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HR Forms and Resources

 

Compensation

 

Job Description Form
Manual Payment and Pay Rate Change Request Form

 

 

Benefits

 

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:  https://hr.depaul.edu/Benefits/403/how_to_enroll/index.html),
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
Payflex Parking and Transportation Claim Form
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

Eligible Child Tuition Waiver Form

Manual Waiver Request Form
Tuition Waiver Proof of Dependency Affidavit


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

Voluntary Reduced Work Time

V-Time Form

Return from V-Time Form

 

RECRUITMENT SPECIAL REQUEST
             Recruitment Form-Special Request
         
NEW EMPLOYEES
             Form I-9
             Form I-9 Handbook
             DCFS Form
             Self-Identification Form
             Personal Information Update Instructions
             Payroll Information Update Instructions

                              
                
WORKPLACE LEARNING AND PERFORMANCE

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 Termination Checklist

 

Exit Survey
Managers Request to Inspect Personnel Records
Managers Termination Checklist

 

Performance Improvement Plan

 

Salary Advance Request & Deduction Authorization

  Progressive Disciplinary Action
 


 

Human Resources Information Systems (HRIS)

             HRIS Report Request Form
             HR Website Update Request Form