Internal Forms



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



New Full-Time Hire Orientation Packet 1 (read only)
New Full-Time Orientation Packet 2 (print out- single sided only, fill out, and return to Department)

New Full-Time Supplemental Orientation Packet 3 (print out and complete for employees not hired through People Admin)
New Part-Time Hire Orientation Packet (print out- single sided only, fill out, and return to Department)


I-9 Form Instructions
I-9 Employment Eligibility Form
2017 W-4 Form
AR4EC Form


General Payroll Forms

Faculty Deferred Pay
Direct Deposit
(requires back up documentation)
Personnel Action Form Instructions
Personnel Action Form (PAF)
Employee Disclosure Form
Salary Report Discrepancy Form (online submission)
Semi-Monthly Payroll Schedule (FY 2017)
Overtime Report (Paid from a Grant account only)
Pay Card-Form (call Payroll at (501) 450-5685 for more information)

Leave Reporting Forms

Leave Report
Catastrophic Leave Donation
Catastrophic Leave Request
Family and Medical Leave Act (FMLA)
Leave Request Form
Compensatory Time
Self-Service Leave Report Training

Student and Hourly (Extra Help) Payroll

Hourly Timesheet (extra-help & student)
Student Hiring Form
Student & Hourly (Extra Help) Payroll Schedule (FY 2017)
Web Time Entry Instructions
Approver Instructions

Electronic W2

W-2 Replacement Form
W2 Disclosure Notices/Consent Process
W-2 Process Schedule 
2016 W2 Instructions
2015 W2 Instructions
2014 W2 Instructions
2013 W2 Instructions
2012 W2 Instructions
2011 W2 Instructions
2010 W2 Instructions


Address/Name/Department Change Form
Background Check Form
Concurrent Employment
Employee Probationary Period Review Form
Grievance Policy
Grievance Petition
Classified Performance Evaluation (PDF)
Classified Performance Evaluation (DOC)
NonClassified Performance Evaluation Training
Non-Classified Performance Evaluation
People Admin Role Assignment Form


Cafeteria Plan (Datapath)

How to Submit a Claim
FSA Claim Form
Cafeteria Plan/Flexible Spending Account
Debit Card Request
Flex Account Login (7 easy steps)


Blue Cross Dental Application and Change Form
BC Dental Claim Form


Superior- Coverage Change Form


GAP Enrollment/Change Form
GAP Claim Form

Instructions on Printing Explanation of Benefits 

* Point of Service Health Plan

* High Deductible Health Plan


Electronic 1095C

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


Arkansas State Public Retirement System Forms
Arkansas Teachers Retirement System Forms
Retirement Salary Reduction Form
TIAA Forms
TIAA 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

The Company Nurse Injury Hotline
Job Injury Reporting Instructions
Frequently Asked Questions
Incident Report
Mileage Report
Poster H
Poster P