Payroll Forms
- Reversal of Payment Election Form (PDF)
- Election to Annualize Recurring Part-Year Compensation (PDF)
- Federal W-4 (PDF)
- Missouri W-4 (PDF)
- City Tax Form (PDF)
- Gift, Prize, or Award Form (PDF)
- New Worker Information Form (PDF)
Benefits Forms
- Return to Work Form (PDF)
- Medicare Status Form (PDF)
- Adoption Assistance Reimbursement Claim Form (PDF)
- Domestic Partner Declaration Form (PDF)
- UnitedHealthcare Claim Form (PDF)
- UnitedHealthcare International Claim Form (PDF)
- Delta Dental Claim Form (PDF)
- Express Scripts Claim Form (PDF)
To be completed only if you need to submit a claim for reimbursement - Express Scripts Mail-Order Form (PDF)
- VSP Claim Form (PDF)
- Health Care FSA Reimbursement Form (PDF)
Also known as the “Pay Me Back” form for Medical Expense - Dependent Child Care Reimbursement Form (PDF)
Also known as the “Pay Me Back” form for Child Care
- Faculty Phased Retirement Program Application Form (PDF)
- Request for Recognition of Service with Prior Employer Form (PDF)
- Undergraduate Employee Tuition Assistance Request Form (PDF)
- Graduate Employee Tuition Assistance Request Form – Job Related (PDF)
- Graduate Employee Tuition Assistance Request Form – Non-Job Related (PDF)
- Ex-Spouse Dependent Tuition Affidavit Form (PDF)
- Dependent Eligibility Affidavit Form (PDF)
- Spouse Tuition Assistance Request Form (PDF)
- Domestic Partner Tuition Assistance Request Form (PDF)
- Postdoctoral Appointees Tuition Assistance Form (PDF)
- Nursing Tuition Assistance Request Form (PDF)
- Request for Recognition of Service with Prior Employer Form (PDF)