Skip To Nav

Site-specific menu

Forms

Click the category below to access available forms.

Accidents and injuries
Accident/injury report form
Access this form via Accident Injury Report where you will find a link to the the form and related instructions.
Form-311
(12/2009)
Physical capabilities form
Print form and have injured employee bring to Sindecuse Heath Center with WC-210, Report of Claimed Occupational Injury or Illness form (see below).
WC-504
(07/2003)
Report of claimed occupational injury or illness
Print form and have injured employee bring to Sindecuse Heath Center with the WC-504, Physical Capabilities form (see above).
WC-210
(02/2009)
Benefit enrollment and changes
Designated eligible individual enrollment form
HR-710
(11/2013)
Flexible spending account - BASIC Flex claim form
(07/2010)
Flexible spending account - BASIC Flex direct deposit form
(05/2010)
Flexible spending account - BASIC Flex enrollment booklet
(08/2012)
Health insurance enrollment and change form
HR-700
(07/2012)
Life insurance enrollment and change form - employee
HR-720
(01/2014)
Life insurance enrollment and change form - dependent
For staff compensation system employees, coaches, and research staff (R1 and R2).
HR-722
(01/2011)
Long-term disability insurance enrollment and change form
HR-730
(09/2009)
Tuition remission application - academic year 2014-15
For spouse and dependent program.
HRS-031
(03/2014)
Business managers and hiring agents
Appointment form - staff
Use to place a person in a new position (new hire, promotion, transfer, demotion). Contact Human Resources for more information.
Disclosure and consent form for consumers report
Use for conducting background checks of new hires. Contact Human Resources to request this form.
Form I-9
Submitted electronically via employee self service. For details, please visit Form I-9.
Form I-9 memo
HR-205
(08/2011)
Hiring temporary employees via an agency
Access Specialized Staffing Solution's online temporary employee order form and general instructions for hiring temporary employees via an agency .
Personal data form
For use by temporary and student employees.
HR-200
(03/2014)
Position authorization form instructions PDF
Use for position replacement, position changes, and to create a new position. Contact University Budgets and Financial Planning to request this form.
Reasonable assurance of reemployment
Sample letter for use with service and support staff with less than fiscal year appointments, including temporary and regular academic year and ten-month hourly paid staff.
P-520
(03/2011)
Jury duty and court required service
Dining Services, Facilities Management and Other employees (AFSCME)
HR-335
(11/2003)
Faculty (AAUP)
HR-334
(06/2003)
Police Officers (POA)
HR-336
(06/2003)
Power Plant employees(MSEA)
HR-337
(06/2003)
Staff Compensation System employees
Also for use by coaches, research staff, and all other non-bargaining employees.
HR-333
(06/2003)
Leaves of absence
Leave of absence - application (faculty-AAUP)
For use by faculty (AAUP) to request a non-FMLA leave of absence.
HR-325
(05/2014)
Leave of absence - application (staff-AFSCME, MSEA and POA)
For use by AFSCME, MSEA and POA employees to request a non-FMLA leave of absence.
HR-590
(03/2013)
Leave of absence - application (staff-non-bargaining)
For use by all non-bargaining employees to request a non-FMLA leave of absence.
HR-320
(03/2013)
Leave of absence - consent to release information (optional)
For use by all employee groups.
P-335
(05/2014)
PeopleSoft access and reporting
Electronic workflow access authorization
Complete the PeopleSoft information access authorization form (below) in order to gain access to the PSHR electronic workflow system and the student employment online transaction system.
Electronic workflow approval rule change request
Use to make changes to the electronic workflow approval rules.
HR-203
(07/2010)
PeopleSoft information access authorization
Use to access the following types of data:
  • Budget - pay earnings, reporting, and entry spreadsheet
  • Electronic workflow - initiator and approver
  • Grants - reporting
  • Human Resources - management data report, Kronos timekeeper report, and report manager reports
PS-101
(10/2013)
Reporting user guides
Visit Reporting to access user guides for the PeopleSoft HR electronic reporting system.
Student employment online transactions
Complete the PeopleSoft information access authorization form (above) in order to gain access to the student employment online transactions system.
Performance management
Microsoft Word 2007 (PC Only):
Performance management program - instructions and definitions
HR-100
(08/2011)
Performance management program - annual review form
HR-101
(08/2011)
Performance management program - employee self review (optional)
HR-101
(08/2011)
Microsoft Word 2003 (PC and MAC):
Performance management program - instructions and definitions
HR-100
(08/2011)
Performance management program - annual review form
HR-101
(08/2011)
Performance management program - employee self review (optional)
HR-101
(08/2011)
Probation
Probationary report (AFSCME) - 30 and 60 day evaluation
HR-314
(07/2008)
Probationary report (AFSCME) - final evaluation
HR-315
(12/2007)
Probationary report (SCS) - 2 and 4 month evaluation
HR-311
(06/2003)
Probationary report (SCS) - 6 month evaluation
HR-312
(06/2003)
Retirement
Exchange authorization: 403(b) sick/annual leave exchange
For use by staff compensation system employees and Police Officers Association (POA) members.
HR-601
(01/2012)
Salary reduction agreement - calendar year 2014
For 403(b) and 457(b) contributions.
(11/2013)
Staff collective bargaining
Application for bargaining-unit layoff
For AFSCME employees under article 7.11.6
HR-500
(03/2007)
Staff compensation system
Job profile questionnaire (JPQ)
Use to create a new or rewrite a staff compensation system position.
HR-120
(07/2012)
Position evaluation appeal form
Use to appeal a staff compensation system position evaluation.
P-0007a
(05/2009)