Human Resource Forms
- Adoption Reimbursement
- Continuing Education
- Dental Care
- Emergency Loan Application
- Flexible Spending
- Health Care
- Leave/Sabbatical Forms
- Life Insurance
- New Hire Forms
- Non-Employee Forms
- Outside Employment & Additional Services
- Payroll Forms
- Performance Appraisal Forms
- Personal Data Change Form
- Personnel Action Form (PAF)
- Position Classification Justification Forms
- Promotion Review Form
- Retirement Forms
- Separation Forms
- Tax Forms
- Tuition Exchange
- Tuition Remission/Assistance
- Vision Plan
- Wellness Forms
- Worker's Compensation Claim Forms
Adoption Reimbursement Form (doc)
CONTINUING EDUCATION FUNDS - Center for Leadership
Center for Leadership Programs
Erma Bombeck Form (pdf)
Executive Program Form (pdf)
Active Employee & GA Enrollment Form (pdf)
Retiree Enrollment Form - Over 65 (pdf)
Retiree Enrollment Form - Under 65 (pdf)
Emergency Loan Application (pdf)
Benefits Enrollment Form (pdf)
Direct Deposit Enrollment Form (pdf)
Medical & Dependent Care Claim Form (pdf)
Orthodontic Claim Form (pdf)
Enrollment Forms/Waiver Forms:
Active Employee & GA Benefits Enrollment Form (pdf)
Affidavit of Spousal Eligibility for Health Care (pdf)
Affidavit of Non-Tobacco Use (pdf)
Retiree Enrollment Form - Over 65 (pdf)
Retiree Enrollment Form - Under 65 (pdf)
Claim Forms:
Anthem Medical Claim (pdf)
Medical Claim Form for Claims Incurred Internationally (pdf)
FMLA/Leave/Sabbatical Form (doc)
Leave and Workers Compensation Process (pdf)
The Hartford Life Insurance Form (pdf)
The Hartford Evidence of Insurability Form (pdf)
The Hartford Beneficiary Designation Form (pdf)
Waiver of Entitlement to Group Term Life Insurance (in Excess of $50,000) (doc)
Benefits:
Forms Checklist (pdf)
Benefit Eligibility Form (pdf)
Waiver of Entitlement to Group Term Life Insurance (in Excess of $50,000) (doc)
Benefits Enrollment Form (pdf)
Social Security Number Exception Request Form (pdf)
The Hartford Life Insurance Form (pdf)
MyCafeteria Plan Direct Deposit Form (pdf)
Retirement Plan Salary Reduction Agreement (pdf)
New Employee Information Form (pdf)
Background Check Verification Process (pdf)
Direct Deposit Form (doc)
Employee Data Sheet - Staff (doc)
Employee Data Sheet - Faculty (doc)
Federal Withholding Certificate (W-4) (pdf)
Instructions for Completing the Electronic I-9 (Employment Eligibility Verification) (pdf)
State of Ohio Withholding Certificate (IT4) (pdf)
Voluntary Self-Identification of Disability (Post Hire) (pdf)
Voluntary Self-Identification of Protected Veteran Status (Post Hire) (pdf)
W-2 Electronic Consent (pdf)
| * In addition to the above forms, Research Institute employees must also complete the following: |
New Hire Forms Checklist & Instructions (pdf)
Office of Federal Procurement Policy Act (pdf)
Computer Usage Policy (pdf)
Intellectual Property Rights Agreement (pdf)
Conflict of Interest Policy (pdf)
Conflict of Interest Disclosure Form (pdf)
Determination and Resolution Form (pdf)
Procedure for Implementing UDRI's Business Ethics & Integrity Code (pdf)
Business Ethics & Integrity Code Addendum (pdf)
Employment Agreement (pdf)
Non-Employee Agreement (pdf)
Non-Employee Information Sheet (pdf)
Background Verification (pdf)
Visitor Personal Action Form (PAF) (xls)
OUTSIDE EMPLOYMENT & ADDITIONAL SERVICES
Outside Employment & Additional Services Approval Form (pdf)
Direct Deposit Form (doc)
Faculty & Staff Giving Form
Paper Leave Report for Exempt Employees (xls)
Paper Time Sheet for Benefit Eligible Nonexempt Employees (xls)
Paper Time Sheet for Part Time Nonbenefit Eligible Employees and Student Employees (xls)
Unpaid Personal Leave Form for Exempt Employees (doc)
General Competency Option (doc)
Goals Based Option - Version 1 (doc)
Goals Based Option - Version 2 (doc)
Mission Based Competency Option (doc)
Narrative Option (doc)
Request for Change of Personal Data Form (pdf)
NEW - Personnel Action Form (Post 7/1/19 PAF) (xlsx)
POSITION CLASSIFICATION JUSTIFICATION
Position Classification Justification Form (doc)
Position Description Guidelines (pdf)
Promotion Review Form (pdf)
RETIREMENT
Retirement Plan Salary Reduction Agreement (pdf)
Employee Separation Checklist (doc)
Separation Q&A (pdf)
Fifth Third HSA Post-Separation Fee Structure (pdf)
Federal Withholding Certificate (W-4) (pdf)
State of Ohio Withholding Certificate (IT-4) (pdf)
Tuition Exchange Application (pdf)
Tuition Assistance Application for Child or Spouse (pdf)
EyeMed Out-of-Network Claim Form (pdf)
EyeMed Provider Nomination Form (pdf)
Leave and Workers Compensation Process (pdf)
Workers Compensation Form Instructions(pdf)
Workers Compensation Form Browser Help (pdf)
UD Employee Injury and Illness Report (pdf)
UD Employee Injury and Illness Supervisor Report (pdf)
UD Incident Witness Report (pdf)