Human Resources

All forms are in Adobe Acrobat format, unless otherwise indicated.

To view the Adobe Acrobat forms, you will need to have Adobe Acrobat Reader 7.0 (a free copy is available by using the below link).

Benefits Forms

Click on the form that you need.

Dental Plan - Aetna

Dental Claim Form (interactive PDF)

Dependent Eligibility Verification

Dependent Eligibility and Verification Documents

Domestic Partner

Domestic Partner - Declaration of Dissolution (interactive PDF)
Domestic Partner - Statement of Domestic Partnership

Flexible Spending Account (FSA) - Discovery Benefits

Additional Debit Card Request Form
Additional Debit Card On-line Request Instructions
Auto Dependent Care Request Form
Automatic Orthodontia Request Form
Dependent Care Reimbursement Form
Direct Deposit Enrollment - Change Form
Health Care Reimbursement Form
Medical Necessity Form
Receipt and Substantiation Form
Weight Watchers Letter of Medical Necessity for Weight Loss (interactive PDF)
(required for FSA reimbursement of Weight Watchers fees)

Leave of Absence

FMLA Certification for Dependents
FMLA Certification of Health Provider
Leave of Absence Form-Staff

Life Insurance Plans - Reliance Standard

Basic Group Life Insurance Beneficiary Designation (interactive PDF)
Reliance Standard Evidence of Insurability Form (interactive PDF)

Long Term Care Insurance - CNA

Long Term Care Enrollment Form
Long Term Care Enrollment Form Instructions
Long Term Care Long Form Application
Long Term Care Long Form Application Instructions
Long Term Care Short Form Application
Long Term Care Short Form Application Instructions

Vision Plan - VSP

VSP Out of Network Claim Form

Miscellaneous

Alien Residency Form (interactive PDF)
Change of Address Form
Change of Business Address Form
Change of Name Form
Faculty Statement
Termination Form (interactive PDF)

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Compensation Forms

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Faculty Payroll Schedule Election Form (interactive PDF format)

Job Evaluation Form (MS Word format)

Job Evaluation Form - Guidelines (MS Word format)

Minister's Housing Form (interactive PDF format)

Payroll Authorization Form - Benefit-Eligible Staff and Faculty (MS Excel format)

Position Management Form

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Recruitment and Retention Forms

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Acceptable Documents to Complete I-9 (PDF format)

Alien Residency Form (PDF format)

Alternate Work Schedule Request Form (PDF format)

Authorization and Consent for Release of Information Form (PDF format)

Campus Interview Questions Form (interactive pdf document)

Candidate Interview Evaluation Form (interactive PDF format)

Candidate Interview Evaluation Form (PDF format)

Employment Application (PDF format)

Faculty Personal Data Information Form (interactive PDF format)

Performance Review Manager Forms

Performance Review Staff Forms

Phone Interview Form (interactive pdf document)

Recruitment Request Form (interactive pdf document)

Reference Check Form (pdf form)

Search Summary Form (interactive pdf document)

Staff Personal Data Information (interactive PDF format)

Staff Search Procedures & Forms

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Tuition Benefits Forms

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Change of Hours Form (interactive PDF format)

Request for Tuition Benefits

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Alphabetical Listings of all HR Forms

Alien Residency Form (interactive PDF)

Alternate Work Schedule Request Form (PDF format)

Authorization and Consent for Release of Information (interactive PDF format)

Basic Group Life Insurance Beneficiary Designation (interactive PDF format)

BlueCross/BlueShield Medical Claim Form

BlueCross/BlueShield Student Certification Form

Candidate Interview Evaluation Form (interactive PDF format)

Change of Address Form

Change of Business Address Form

Change of Hours Form (interactive PDF format)

Change of Name Form

Dependent as Student Form (interactive PDF format)

Determination of Tax Status Form (interactive PDF format)

Dental Claim Form (interactive PDF)

Dependent Eligibility and Verification Documents (PDF)

