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
New Part-Time Hire Orientation Packet
Personnel Action Form Instructions
Personnel Action Forms (PAF)
Staff Orientation Presentation
Faculty Orientation Presentation

FEDERAL/STATE

I-9 Employment Eligibility Form
2014 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
2013 W2 Instructions

GENERAL/ADMINISTRATIVE

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

BENEFITS

Address Change Form

Cafeteria Plan (Datapath)

DP Change Form
FSA Claim Form
FSA Election Form

Dental

Blue Cross Dental Application and Change Form
BC Dental Claim Form

Vision

Superior- Coverage Change Form

GAP

GAP Enrollment/Change Form
GAP Claim Form
Instructions for UHC Explanation of Benfits

Health

UHC Enrollment/ Change Form
UHC Marketplace Notice

OPTUM Pharmacy Reimbursement Claim Form
OPTUM Prescription Mail Order Form
Health Claims Transmittal
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 Salary Reduction Form
TIAA CREF Forms
TIAA CREF Website
VALIC Contact Information

Supplemental Products

Allstate Wellness Claim Form
Allstate Accident/Disability Claim Form
Allstate Cancer/Specified Disease/ICU/Heart/Stroke 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
Mileage Form
Health Care Notice for Employees Under Managed Care (Form H)
Worker’s Compensation Instructions to Employers and Employees (Form P)