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HR Forms and Resources



Job Description Form
Manual Payment and Pay Rate Change Request Form
Staff Recognition Nomination Form



Adoption Assistance


Adoption Request Form

Dependent Coverage


Dependent Add/Change Form
Declaration of Tax Status Form 
Instructions to change existing benefits due to a family status change

Family and Medical Leave and Short Term Disability

         Please contact Liberty Mutual 1-800-341-0593 to receive forms.

Flexible Spending Accounts

  Conexis Health FSA Claim Form
Conexis Dependent Care FSA Claim Form

Life Insurance
How to Designate or Update Beneficiaries for Life Insurance
        Detailed Instructions for Designating Life Insurance Beneficiaries 
        Instructions for Online Filing for Evidence of Insurability (EOI) / Statement of Health


Medical & Dental Insurance

Blue Cross Claim Forms on the Web
PrimeMail Mail Order Prescription Order Form
HSA Contribution Election Change Form

Retirement Plan

All 403(b) Retirement Plan contribution elections should be made using the on-line process. If you are unable to access the on-line contribution election feature through Campus Connection (see instructions here:,
please contact HR for a Contribution Election Form. 


Second Domiciled Adult (SDA) Coverage

Steps to Enroll
SDA Affidavit of Eligibility
Declaration of Tax Status Form
SDA Affidavit Midyear Election

Transportation Program
CONEXIS Parking and Transportation Claim Form

Tuition Exchange
        Tuition Exchange Preliminary Application

Tuition Waiver

Graduate Tax Information
SDA Tuition Waiver Affidavit

Part-time Faculty Waiver

Tuition Waiver Proof of Dependency Affidavit

Manual Waiver Request Form

Voluntary Unpaid Time-Off Program
Voluntary Time-Off Request Form

Voluntary Reduced Work Time

V-Time Form

Return from V-Time Form


             Interview Summary Report
             Resume Review Report
             Recruitment Form-Special Request
             Search Waiver Request Form  (Best viewed with Internet Explorer)

             Form I-9 
             Form I-9 Handbook
             DCFS Form
             Non Employee Background Check Consent Form 
             Faculty Background Check Consent Form 
             Self-Identification Form
             Staff Background Check Consent Form
             Personal Information Update Instructions
             Payroll Information Update Instructions


Performance Appraisal Form

Performance Appraisal Planning Worksheet
Performance FAQ
Course Creation Request Form

Employee Relations

  Employee Accommodation Request
Employee Request to Inspect Personnel Records
Employee Resignation Checklist
Managers Request to Inspect Personnel Records
Managers Termination Checklist
Performance Improvement Plan
Progressive Disciplinary Action
Religious Accomodation Request
Salary Advance Request & Deduction Authorization


Human Resources Information Systems (HRIS)

             HRIS Report Request Form
             HR Website Update Request Form