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Human Resources

Human Resources- Internal Forms

Pre-Employment

EMPLOYMENT APPLICATION

  • Application for Employment (4 pages- you may fill out online and print)
  • Equal Employment Data Form  (Also included in Application for Employment)

Post-Employment

NEW HIRE ORIENTATION PACKETS

  • New Full-Time Hire Orientation Packet 2012-2013
  • New Part-Time Hire Orientation Packet 2012-2013
  • Personnel Action Form Instructions
  • Personnel Action Forms (PAF)

FEDERAL/STATE

  • I-9 Employment Eligibility Form
  • 2013 W-4 Form
  • AR4EC Form


PAYROLL

  • General Payroll Forms
    • Direct Deposit (requires voided check attached)
    • PayCard Application
    • Personnel Action Form Instructions
    • Personnel Action Form (PAF)
    • Employee Disclosure Form
    • Salary Report Discrepancy Form (online submission)
    • Semi-Monthly Payroll Schedule
  • Leave Reporting Forms
    • Catastrophic Leave Donation
    • Catastrophic Leave Request
    • Family Medical Leave Form
    • Leave Request Form
    • Monthly Compensatory Time Activity
    • Overtime Report
    • Self-Service Leave Report Training
    • Twelve Month Adm. Leave Report
  • Student/Hourly Time Forms
    • Hourly Timesheet (extra-help & student)
    • Student Hiring Form
    • Transmittal Form (to be attached to time sheet)
    • Student Schedule/Approver Time Entry
    • Hourly Schedule/Approver Time Entry
    • Student Time Instructions
    • Approver Instructions
  • Electronic W2
    • W-2 Replacement Form
    • W2 Disclosure Notices/Consent Process
    • W-2 Process Schedule
    • 2009 W2 Instructions
    • 2010 W2 Instructions
    • 2011 W2 Instructions
    • 2012 W2 Instructions

GENERAL/ADMINISTRATIVE

  • Address/Name/Department Change Form
  • Background Check Form
  • Concurrent Employment
  • Employee Probationary Record
  • Equal Employment Review Form (nonclass./adm.)
  • Grievance Petition
  • Performance Evaluation

BENEFITS

  • Cafeteria Plan (Datapath)
    • DP Change Form
    • FSA Claim Form
    • FSA Election Form
  • Dental
    • Blue Cross Dental Application and Change Form
    • BC Base Plan Summary of Benefits
    • BC Enhanced Plan Summary of Benefits
    • BC Dental Claim Form
    • Dental Rollover Benefit
  • Vision
    • Superior- Coverage Change Form
  • GAP
    • GAP Enrollment/Change Form
    • GAP Claim Form
    • Instructions for GAP Explanation of Benefits
  • Health
    • UHC Address Change Form
    • UHC Enrollment/ Change Form
    • Pharmacy Reimbursement Claim Form
    • Medco by Mail Order Form
    • Health Claims Transmittal
    • Statement of Other Benefit Coverage for Dependent Child under age 26
    • Instructions for Health Explanation of Benefits
  • Life Insurance
    • USAble Life Beneficiary Change Form
  • Retirement
    • Arkansas State Public Retirement System Forms
    • Arkansas Teachers Retirement System Forms
    • Retirement Contribution Request
    • TIAA CREF Forms
    • TIAA CREF Website
    • VALIC Contact Information
  • Supplemental Products
    • Allstate Wellness Claim Form
    • Supplemental Cancellation Form
    • Vision- Enrollment Change Form
  • Tuition Remission
    • Tuition Remission Form
  • Workers Compensation
    • Employee's Notice of Injury (Form N) (to be completed by employee)
    • Employee's Report of Accident (Form PECD 1) (to be completed by employee)
    • Employer's First Report of Injury or Illness (to be completed by supervisor)
    • Employer's Report of Accident (Form PECD 2) (to be completed by supervisor)
    • Supplemental Report (Form S) (to be completed by supervisor)
    • Incident Report

  • Human Resources
    • Benefits
    • Job Opportunities
    • Job Application
    • Staff Handbook
    • Sexual Harassment Online Training
    • Internal Forms
    • Holiday Calendar
    • Employee Educational Seminars
    • Staff
    • Shape-Up UCA Wellness Program
    • Hotline

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