Forms

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, or contact the Human Resources office at 291-3995.

 

Benefits Forms:

Children's Scholarship Application

Delta Dental Claim Form

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

Grant-in-Aid Application

Health Reimbursement Account (HRA) Claim Form

Life Insurance Beneficiary Form

Mail Order Prescription Drug Form  (for use as of 1/1/2010)

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

Paid Sick Leave Recordkeeping Form for Exempt Professional Staff

Return to Work Certification

Occupational Injury Report Form:

Injury Report Form

Payroll Form:

W4 / Federal Income Tax Withholding Form

Performance Review Forms:

Performance Improvement Plan Form

Performance Review Form

Self-review Form

Position Description Forms:

Exempt Position

Non-exempt Position (office coordinators, assistants, secretarial and clerical positions)

Non-exempt,Technical Position (facilities, maintenance, Public Safety Officers)

Other Forms:

Agreement; Voluntary Reduced Summer Work Hours

Computer Loan / Purchase Form

Domestic Partnership Certification

Richard Kneedler Distinguished Service Award Form