forms

General Forms

Manager Forms

Recruitment Support

Recruitment Forms

General Benefits Forms

Health Plan Forms

Welfare Plan Forms

Flexible Spending Accounts Forms

Retirement Forms

Leave Of Absence Forms

General Forms

Personnel Record Request Form
Employment Verification Request Form
Personal Information Change Request Form
I-9 Form
I-9 Form - (for use of Fellows, Post Docs and Monthly Paid Staff)

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Manager Forms

Generic Job Description Template
Job Description Addendum Template
Job Description - ADA Portion

90 Day Performance Review
Annual Performance Review
Annual Performance Review - FY12 for Administrative Support Staff (PDF)
Performance Improvement Plan
Corrective Action Form
Confidentiality Agreement
Job Requisition Short Form (for use for Fellows, Post Docs and Monthly Paid Staff Only)
New Hire Form (for use for Fellows, Post Docs and Monthly Paid Staff Only)
Duplicate W2 Request Form
Alternative Work Arrangement Form
Agency Temp/POI Form (New POI Form)

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Recruitment Support

Recruitment Policies and Procedures

Recruitment Forms

CORI Authorization Form
Parent/Legal Guardian Consent Form
Job Requisition Form
Candidate Disposition Form

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General Benefits Forms

Beneficiary Change Form
Benefits Enrollment and Change Worksheet
Nurses Benefits Enrollment and Change Worksheet

BT Cashout Form
BT Required Exception Request Form
BT Donation Form
Tuition Reimbursment

Health Plan Forms

Medco(Prescription) Reimbursement Claim Form
Neighborhood Health Plan (NHP) Enrollment Form

Welfare Plan Forms

UniCare (Life) Evidence of Insurability Form for Dependents
UniCare (Life) Evidence of Insurability Form for Employees

Reporting a Disability Claim

Flexible Spending Accounts Forms

Please use the online FSA Express system to submit your Flexible Spending Account reimbursement claims.
FSA Express Instructions
Go to FSA Express
FSA Guidelines
List of Eligible Over the Counter Medications
Letter of Medical Necessity