HR Forms
General Forms
- FMLA Request - All Other Employees
- FMLA Request - Facilities Management Employees
- FMLA Health Care Provider Certification – Employee
- FMLA Health Care Provider Certification – Family Member
- FMLA Health Care Provider Certification – Military Family Member
- FMLA Health Care Provider Certification – Military Care Giver
- Non-FMLA Leave Request
- Non-FMLA Sick Leave Bank Request Form
- Lincoln Financial Disability Claim Form
- Incident/Injury/Illness Report
- Employee Change of Name
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 Enrollment Form
- FSA Enrollment Form
- VSP Enrollment Form
- VSP Member Reimbursement Form
- Liberty Assurance Beneficiary Form
- Liberty Assurance Enrollment Form
- 403b Salary Reduction Agreement (Non-Faculty and School of Law)
- 403b Salary Reduction Agreement (University Faculty)
- FSA and HRA Claim Reimbursement Form
- FSA - ACH Direct Deposit Form
- DCA Letter for Providers
Payroll Forms
- Authorization for Payroll Deduction
- Direct Deposit of Pay Check
- Direct Deposit Stub Online
- W4 Federal Tax Form
- W4 Rhode Island Tax Form
Employment Forms
- Background Check Waiver
- Employee Annual Self-Evaluation
- Employee Annual Performance Evaluation
- Interview Evaluation
- Personnel Action Form - Staff (PAF)
- Personnel Action Form - Faculty (PAF)
- Personnel Action Form - Student (PAF)
- Reference Check Form
- Temporary Employee Request Form
- Volunteer Questionnaire
- Intern Questionnaire