tax Forms Perks for Lafayette Employees Recreation Services

 

Summer Employment for Students

Lafayette Students should access and apply through 'Handshake' for available summer positions. Non-Lafayette Students may submit an application to Human Resources. Non-Lafayette Students will be emailed a list of available summer positions.

Summer Employment Application for Non-Lafayette Students
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