HR Forms
General Forms
- Non-FMLA Leave Request
- Non-FMLA Sick Leave Bank Request Form
- Incident/Injury/Illness Report
- Employee Change of Name/Marital Status
Benefit Forms
- Benefit Election Form – Facilities, University Faculty, Non-Aligned, PSSA, Public Safety, SOL
- Benefit Election Form – Adjunct Faculty
- Benefit Election Form – Dining
- Blue Cross Application
- Prime Reimbursement Form
- Prime Prescription Order Form
- Delta Dental Application
- FSA Enrollment Form
- VSP Enrollment Form
- VSP Member Reimbursement Form
- Lincoln Financial Life Insurance Enrollment Form
- Lincoln Financial Beneficiary Designation Form
- 403b Salary Reduction Agreement (Non-Faculty and School of Law)
- 403b Salary Reduction Agreement (University Faculty)
- FSA & HRA Claim Reimbursement Form
- FSA Dependent Care Provider Letter (Sample)
- FSA - ACH Direct Deposit Form
Employment Forms
- Self-Identification for Protected Veterans
- Self-Identification of Disability
- Employee Annual Self-Evaluation
- Employee Annual Performance Evaluation
- Interview Evaluation
- Personnel Action Form - Staff (PAF)
- Personnel Action Form - Faculty (PAF)
- Reference Check Form
- Volunteer Questionnaire
- Intern Questionnaire
Tuition Programs