Welcome

Thank you for visiting the Human Resources forms page. The forms provided below represent many of the forms commonly used by faculty, staff, job seekers, new hires, and student employees. For your convenience, we have added a number of e-forms that can be submitted electronically.  However, please note that most of these forms are designed to be completed after they are printed.  The forms have also been divided into four general categories: Benefits, Compensation, Employment Services, and Payroll. Use the left navigation bar located under "Forms Topics" to access these categories.

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HUMAN RESOURCES FORMS A-Z INDEX

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

A

ADL Worksheet

ARP Provider Change Form

B

BenAccount Application

Benefits Appeal Form

C

Certification of Health Care Provider

Change of Address

Coordination of Benefits for Yourself

Coordination of Benfits for Your Dependents

D

Declaration of Material Assistance (DMA)

Dependent Information Update

Development/Training Needs Assessment

Discount Request

Domestic Partner Affidavit 2008

Domestic Partner Declaration

Domestic Partner Surcharge  - AFSCME/IUOE

Domestic Partner Surcharge - Unrepresented Staff

Domestic Partner Surcharge - AAUP

E

Employment Not Covered By Social Security (OPERS)

Employment Not Covered By Social Security (STRS)

F

I-J

I-9 Employment Eligibility Verification

K

Knowledge, Skills, and Abilities

L

Leave Donation Adjustment

Leave Donor Application

Leave Donation Recipient Application

Life Insurance Beneficiary Designation

Long Term Disability Claim Form

M

Managerial Assessment of Proficiency (MAP)

Managing to Excel

N
O

OPERS Authorization to Release Information (for Early Retirement Incentive)

OPERS Traditional Pension Plan Refund Application (A-4T)

OPERS Combined Plan Refund Application (A4CO)

OPERS Member Directed Plan Refund Application (A4MD)

OPERS Personal History Record  (Form A)

OPERS Remployed Retiree (Form SR-6)

OPERS Request for Optional Exemption as a Student (F-3)

Organization Unit Maintenance Request

P

PAYROLL FORMS

Personal Data Form

Performance Bonus Plan

Performance Evaluation for Classified Employees

Performance Evaluation for SEIU Represented Employees

Performance Evaluation for Unclassified/Unrepresented Employees

Physician's Statement for Handicapped Children

Position Description Questionnaire Form

Position Maintenance Request Form

Prescription Mail Order Form (RightSource)

Q-R

Remote I-9 Form

Request for Reassignment Form

Retirement Plan Election Form

Rowe Loan Application Request

S

Salary Reduction Agreement- Tax Deferred Annuity 403(b) & 457

Savings Bonds Authorization

Spouse Surcharge - AFSCME/IUOE

Spouse Surcharge - Unrepresented Staff

Spouse Surcharge - AAUP

T

Temporary Work Level (TWL) Adjustment Worksheet

Termination Clearance Form

Tuition Remission- Additional Hours Authorization

Tuition Remission Application

Tuition Remission- Part Time Faculty Application

U-V

Union Business Report

W-Z

Workforce Central Request

Work-Related Injury or Illness (Initial Report)

Work-Related Injury or Illness (BWC Initial Report)