Forms & Documents

The following documents are provided here for your convenience. If you have any questions, please contact us.  Most forms available for download in Adobe Acrobat format. If you do not have Adobe Acrobat installed, you may download Adobe Acrobat Reader from the Adobe website.

A B C D E F G H I J L M N O P R S T V W

A

• Accident Report (Supervisors)
• Accident Report (Personal)
• Additional Assignment Agreement
• Amortization Agreement (Moving)
• Authorization to Withhold Earnings
• Authorization to Stop Earnings Withheld
• Acknowledgment of Receipt of University Handbook
• Acknowledgment of Receipt of University SPD

B

• Biographical Information (Employee Service Record)

C

• Conflict of Interest Statement and Agreement
• Credentials Verification
• Contract (Teaching)
• Contract (Non-Teaching)

D

• Dental Claim Reimbursement
• Direct Deposit Allocation

E

• Employee Service Record Biographical Information
• Employee File Request Form
• Employment Eligibility Verification Form (I-9)
• Electronic Pay Policy
• Employee ID Request
• Evaluation Form (Student)
• Exit Procedure Form

F

• Faculty Appointments
• Faculty and Administrator Grievance (please download form then complete)
• Flex Spending Reimbursement
• FMLA Certification
• FMLA Request
• Foreign Services Statement
• Free Class Form

G

• Gift of Time (Recipient)
• Gift of Time (Donor)
• Graduate Assistantship
• Graduate Assistant (Administrative)
• Guest Staff Access Form -- please see new form name "Non-Employee Assignment"

H

• Health Insurance Summary Plan Descriptions (please see Benefits)
• Health Savings Account Response Form
• HIPAA (Samaritan Fund Program)

I

• I-9 Form (Employment Eligibility Verification)
• Internship (student-unpaid); see normal forms for paid

J

• Job Posting Request
• Job Description Sample Format
• Job Description Worksheet

L

• Long-term Sick Leave

M

• Medical Benefit Plan Document
• Moving Agreement
• Medical/Pharmacy Reimbursement

N

• New Employee Checklist (dept specific)
• New Employee Data (Faculty/Staff)
• New Employee Data (Student)
• Navitus Q&A
• Non-Employee Assignment (unpaid, access only)
• Non-Teaching Contract

O

• Online Payment Instructions
• One-Time Payment Request
• Out-of-Network Referral Form

P

• Pay Card Application
• Pay Card Disclosures: English, Spanish
• Payroll Schedule
• Pay Stub Information
• Personal Accident Report Form (PARF)
• Pharmacy/Medical Reimbursement
• Phone and Computer Setup Procedure (New Employees)
• Plan Document and Summary Plan Description
• Prescription Drug Mail Order Enrollment

R

• Rate Sheet Hourly Staff
• Rate Sheet Hourly Student (submit via EPAF)
• Recommendation for Appointment Form (RAF) - Sections A/B
• Recommendation for Appointment Form (RAF) - Section C
• Recruitment & Selection Checklist
• Remote Work Agreement
• Review Form (staff evaluation)

S

• Salaried Leave Tracking Employee Manual
• Salaried Leave Tracking Supervisor Manual
• Service Record (Employee Biographical Info)
• Staff Rate Sheet (Hourly)
• Staff Developmental & Performance Review
• Student Employment Handbook
• Student Evaluation Form
• Student Insurance Brochure
• Student Internship (unpaid)
• Student Rate Sheet (submit via EPAF)
• Student Wage Scale
• Supervisor Accident Report Form (SARF)
• Social Security Letters Request
• Social Security Card Application

T

• Teaching Contract
• Termination Notice
• Timeclock Manager's Manual
• Tithe/Offerings Deduction Authorization
• Tuition Assistance (current year)
• Tuition Assistance (next year)

V

• Verification of Credentials
• Vision Claim Reimbursement

W

• W-4 Form (IRS)
• MI-4 Form (Michigan)
• WH-4 Form (Indiana) 
• W-2 Wage and Tax Statement
• Weather/Emergency Closure Compensation
• Withhold Earnings Form, Authorization to Stop
• Withhold Earnings Form, Authorization to Start
• Work Permit: Employee (non-student)
• Work Permit: Student