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All Forms (Complete List)

Below are links to PDF versions of Human Resources forms.  If you do not find the form you need, please check the Human Resources public folder in eDisk ('FORMS'), or contact the Human Resources office at 291-3902.  Forms are not available in the Human Resources office; we encourage you to download forms from this web page or from eDisk.

Benefits Forms:

Children's Scholarship Application

Delta Dental Claim Form

Emeriti Health Account Voluntary Contribution Form

Flexible Spending Accounts Claim Form (Medical Expense Reimbursement Account, Dependent Care Account)

Flexible Spending Accounts Direct Deposit Request Form

Grant-in-Aid Application

Health Reimbursement Account (HRA) Claim Form

Health Reimbursement Account (HRA) Direct Deposit Request Form

Highmark Claim Form

Life Insurance Beneficiary Form

Mail Order Prescription Drug Form  

Retirement Plan Enrollment / Change Form

Tuition Remission Application

Vision Plan Claim Form

Hiring / Search Forms (for professional staff vacancies):

Employment Notification and Change of Status Form

Moving Expense Reimbursement Form

New Hire Documentation Form

Reference Checking Form

Request to Hire Form

Medical Leave Forms:

Faculty Childbirth / Adoption Leave Application

Family & Medical Leave Application

Medical Leave; Health Care Provider's Certification

Return to Work Certification

Occupational Injury Report Form:

Injury Report Form

Payroll Form:

W4 / Federal Income Tax Withholding Form

Position Description Forms:

Please find position description forms in the Human Resources public eDisk folder ('FORMS').

Richard Kneedler Distinguished Service Award Nomination Form:

You can find the Richard Kneedler Distinguished Service Award Nomination Form for professional staff in the Human Resources public eDisk folder ('FORMS').

Other Forms:

Agreement; Voluntary Reduced Summer Work Hours

Domestic Partnership Certification