Forms Listing

Benefits Forms (see all Forms)

• 2013 Benefits Change Form
• Aetna Life and Disability Enrollment/Change Request Form
• Aetna Life Insurance Designation of Beneficiary Form
• Aetna Evidence of Insurability Statement Life and Disability Coverage and Form
• BASIC Flex Additional Debit Card Request Form
• BASIC Flex Reimbursement Form
• Blue Cross/Blue Shield International Claim Form
• Dependent Eligibility Verification FAQs
• Emeritus Application(Staff)
• Emeritus Application(Faculty)
• Employee Occupational Injury or Illness
• Medco Rx Mail In Form
• Medco Physician Rx Mail In Form
• Instructions for Enrolling in 403(b) for Part-Time Employees
• MPSERS Retired Employee Approvals Form
• MPSERS Notice of Intent to Retire
• MPSERS Verification Form
• Retirement Party Expense Guidelines
• Retirement Party Form 
• Request for Accommodation
• Salary Reduction Agreement (2013) - 457(b)
• Salary Reduction Agreement (2013) - 403(b)
• Stop SRA Form
• Tuition Waiver Agreement/Application for Employees
• Tuition Waiver Agreement/Application for Spouse/Dependents
• Vacation Accrual Guidelines

       Leave of Absence

• Campus Leave Authorization form for Staff
• FMLA Notice of Eligibility and Rights & Responsibilities
• FMLA Certification of Health Care Provider for Employee's Serious Health Condition
• FMLA - Certification of Health Care Provider for Family Member's Serious Health Condition
• FMLA - Certification of Qualifying Exigency for Military Family Leave
• FMLA - Certification for Serious Injury or Illness of Covered Servicemember - for Military Family Leave
• FMLA - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
• FMLA - Designation Notice
• Educational Leave of Absence Addendum
• Family Medical Leave Guidelines
• Fitness for Duty Report
• Flexible Spending Account (Health) Leave of Absence Form
• Leave of Absence Form - Staff
• Release of Medical Information Form
• Workers' Compensation Buy-Back Guidelines
• Workers' Compensation Buy-Back Request Form

Compensation Forms (see all Forms)

• Additional Compensation Request Form
• Additional Compensation - Hours Worked Spreadsheet
• Classification Action Summary
• Compensation Adjustment Memo
• Compensation Payment Form
• Non-Exempt Course Hours Worked Form
• Record of Equivalent Time for FLSA Exempt Classified PT Employees

Diversity and Affirmative Action Forms (see all Forms)

• Complaint Form

Employee Relations Forms (see all Forms)

• Employee Grievance Form - AFSCME (FM)
• Employee Grievance Form - POAM & POLC (CP & PS)
• Employee Grievance Form - UAW 1975 (CS)
• Employee Grievance Form - UAW 1976 (PT)
• Performance Improvement Plan

• Workplace Violence/Prohibited Conduct Incident Report Form

Training and Organizational Development Forms (see all Forms)

• FM Performance Review and Summary Form
• PS/CP Public Safety Employee Appraisal Review Summary & Form
• Performance Improvement Plan Form(PIP)
• Performance Management Process-Office Professionals Reference Guide
• Training and Organizational Development Inquiry Request Form

Employment Forms (see all Forms)

• ePAF Access Request Form
• Employee Consultant System Access Form
• Employee Consultant Agreement Extension
• Employee Separation Checklist
• Employee Separation or Transfer Checklist for System Access (Excel)
• Employee Selection Workbook
• Employee Shift Change Request Form
• Employee Transcript Release Consent - From HR to Admissions 
• Position Control Form (blank)
• Position Posting Request Form- Academic/Student Affairs and Grant Funded
• Temporary/Consultant Employment Packet
• Voluntary Work Schedule Adjustment Agreement