Important Forms - Health Professionals & Allied Employees

Important Forms

HPAE Grievance Form

The HPAE grievance form is used to file grievances when a violation of the contract has occurred. The form is submitted to the employer, and contains a description of the grievance and the remedy or award we are seeking.

Click here to view and print this form.

 

Grievance Worksheet

The grievance worksheet is used by Reps, Officers, and staff to analyze grievances and to prepare for grievance and arbitration hearings. We have a new, revised Grievance Worksheet that can be used for either contract or disciplinary grievances.

Click here to view and print the new Grievance Worksheet.

 

Unsafe Staffing

The unsafe staffing form is used to report incidences of unsafe staffing. This form not only important when legal liability is an issue, but is a crucial tool for local Staffing Committees and Negotiations Committees to achieve better staffing in a hospital, nursing home, or other healthcare facility.

Click here to view and print this form.

 

Family Medical Leave Act (FMLA) Forms

These FMLA forms are used when applying for a Family and Medical Leave.

Click here for an application for FMLA leave due to employee’s illness or injury.

Click here for an application for FMLA leave due to family member’s illness or injury.

 

Workplace Violence Reporting Form

The workplace violence reporting form is used to report incidents of violence in the workplace. Workplace violence is a major cause of work-related injuries for nurses and other healthcare workers. Each facility in New Jersey is required by law to have a policy in place to prevent workplace violence and must establish a joint committee on workplace violence prevention.

Click here to download this form.

 

Health & Safety Consultation Form

The Health & Safety Consultation form is used to request technical assistance, training and research in health and safety.

Click here to fill out this form.

 

Expense Voucher for Locals

The local vouchers are used when locals and local officers need to submit expenses for reimbursement by HPAE.

Click Here to Download and Print This Form.

HPAE Grievance Form

The HPAE grievance form is used to file grievances when a violation of the contract has occurred. The form is submitted to the employer, and contains a description of the grievance and the remedy or award we are seeking.

Click here to view and print this form.

 

Grievance Worksheet

The grievance worksheet is used by Reps, Officers, and staff to analyze grievances and to prepare for grievance and arbitration hearings. We have a new, revised Grievance Worksheet that can be used for either contract or disciplinary grievances.

Click here to view and print the new Grievance Worksheet.

 

Unsafe Staffing

The unsafe staffing form is used to report incidences of unsafe staffing. This form not only important when legal liability is an issue, but is a crucial tool for local Staffing Committees and Negotiations Committees to achieve better staffing in a hospital, nursing home, or other healthcare facility.

Click here to view and print this form.

 

Family Medical Leave Act (FMLA) Forms

These FMLA forms are used when applying for a Family and Medical Leave.

Click here for an application for FMLA leave due to employee’s illness or injury.

Click here for an application for FMLA leave due to family member’s illness or injury.

 

Workplace Violence Reporting Form

The workplace violence reporting form is used to report incidents of violence in the workplace. Workplace violence is a major cause of work-related injuries for nurses and other healthcare workers. Each facility in New Jersey is required by law to have a policy in place to prevent workplace violence and must establish a joint committee on workplace violence prevention.

Click here to download this form.

 

Health & Safety Consultation Form

The Health & Safety Consultation form is used to request technical assistance, training and research in health and safety.

Click here to fill out this form.

 

Expense Voucher for Locals

The local vouchers are used when locals and local officers need to submit expenses for reimbursement by HPAE.

Click Here to Download and Print This Form.

HPAE Grievance Form

The HPAE grievance form is used to file grievances when a violation of the contract has occurred. The form is submitted to the employer, and contains a description of the grievance and the remedy or award we are seeking.

Click here to view and print this form.

 

Grievance Worksheet

The grievance worksheet is used by Reps, Officers, and staff to analyze grievances and to prepare for grievance and arbitration hearings. We have a new, revised Grievance Worksheet that can be used for either contract or disciplinary grievances.

Click here to view and print the new Grievance Worksheet.

 

Unsafe Staffing

The unsafe staffing form is used to report incidences of unsafe staffing. This form not only important when legal liability is an issue, but is a crucial tool for local Staffing Committees and Negotiations Committees to achieve better staffing in a hospital, nursing home, or other healthcare facility.

Click here to view and print this form.

 

Family Medical Leave Act (FMLA) Forms

These FMLA forms are used when applying for a Family and Medical Leave.

Click here for an application for FMLA leave due to employee’s illness or injury.

Click here for an application for FMLA leave due to family member’s illness or injury.

 

Workplace Violence Reporting Form

The workplace violence reporting form is used to report incidents of violence in the workplace. Workplace violence is a major cause of work-related injuries for nurses and other healthcare workers. Each facility in New Jersey is required by law to have a policy in place to prevent workplace violence and must establish a joint committee on workplace violence prevention.

Click here to download this form.

 

Health & Safety Consultation Form

The Health & Safety Consultation form is used to request technical assistance, training and research in health and safety.

Click here to fill out this form.

 

Expense Voucher for Locals

The local vouchers are used when locals and local officers need to submit expenses for reimbursement by HPAE.

Click Here to Download and Print This Form.