Essential Personnel Designation Notification Form-University Of Central Florida

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University of Central Florida
Essential Personnel Designation and Notification Form
Employee Name:
________________________________ Employee ID: _______________
Department:
___________________________________________________________
Title:
___________________________________________________________
Supervisor Name:
___________________________________________________________
(Printed)
Director/Dean Name: ___________________________________________________________
You have been designated as an essential employee in the event that an emergency or disaster
forces the suspension of classes and/or closing of offices, or for other events deemed appropriate
by the university President. Essential personnel may be required to report to work if either
contacted by your supervisor or the university announces “Essential Personnel Only” staffing
through the UCF Alert system.
When “Essential Personnel Only” staffing is announced, it will normally indicate that the
university is closed to the public and travel is restricted, but certain employees need to be on duty
to handle emergency situations which may arise or to conduct business that cannot be postponed
or cancelled.
Only nonexempt employees designated as essential personnel will be entitled to equivalent time
off if required to work during an “Essential Personnel Only” staffing period. Please refer to UCF
Regulation 3.035 for additional information on employee pay during emergency situations. Failing
to attend to the responsibilities associated with being designated as essential personnel may
result in appropriate disciplinary action up to, and including, termination.
This form shall be completed at the time of hire and each year during performance appraisals and
th
shall be submitted to UCF Human Resources no later than February 15
. Please see UCF Policy
3-507 for additional information.
IF CHECKED BELOW, THE FOLLOWING INSTRUCTIONS ALSO APPLY:
The employee noted above is a supervisor and is required to maintain the work, home,
and cell phone numbers of essential personnel under his or her direction.
Employee Signature:
___________________________________ Date: ________________
Supervisor Signature:
___________________________________ Date: ________________
Director/Dean Signature: ___________________________________ Date: ________________
Once this form has been discussed and signed by all parties, provide a copy to the employee,
retain a copy for departmental files, and forward the original to Human Resources,
Attention Employment Services & Records , Zip 4: 0140.

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