• Job Opportunities Forms - General
• Telecommuting Forms
• ARRA Letters
   
• Benefits Forms - General
• Healthcare Forms
• Flex Spending
• FMLA
• Life Insurance
• Long Term Disability
• Retirement
• RMSA
• Tuition Assistance
   
• Compensation Forms - General
• Management Tools
   
• Employee Evaluation (New Condensed Format)
• Employee Evaluation (Original Format)
• Development Planning
   
• HRMS Forms - General
   

Job Opportunities Forms

General Forms

• Election to Annualize Recurring Part-Year Compensation (pdf)
• Form I9: Employment Eligibility Verification (external website)
• Personal Information Form - Employee (pdf)
• Personal Information Form - Non-Employee (pdf)

Telecommuting Forms

• Telecommuting Agreement and Assignment (pdf)
• Telecommuting Confidentiality & Security Policy Acknowledgement (pdf)

ARRA Letters

• Funding Position Offer Letter (pdf)
• Funding Position Transfer Confirmation (pdf)
• Sourcing Change Confirmation (pdf)
• Supporting Position Offer Letter (pdf)
• Supporting Position Transfer (pdf)

Benefits Forms

General Forms

• Medicare Status Form
• Dependent Social Security Number (SSN)

Healthcare Forms

• 2012 Enrollment Change Form.pdf
• 2012 Enrollment Change Form (Union Power Plant Employees)
• 2012 Retiree Enrollment Form.pdf
• Retiree Electronic Funds Transfer Form
• 2012 Dependent Verification Affidavit.pdf
• Dependent Verification Affidavit (Union Power Plant Employees)
• Domestic Partner Verification Form
• Medco Mail Order Form
• Blue Cross Claim Form 
• Advantica Dental Claim Form.pdf
• Medco Claim Form (To be completed only if you need to submit a claim for reimbursement)
• Spouse/Domestic Partner Premium Surcharge Change Form
• VSP Claim Form
• Waiver of Health Benefits Form

Flex Spending

• Request for Dependent Child Care Benefits Reimbursement (Wage Works "Pay Me Back" form)
• Request for Medical Expense Reimbursement (Wage Works "Pay Me Back" form)
• 2012 Enrollment Change Form

FMLA

• Family and Medical Leave Application Form
• Employee Medical Certification Form
• Family Medical Certification Form
• GINA - Healthcare Certification Addendum
• Military Family Leave Form
• Military Exigency Leave Form
• Return to Work Form

Life Insurance

• Life Insurance Enrollment/Change Form
• Life Insurance Beneficiary Designation Form
• Life Insurance Statement of Health
• Life Insurance-Domestic Partner Declaration Form
• Life Insurance Portability Rate Form

Long Term Disability

• LTD Buy Up Enrollment Form
• Statement of Health Form-LTD Buy Up

Retirement

• 2012 Salary Reduction Agreement OR - make your change - On-line via SELF SERVICE 
• Vanguard Enrollment/Change Form    OR   Enroll on-line
• TIAA-CREF Enrollment Form              OR   Enroll on-line
• TIAA Change of Beneficiary Form
• Hardship Distribution Statement of Need Form
• Retirement Savings Plan summary handout 9.2011
• RA/GRA/SRA Comparison Chart
• W4p Form
• Tenured Faculty Phased Retirement Program Application
• Tenured Faculty Basic Phased Retirement Program Agreement.
• Tenured Faculty Enhanced Phased Retirement Program Agreement 
• Clinician Track Faculty Phased Retirement Program Application
• Clinician Track Faculty Basic Retirement Program Agreement 
• Clinician Track Faculty Enhanced Phased Retirement Program Agreement

RMSA

• RMSA Affidavit (for use by terminated employees that have subsequently retired)
• RMSA Claims Activation Form

Tuition Assistance

• Undergraduate Employee Tuition Assistance Request Form
• Graduate Employee Tuition Assistance Request Form — Job Related
• Graduate Employee Tuition Assistance Request Form — NON Job Related
• Dependent Child Tuition Assistance Request Form 2011  --For Summer 2012
• Dependent Child Tuition Assistance Request Form 2012/2013-For Fall 2012 and Spring 2013
• Spouse Tuition Assistance Request Form
• Domestic Partner Tuition Assistance Request Form
• Employee Taxation on Non-Job Related Tuition
• Postdoctoral Appointees Tuition Assistance Form

Compensation Forms

General

• Bi-Weekly/Nonexempt Time Sheet (xls)
• Employee Income Verification (pdf)

 Management Tools

• Bonus Authorization* (doc)
• Job Description Template* (doc)
• Request for Job Review (pdf)

*Internet Explorer users will be prompted to enter username and password again when downloading .doc files due to a Microsoft security issue. To bypass the prompt, click on the "X" in the upper-right hand corner of the dialog box.

Performance Management Forms

Employee Evaluation (New Condensed Format)

• Administrative/Support Evaluation Form (rtf)
• Supervisory/Professional Evaluation Form (rtf)

Employee Evaluation (Original Format)

• Administrative/Support Evaluation Form* (doc)
• Administrative Self Evaluation Form (rtf)
• Critical Success Factors and Sample Behaviors - Administrative/Support (pdf)
• Supervisory/Professional Evaluation Form* (doc)
• Supervisory Self Evaluation Form (rtf)
• Critical Success Factors and Sample Behaviors - Supervisory/Professional (pdf)

Development Planning

• Individual Development Planning - Staff Guidelines (pdf)
• Individual Development Plan Form* (doc)

*Internet Explorer users will be prompted to enter username and password again when downloading .doc files due to a Microsoft security issue. To bypass the prompt, click on the "X" in the upper-right hand corner of the dialog box.

HRMS Forms

General

• DDD (Deans, Department Heads, Directors) Label Request Form (pdf)
• HRMS Security Authorization Form (Systems and Procedures website)
• Miscellaneous Address Label Request Form (pdf)