The forms provided below represent many of the forms commonly used by faculty, staff, job seekers, new hires, and student employees.

For your convenience, a number of e-forms can be submitted electronically. However, please note that most of these forms are designed to be completed after they are printed. 

• HIPAA - Notice of Privacy Practices
  

Jump To Forms By Name

• A through F
• G through N
• O through R
• S through Z

Jump To A&F Financial Forms

• A&F Financial Forms

A&F Units Only

• Electronic Time Off Form (1328)
• Instructions for Electronic Time Off Form

A through F

A

• ADL Worksheet (Excel)
  
• Alternative Work Schedule Employee Election Form
  
• ARP Provider Change Form
  
  • ARP Provider Change Letter (Effective Jan. 2013)
    

B

• BenAccount Application
  
• Benefits Appeal Form

C

• Certification of Health Care Provider (CHCP)
• Change of Address
• Change Form - ARP Provider

D

• Designation Notice (Family Medical Leave Act) WH-382
  
• Domestic Partner Affidavit

E

• Employment Not Covered By Social Security (OPERS)
  
• Employment Not Covered By Social Security (STRS)

F

• First Report of an Injury, Occupational Disease or Death (BWC Initial Report)
  
• Flexible Spending Account 'BENNY' card application
  
• Flexible Spending Account Reimbursement Form
  
• Flu Shot Consent Form (Health Works Form)
  
• FMLA Provisional Designation Notice Form

G through N

G

(none)

H

• Handicapped Child - Physician's Statement
  
• Health Insurance Enrollment Form (A1) - Adult Child Age 19-25
  
• Health Insurance Enrollment Form (A2) - Adult Child Age 26 and 27
  
• Humana Dental Claim Form
  
• Humana Health Claim Form

I-J

• I-9 Employment Eligibility Verification (E-Verify)
  • E-Verify Instructions - Completing Form I-9

K

• Knowledge, Skills, and Abilities

L

• Leave - Certification of Health Care Provider (CHCP)
  
• Leave Donor Application
  
• Leave Donation Application (For Recipient)
  
• Leave - Medical/Provisional Designation Notice Form
  
• Long Term Disability Claim Form

M-N

(none)

O through R

O

• OPERS Authorization to Release Information (for Early Retirement Incentive)
  
• OPERS Personal History Record (Form A)
  
• OPERS Remployed Retiree (Form SR-6)
  
• OPERS Request for Optional Exemption as a Student (F-3)
  
• Organizational Unit Change Request
  
• Outside Activity Report (OAR) of Collateral Employment and Conflict of Interest (Submit on-line)
  
  • Outside Activity Report Instructions
  • OAR User Manual Training Presentation
    
• Ohio Ethics Law and Related Statues Acknowledgment
  
• Ohio Ethics Law Outline

P

• Payroll Forms
  
• Performance Bonus Plan (Word Template)
  
• Performance Evaluation for Classified Employees
  
• Performance Evaluation for SEIU Represented Employees
  
• Performance Evaluation for Unclassified Unrepresented Employees (Word)
  
• Performance Management Pilot:
  
  • Performance Management Evaluation (Pilot Word Form)
    
  • Performance Management Competency Library
    
  • Performance Management Form Instructions
    
• Performance - Written Conference Report Form
  
• Performance - Written Reprimand Form
  
• Personal Data Form (Electronic Form)
  
• Physician's Statement for Handicapped Children
  
• Position Description Questionnaire Form (Submit on-line)
  
• Position Maintenance Request Form
  
• Prescription Mail Order Form (RightSource)
  
• Provisional Designation Notice Form

Q-R

• Recruitment Plan Approval Form 
• Reduction in Force Request Form
• Remote I-9 Procedure and Form
  
• Request for Reassignment Form
  
  • Request for Reassignment Instructions
    
• Retirement Plan Election Form
  
• Rowe Loan Application Request
  
  

S through Z

S

• Salary Reduction Agreement - Tax Deferred Annuity 403(b) & 457 (Electronic Form)
  
• Savings Bonds
  
• Separation Clearance Form
  
• Spousal/Domestic Partner Surcharge
  
• SEIU Wage Progression/Lump Sum Bonus Form

T

• Temporary Work Level (TWL) Adjustment Worksheet (Excel)
  
  • TWL Worksheet Instructions
    
• Termination Clearance Form (See Separation Clearance Form Above)
  
• Tuition Remission
  
  • Tuition Remission - Additional Hours Authorization
    
  • Tuition Remission Application - Employee [TR1]
    
  • Tuition Remission Application - Spouse/Domestic Partner/Dependent [TR2]
    
  • Tuition Remission Application - Affiliated Faculty/ROTC/Retiree [TR3]
    
  • Tuition Remission Application Affidavit
    • Affidavit Calculator
• Tuition Remission Appeals
  
  • Tuition Remission Appeal - Loss Due to Unsatisfactory Academic Progress - Medical Documentation
    
  • Tuition Remission Appeal - Loss Due to Unsatisfactory Academic Progress
    

U-V

• Union Business Report
  

W-Z

• Wage Progression/Lump Sum Bonus
  
• Work-Related Injury or Illness (UC Initial Report)
  
• Work-Related Injury or Illness (BWC Initial Report)
• Work Site or Location