Frequently Requested Forms

30 Day Change Form

403(b) Salary Reduction Agreement

457(b) Salary Reduction Agreement

AD/D Beneficiary Change Form

AFLAC Forms

Application for Temporary Employment

Benefits Information Release Form

Clearance Form

COBRA Application

Criminal History Form

Domestic Partner - Domestic Partner Affidavit

Domestic Partner - Declaration of Termination of Domestic Partnership

Employment Verification Release Form

Flexible Spending Account Claim Form (Health & Dependent)

Flexible Spending Account Enrollment Form (Health & Dependent)

FMLA Forms

GDCP Application for Refund

Handicapped/Disabled Dependent Determination Form

Hartford Life Beneficiary Change Form

Hartford Personal Health Application (Evidence of Insurability)

Hartford Long Term Disability (LTD) Application

Hartford Short-Term Disability How to File a Claim

HMO Certification of Dependency

HSA Enrollment Form

I-9 Form

ID Badge Form / Access Card Authorization

Insurance Change Request - Active Employee

Insurance Change Request - Retiree

Insurance Enrollment Form

Insurance Enrollment Form (New Hire)

ORP Allocation Form

ORP Plan Certificate

Outstanding Wages Beneficiary Designation

Payroll/Tax Forms (Direct Deposit, W-4, G-4, HIRE Act Employee Affidavit Form W-11)

Personal Data Form

Personnel Action Request (PAR)

PeopleSoft HRMS Department Level Access Request

Request for Human Resource Data

Roth 403(b) Salary Reduction Agreement

Roth 457(b) Salary Reduction Agreement

TRS Application for Refund of Contributions

TRS Multiple Change Request

Worker's Compensation Forms 

Helpful Links:

USBank Health Savings Solution