| FORM NAME |
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PDF |
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| BENEFITS |
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Authorization to Disclose Health
Information
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PDF |
Blue Cross/Blue Shield International Claim Form |
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PDF |
Blue Cross/Blue Shield Change Form |
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PDF
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Delta Dental Change Form |
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PDF |
Emeritus Application(Staff)
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PDF |
Emeritus Application(Faculty)
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PDF |
FSA Reimbursement Form - Medical (Ceridian) |
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PDF |
FSA Sample Expense Eligibility - Medical
(Ceridian)
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PDF
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FSA Reimbursement Form - Dependent Care
(Ceridian) |
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PDF |
Heath Care Plan
Waiver of Coverage Form |
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| Met Life Short Term
Disability Enrollment form |
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PDF |
Met Life Short Term
Disability Instructions for
Completing Claim Form |
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PDF |
Met Life Short Term
Disability Claim Form (CP,
CS, FM, PS, PT) |
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PDF |
Met Life Short Term Disability Summary of Benefits - CP
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PDF |
Met Life Short Term Disability Summary of Benefits - CS |
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PDF |
Met Life Short Term Disability Summary of Benefits - FM |
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PDF |
Met Life Short Term Disability Summary of Benefits - PS |
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PDF |
Met Life Short Term Disability Summary of Benefits - PT |
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PDF |
Retirement Party
Expense Guidelines |
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PDF |
Retirement Party Form |
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PDF |
Salary Reduction Agreement - 457 (b) |
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PDF |
Salary Reduction Agreement - 403 (b) |
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PDF |
Stop SRA Form |
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PDF |
Tuition Waiver Agreement/Application
for Employees |
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PDF |
Tuition Waiver Agreement/Application
for Spouse/Dependents |
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PDF |
Vacation Accrual Guidelines
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PDF |
Vocational Training Reimbursement Form (Washtenaw
County Community College - PT/FM Only)
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PDF |
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| COMPENSATION |
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| Award Payment Form |
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PDF |
| Campus Leave Authorization form for
Staff |
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PDF |
| Evaluation Requirements |
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PDF |
| Honorarium/Supplemental Employment
Request for Payment |
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PDF |
| Independent Contractor Checklist |
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PDF |
| Pay For Performance |
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PDF |
| Performance Development Goals Form |
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PDF |
| Performance Development Reference
Guide |
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PDF |
| Performance Development Program Form
(PDP) (AP,CC & PT Employee Groups) |
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PDF |
| Performance Improvement Plan Form
(PIP) |
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PDF |
| Performance Management Review Form - Office
Professional Staff (CS) |
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PDF
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| Performance Management Review Process Reference
Guide - Office Professional Staff (CS) |
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PDF |
Performance Review
Form (FM)
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PDF |
| Personal Services
Contract |
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PDF |
Position Control Action Form (PCA)
Contact either Budget Management (7-3225) or Compensation Programs
(7-2275) to request pre-printed form with current position data
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| Position Review Questionnaire (PRQ) -
GRANT Positions |
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PDF |
| Record of Equivalent Time for FLSA Exempt
Classified PT Employees |
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PDF |
| W-8BEN Form |
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PDF |
| W-8BEN Instructions |
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PDF |
| W-9 Form/Instructions |
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PDF |
| Speaker/Presenter/Performer Agreement |
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PDF |
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| EMPLOYMENT |
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| Appointment Recommendation Form -
Staff |
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PDF |
| Demographic Data Sheet |
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PDF |
| Emergency Contact Form |
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PDF |
| Employee Consultant Agreement |
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PDF |
| Employee Separation Checklist |
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PDF |
| Employee Occupational Injury or Illness |
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PDF |
| Employee Shift Change Request Form |
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PDF
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| Employee Transcript Release Consent - From Admissions to HR |
|
PDF |
| Employee Transcript Release Consent - From HR to Admissions |
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PDF |
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Employment Application
The link provided will forward you to EMU's Online Hiring System For
temporary positions (including Employee Consultants), follow the link
and directions to "Create Application", complete the Regular Staff
Application form, save it, print the document, sign and date where
indicated and provide to the person/department wishing to hire you in a
temporary position. You will also need to complete an I-9 form
and W-4 tax document. For regular staff positions , follow the link and
directions to "Create Application" and apply online to a specific open
position in the Online Hiring System. |
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ONLINE HIRING SYSTEM
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Employment Matrix (CS)
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PDF |
Employment Matrix (AP/FM/PT)
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PDF |
I-9 Form
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PDF
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Personnel Action Form - Staff -
Regular or Temporary
Contact the Employment Office (7-3431) to request pre-printed form with
current employee data
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Personnel Action Form - Faculty, Lecturer, Part
Time Lecturer, Visiting Faculty, AP in Academic Affairs
Contact Academic Human Resources (7-0076) to request pre-printed form
with current employee data
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Personnel Action Form- Graduate
Assistant
Contact Graduate School - Graduate Assistants (7-0042) to request
pre-printed form with current employee data
Refer to Academic
Human Resources Forms for blank form,
if needed for New Hires
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| Personnel Requisition - Staff |
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PDF |
| Personnel Requisition - Temporary Staff |
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PDF |
| Request for Accommodation |
|
PDF |
| Veteran Data Information |
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LINK
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LEAVE OF ABSENCE
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| Leave of Absence Procedures 2006 |
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PDF |
| Leave of Absence Form - Staff |
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PDF
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| Flexible Spending Account (Health) Leave of Absence Form |
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PDF |
Family Medical Leave Guidelines
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PDF |
Department of Labor Medical Certification Form
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PDF
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Fitness for Duty Report
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PDF
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Release of Medical Information Form
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PDF
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Educational Leave of Absence Addendum
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PDF
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| If applicable, the MetLife Short
Term Disability Claim Form is available under the BENEFITS forms. |