Domestic Partner - Declaration of Dissolution (interactive PDF format)

Domestic Partner - Statement of Domestic Partnership

Employment Application (PDF format)

Employee as Student Form (interactive PDF format)

Faculty Payroll Schedule Election Form (interactive PDF format)

Faculty Personal Data Information Form (interactive PDF format)

Faculty Statement (PDF format)

Fidelity 403(b) Application (interactive PDF)

Fidelity 403(b) Beneficiary Designation Form

Fidelity 403(b) Distribution Form

Fidelity 403(b) Distribution Form - Instructions

Fidelity 457(b) Beneficiary Designation Form

Fidelity Loan Application

Fidelity Loan Payment Authorization Form

Fidelity Rollover/Transfer Form

Fidelity Rollover or Transfer Instructions

FMLA Certification for Dependents

FMLA Certification of Health Provider

FSA Additional Debit Card Request Form

FSA Additional Debit Card On-line Request Instructions

FSA Auto Dependent Care Request Form

FSA Automatic Orthodontia Request Form

FSA Dependent Care Reimbursement Form - Discovery Benefits (2011 expenses)

FSA Dependent Care Reimbursement Form - Ceridian (2010 expenses)

FSA Direct Deposit Enrollment - Change Form

FSA Health Care Reimbursement Form - Discovery Benefits (2011 expenses)

FSA Health Care Reimbursement Form - Ceridian (2010 expenses)

FSA Medical Necessity Form

FSA Receipt and Substantiation Form

HSA Election Form

Job Evaluation Form (MS Word format)

Job Evaluation Form - Guidelines (MS Word format)

Independent Contractor

Leave of Absence Form-Staff

Long Term Care Enrollment Form

Long Term Care Enrollment Form Instructions

Long Term Care Long Form Application

Long Term Care Long Form Application Instructions

Long Term Care Short Form Application

Long Term Care Short Form Application Instructions

Medco Mail Order Form

Minister's Housing Form (interactive PDF format)

Payroll Authorization Form - Benefit-Eligible Staff and Faculty (MS Excel format)

Position Management Form

Recruitment Request Form (interactive PDF format)

Reliance Standard Evidence of Insurability Form (interactive PDF format)

Search Summary Form

Spouse as Student Form (interactive PDF format)

Study Abroad for Dependent/Spouse Form (interactive PDF format)

Study Abroad for Employee Form (MS Word format)

Termination of Employment Form (interactive PDF)

TIAA-CREF Beneficiary Designation Form (interactive PDF)

TIAA-CREF Enrollment Form-5% Regular Retirement

TIAA-CREF Enrollment Form-SRA

TIAA-CREF Rollover/Transfer Form (interactive PDF)

Vanguard 403(b) Enrollment Form

Vanguard Asset Transfer Form

Vanguard Beneficiary Designation Form

Vanguard Rollover/Transfer Form

VSP Out of Network Claim Form

W4 - 2008

Weight Watchers Letter of Medical Necessity for Weight Loss (interactive PDF format)

(required for Flex reimbursement of Weight Watchers fees)

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Alphabetical listing of all HR Forms

Benefits Forms

Compensation Forms

Independent Contractor

Employee Paperwork Flow

Recruitment and Retention Forms

Tuition Benefits

All forms are in Adobe Acrobat format, unless otherwise indicated.

To view the Adobe Acrobat forms, you will need to have Adobe Acrobat Reader 7.0 (a free copy is available by using the below link).

Benefits Forms

403(b) Retirement Plan

Medical Plans - BCBSTX

Prescription Drug Plan - Medco

Dental Plan - Aetna

Dependent Eligibility Verification

Domestic Partner

Flexible Spending Account (FSA) - Discovery Benefits

Leave of Absence

Life Insurance Plans - Reliance Standard

Long Term Care Insurance - CNA

Vision Plan - VSP

Miscellaneous

Compensation Forms

Recruitment and Retention Forms

Tuition Benefits Forms

Alphabetical Listings of all HR Forms