Documents and Forms

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• Administrative Leave (COVID-19)

  Notice: The Office of Human Resources is currently not accepting submissions of the Request for use of Administrative Leave related to COVID-19 form. Please contact Human Resources at hr@etsu.eduor 423-439-4457 for more information.

   

  Request for use of Administrative Leave related to COVID-19
  
  
  
  
  
  
  
  
  
  

  COVID-19 Leave Parameters
  We recognize the COVID-19 pandemic continues to cause difficulties for our employees and their families. We also acknowledge the critical importance to continue educational, clinical, and support services at the highest level possible for all our constituencies during these challenging times. To help address the burden of this situation, ETSU is implementing a procedure through which all employees may be eligible for up to seven (7) additional days of COVID-19 Leave, as detailed further below and effective September 1, 2021 through June 30, 2022.

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  COVID-19 for Sickness, Exposure, or School Closures - Eligibility
  Regular employees may be eligible for up to five (5) days of Administrative Leave if:

  • The employee or a member of their household tests positive for COVID-19
  • An employee is directed to isolate or quarantine
  • An employee must remain home to care for a household member due to a school closure

  Remote Work is Preferred
  When possible, employees should work remotely rather than utilize administrative leave; if an employee needs to work remotely for more than five (5) consecutive days, the employee and supervisor must complete the forms required under the Temporary Telecommuting Policy. However, we recognize remote work may not be possible if an employee is too sick to work or if their position does not support working remotely. In such cases, the employee may utilize up to five (5) days of additional COVID-19 leave to cover their absence. Use:

  • Human Resources may request documentation prior to approving use of leave.
  • If the employee must be out longer than five days, the employee may use accrued sick leave to cover the time.
  • If the employee’s sick leave is exhausted, leave will be deducted from accrued annual leave. 

  COVID-19 for Vaccinations
  In addition to providing leave for illness, exposure, or family care, ETSU will provide employees with up to (2) additional days of leave to support vaccinations. This leave may be used if vaccinated individuals need time to recover from the side effects of a COVID-19 vaccination or booster shot. Regular employees may receive up to (2) days total in additional leave prior to July 1, 2022, regardless of the number of shots the employee may receive.Eligibility:

  • Vaccination leave must be utilized within 48 hours of receiving the vaccine or booster.
  • Employees may choose to use this leave following any COVID-19 vaccine dose (first or second shot, boosters, or vaccinations against new variants).

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  If you have questions, please contact the Office of Human Resources at hr@etsu.edu or (423) 439-4457.
• Educational Benefits

  New Dynamic Form - Now Available for the Fall 2022 Semester

  All requests for educational benefits for the Fall 2022 semester (Fee Waivers, Tuition Reimbursements, and Spouse/Dependent Discounts) must now be submitted via Dynamic Forms:
  ETSU Employee Educational Benefits Portal

  Requests for the Spring 2023 semester, as well as other upcoming semesters, will be accepted via the above portal at a later date. Requests for the Summer 2022 semester, or other prior semesters, will continue to be accepted via paper/PDF forms but are no longer available online and must be requested via email to hr@etsu.edu.

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  Paper/PDF forms for the Grant-In-Aid Contract and Form are still currently accepted for any semester:
  Faculty/Admin/Professional Staff Grant-In-Aid Contract
  Faculty/Admin/Professional Staff Grant-In-Aid Form
  

  
  
  
  
  

• Promotion/Transfer

  Request for Promotion or Transfer

  This Dynamic Form may be submitted by any member of the department. It will be reviewed initially by the designated Human Resources Business Partner for eligibility purposes regarding the employee to be promoted or transferred. Requests will then be routed through the appropriate approval chain, as determined and setup by the Human Resources Business Partner. Requesters may add a comment regarding suggested workflow approvers, but the number of participants is limited. Submissions will be returned to the Requester for revisions.

• Personal Information Changes

  Legal Name, Marital Status, Mailing Address, Phone Number, etc.

  Request - Dynamic Form for Current ETSU Employee/Student
  (ETSU Account Required)

  Request - Dynamic Form for Non-Current ETSU Employee/Student)
  (Free Account Required, See the "Create New Account" Link on the Above Website)

  Request - PDF for Current or Non-Current ETSU Employee/Student

• W-4 Forms

  Federal
  Alabama
  North Carolina
  South Carolina
  Virginia