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 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)
Staff Orientation Presentation
Faculty Orientation Presentation

FEDERAL/STATE

I-9 Employment Eligibility Form
2016 W-4 Form
AR4EC Form

PAYROLL

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
Overtime Report (Paid from a Grant account only)
Pay Card-Form (call Payroll at (501) 450-5685 for more information)

Leave Reporting Forms

NonClassified Evaluation Training
Catastrophic Leave Donation
Catastrophic Leave Request
Family and Medical Leave Act (FMLA)
Leave Request Form
Compensatory Time
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
2015 W2 Instructions
2014 W2 Instructions
2013 W2 Instructions
2012 W2 Instructions
2011 W2 Instructions
2010 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
Classified Performance Evaluation (PDF)
Classified Performance Evaluation (DOC)
Non-Classified Performance Evaluation
People Admin Role Assignment Form

BENEFITS

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)

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

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

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

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