| FORM NAME |
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PDF |
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| BENEFITS |
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| 2012 Benefits Enrollment Form |
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PDF |
| 2012 Dental Enrollment Form |
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PDF |
| 2012 Flexible Spending Account Enrollment Form |
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PDF |
2012 Certification of Qualified Dependent Status for Grandfathered
(CP, CS, FM, LE, PS) Health Plan Enrollment Form |
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PDF |
Blue Cross/Blue Shield International Claim Form |
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PDF |
| Dependent Eligibility Verification FAQs |
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PDF |
Emeritus Application(Staff)
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PDF |
Emeritus Application(Faculty)
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PDF |
| BASIC Flex Additional Debit Card Request Form |
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PDF |
BASIC Flex Enrollment Booklet |
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PDF
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| BASIC Flex Card User Guide |
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PDF |
| BASIC Flex Reimbursement Form |
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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 |
| MPSERS Retired Employee Approvals Form |
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PDF |
| MPSERS Notice of Intent to Retire |
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PDF |
| MPSERS Verification Form |
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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 (2012) - 457(b) |
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PDF |
| Instructions for Enrolling in 403(b) for Part-Time Employees |
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PDF |
Salary Reduction Agreement (2012) - 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 |
Voluntary Life - Enrollment Form
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PDF
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| Voluntary Life - Plan Guide |
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PDF |
| Voluntary Life - Privacy Notice |
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PDF |
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| COMPENSATION |
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| Additional Compensation Request Form |
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PDF |
| Award Payment Form |
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PDF |
| Campus Leave Authorization form for
Staff |
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PDF |
| Performance Improvement Plan Form
(PIP) |
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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-9 Form/Instructions |
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PDF |
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| EMPLOYMENT |
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| 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 |
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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 , 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. Click here for additional information on Temp Employment Guidelines. For regular staff positions , follow the link "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 (BLANK)
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PDF |
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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LINK |
| Position Posting Request |
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DOC |
| Request for Accommodation |
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PDF |
| Temporary Employment Hiring Document Packet |
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PDF |
| Voluntary Work Schedule Adjustment Agreement |
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PDF |
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| INDEPENDENT CONTRACTOR |
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LINK |
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LEAVE OF ABSENCE
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| 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 - Staff Member
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PDF
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| Department of Labor Medical Certification Form - Family Member |
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PDF |
| Department of Labor Medical Certification Form - Service Member |
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PDF |
| Department of Labor Medical Certification of Qualifying Exigency |
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PDF |
| Department of Labor - Notice of Eligibility and Rights & Responsibilities |
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PDF |
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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| Workers' Compensation Buy-Back Guidelines |
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PDF |
| Workers' Compensation Buy-Back Request Form |
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PDF |
| If applicable, the MetLife Short
Term Disability Claim Form is available under the BENEFITS forms. |
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| AC/AH/AP/CC/PT: SuccessFactors Performance Management System |
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LINK |
| CS: Performance Management Review Summary & Form |
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LINK |
| FM:Performance Review Summary & Form |
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LINK |
| PS/CP: Public Safety Employee Appraisal Review Summary & Form |
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LINK |
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My.Emich.edu Self Service
Click here to log into my.emich to update the following information:
- Contact information
- Demographic information
- Emergency contact information
- Tax forms
- Veteran classification
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