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Internal Information: Forms

These forms are commonly requested from HR. If information is listed for the form, please take a moment to read it.

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File Type Descriptions
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Category Form Title Info File Type
Benefit Forms

FT-regular employee 30 hours or more REG-all regular ALL-all regular and Temporary PTF-Part-time Faculty 20/20-20 hours/week, 20 weeks or more in fiscal year

FT Medical Options Grid & Premium Rates  
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FT Blue Cross Blue Shield Enrollment  
FT VSP Enrollment Change Form
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FT Delta Dental Enrollment Form  
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REG ASIFlex - FSA Enrollment Form  
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REG ASIFlex - FSA Debit Card Application  
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REG Flexible Benefits Dependent Care Worksheet  
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REG Flexible Benefits Health Worksheet  
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FT Health Equity/Health Savings Account Enrollment Form  
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FT Health Equity/Health Savings Account Election Form  
ASRS Enrollment
FT Minnesota Life - Insurance Plan at a Glance  
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FT Minnesota Life - Enrollment Forms  
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FT

Minnesota Life - Beneficiary Designation Form  
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FT Voluntary Short Term Disability Forms             pdf document icon
ALL (20/20) ASRS Enrollment  
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ALL (20/20) ASRS Change of Name/Address  
ALL (20/20) ASRS Beneficiary Form  
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REG (20/20) ORP Election Form  
ASRS Beneficiary Form
REG (20/20) ORP ING Election Form  
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FT Compassionate Transfer of Leave Donation  

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FT Compassionate Transfer of Leave Request
 
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  Family And Medical Leave Act Request
 
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ALL Request for Reasonable Accommodation (ADA)
 
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REG Tuition Reimbursement Form
 
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REG Tuition Waiver Form
 
  Associate Faculty Tuition Waiver Form
ALL 457(b) 403(b) Salary Reduction Agreement  
457 B Salary Deferral Agreement Word Document
Faculty Sabbatical Procedure Guidelines
Faculty Sabbatical Application
Faculty Sabbatical Application Scoring Guide
Classification
  Faculty Promotion Recommendation Form  
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  Reclassification Request Form
 
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  Special Assignment
 
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Employment

        NH (Paperwork needed for a new employee to complete and submit to HR)

  Position Requisition Form
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  Hiring Committee Powerpoint Training  
NH Request for Child Support Wage Withholding Form  
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  Supplemental Credentials Application for faculty positions
 
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  Letter of Intent for part-time faculty Spring 2010  
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  EEO Form
 
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NH Selective Service  
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NH Loyalty of Oath form  
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NH Employee Information
 
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  Employee Termination Checklist
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 word document icon
NH Employment Application
 
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  Hiring Recommendation Form
 
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  Applicant Reference Check Form    
  Name and Address Change Form
 
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  Volunteer Waiver
 
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Payroll
NH 2010 Federal W-4 Employee's Withholding  
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NH I-9 (Employment Eligibility)
 
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NH A-4 2010 Form Arizona Withholding
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NH Written Authorization for check pick-up/mailing
 
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NH Direct Deposit Form  
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  Faculty Leave Request
 
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  Faculty Salary Option (to request 12 month pay)  
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  Non-Faculty Leave Request
 
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  Non-Exempt full-time Time Sheet
 
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  Part-Time & FWS Employee Time Sheet
 
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  Substitute Teacher Request Form
 
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  Substitute Request Guide  
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  Timesheet, Holiday & Pay Schedule 2009 - 2010  
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Position Description
  Position Description Questionnaire
 
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Classification
  Faculty Promotion Recommendation Form  
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  Reclassification Request Form
 
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  Special Assignment
 
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Faculty and Staff Appraisal/Performance Review
Faculty Evaluation Instructions  
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Faculty Evaluation Timeline  
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Faculty Peer Evaluation Form
 
 word document icon
Faculty Classroom Observation Form
 
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Facutly Goals and Self Evaluation   word document icon
Faculty Supervisor Evaluation Form   word document icon
Staff Sample Evaluation Form   word document icon
Staff Supervisor's Evaluation Form   excel document icon
Staff Evaluation Training Presentation   PowerPoint
Staff Recognition
  Employee Award Nomination Form
 
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Other
  HIPPA Notice of Privacy Practice  
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  Pandemic Flu Checklist For Individuals
 
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  Pandemic Family Information Check Sheet
 
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  Coffee Club Refreshment Deduction Form  
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  Disclosure of Interest Form  
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  Benefits Orientation Presentation  
  Organizational Chart - President's Office    
  Organizational Chart - Academic Affairs    
  Organizational Chart - Student Affairs    
  Organizational Chart - Business & Administrative Services    
  Organizational Chart - Information Technology    
  Organizational Chart - Community & Corporate Learning    
  Organizational Chart - Page/Lake Powell Campus