HR Forms

Health Insurance Forms

• Health Insurance Election Form (active employees)
• Spouse Program Election Form

Basic and Optional Life Insurance Forms

• Group Life Insurance Enrollment Form (active employees)
• Group Life Insurance Evidence of Insurability
• Beneficiary Designation and Change Request Form

Supplemental Insurance Forms

• Dental Insurance Election Form
• Vision Insurance Election Form
• Accident Insurance Election Form
• Cancer Insurance Election Form
• Disability Insurance Election Form
• Hospital Intensive Care Insurance Election Form
• Hospitalization Insurance Election Form

Flexible Spending Accounts and Health Savings Account Forms and Publications

• Flexible Spending Account Claim Form
• HSA Tallahassee State Bank Application
• Tax-Favored Accounts Election Form

Long Term Disability

• Long Term Disability (LTD) Brochure
• Long Term Disability (LTD) Certificate of Coverage – 30-Day
• Long Term Disability (LTD) Certificate of Coverage – 90-Day
• Long Term Disability (LTD) Claim Form – 30-Day Elimination Plan
• Long Term Disability (LTD) Claim Form – 90-Day Elimination Plan
• Long Term Disability (LTD) Enrollment and Change Form
• Long Term Disability (LTD) Enrollment Form & Evidence of Insurability (EOI)

Family Medical Leave Act

• Certification of Health Care Provider Form
• Employee Request for FMLA Form

Retirement Forms

Department Chair

Faculty Member Appointed as Department Chair

Tenure Earning Faculty

• Standard Letter
• Awarding Service Credit
• Hiring with Tenure
• Visa

Non-Tenure Earning Faculty

• Standard Letter of Offer – New Employee
• Standard Letter – Continuing Employee
• Non-Teaching

Adjunct Faculty

• Standard Letter

Courtesy Faculty

• Request for Courtesy Appointment
• Standard Letter of Offer – New Employee (Faculty of Record/Teaching)
• Standard Letter (Non Teaching)

Staff

• Staff Regular
• Staff Trainee
• Staff Short Term
• Staff Time Limited
• Staff Emergency

Graduate Assistant

• Graduate Research Associate
• Graduate Research Assistant
• Graduate Teaching Associate
• Graduate Teaching Assistant
• Graduate Assistant
• Graduate Instructional Assistant

Temporary

• Temporary Non-Student Salaried
• Temporary Non Student Hourly
• Temporary Student Hourly
• Temporary Student FWS
• Resident Assistant

A

ADA Request for Reasonable Accommodation

Address Change Form

Adjunct Reference Letters

Advertisement Waiver – Administration & Staff

Affidavit Sick-Annual Leave Not Covered by Leave Records

C

Certification Adjustment for Retroactive Salary Increase

Changes to Appointments

Courtesy Faculty Appointment Form

D

Direct Deposit Form

Duties and Responsibilities Form – Salaried OPS-Temporary

E

Employee Tuition Program

Employment Verification – Telephone

Employment Verification-Mail In

Extension of Probationary Period

Extra Compensation (Dual Comp) Form

F

Faculty Paid Parental Leave Request Form

Family and Medical Leave Act (FMLA) Request Form

Family and Medical Leave Act (FMLA) Certification

Family and Medical Leave Act (FMLA) Return to Work

Faculty Out of Cycle Increase Form

Flexible Spending Account Claim Form

G

GEMS Access Request Form

GEMS Roles – Definitions

Graduate Associate-Assistant Leave Record

Grievance Form

N

Name Change Form

Nepotism Letter

Non-Recurring Compensation Form

O

Outside Activity Form

P

Paid Parental Leave for Faculty Request Form

Payroll Certification Adjustment Form (PCAF)

Payroll Retroactive Rate Increase Form

Performance – Quarterly Check-in

Performance – Self Assessment

Performance Evaluation – Administration

Performance Evaluation – Federal Work Study Student

Performance Evaluation – Staff

Performance Evaluation- LEO

Personnel Action Request (PAR)

Phased Retiree Leave Record

Phased Retirement Program Agreement

Post Retirement Employment Form

R

Records Disposition Request Form

Responsibilities Associated with Access to University Information Form

Retiree Recognition Form

S

Salaried OPS Duties and Responsibilities

Sick Leave Pool Medical Statement

Sick Leave Pool Request

Special Pay Increase

T

Telecommuting Arrangment Agreement

Temporary Employee Appointment Extension

Time Limited Appointment Agreement

Timesheet 2012 – Temporary Hourly

Timesheet 2012-Staff

Timesheet 2013 – Staff

Timesheet 2013 – Temporary Hourly

Timesheet Instructions (Staff)

Timesheet Instructions (Temporary)

U

USFSP Adjunct Reference Letters

V

Veterans’ Preference Claim Form

Volunteer Application

Volunteer Appointment

W

W-4 Form 2013

Waiver of Advertisement

Workers Comp-Supervisor’s Accident Investigation Report