Application for Leave  

Vacation Donation Donor Form  

Vacation Donation Recipient Form

Adoption Assistance Reimbursement Request Form

Continued Health Plan Eligibility for Over Age Dependents

COBRA Election Form (includes survivor continuation)

Benefit Continuation Due to Reduction in Force Election Form

Benefit Continuation During Military Leave Election Form

Long-Term Disability (LTD) Conversion Form

Short-Term Disability (STD) Enrollment Form

Short-Term Disability (STD) Evidence of Insurability (EOI)

Short-Term Disability (STD) Claim, Authorization – UnumProvident

Short-Term Disability (STD) Claim, Authorization – University

Long-Term Disability (LTD) Conversion Form

Affidavit of Same-Sex Domestic Partnership for Health and Life Insurance

Affidavit of Domestic Partnership (for sick leave and FML)

Affidavit of Sponsored Dependency For Health Care Coverage (includes opposite-sex domestic partners)

Affidavit of Termination of Domestic Partnership

Affidavit of Termination of Sponsored Dependency For Health Care Coverage (includes opposite-sex domestic partners)

Medical Certification Statement for Leave

Sample FML Notification of Rights and Requirements Letter

Sample FML Notification of Approval Letter

FMLA flyer for posting

FSA Dependent Care Request for Reimbursement

FSA Health Care Request for Reimbursement

FSA Election Form

GlobalCare Employee Enrollment Form for University-Sponsored Business Travel

GlobalCare Dependent Enrollment Form for University-Sponsored Business Travel

Prime Care Advantage Health Plan Enrollment Form

University Insurance Premium Contribution Waiver

Student Retirement Election Form (includes GAAs, GRAs, and GTAs)

Request for Optional Exemption as a Student (OPERS)

Member Request to Restrict Uses and Disclosures of Personal Health Information

Privacy Complaint Form

Confidential Communication Request Form

Authorization To Release Medical Records

Amendment Request Form

Access Request Form

Accounting Request Form

Group Term Life Insurance Beneficiary Designation

Group Term Life Insurance Change of Name

Group Term Life Insurance Change of Beneficiary

Group Term Life Insurance Waiver of Entitlement

Dependent Group Life Insurance (DGLI) Enrollment form

Dependent Group Life Insurance (DGLI) Evidence of Insurability

Voluntary Group Term Life Insurance (VGTLI) Application

Post-Retirement Death Benefit Change of Beneficiary

Health Plan Election Form

Prescription Drug Reimbursement Form

Prescription Drug Home Delivery Form

NGS Health Insurance Claim Form

NGS Claim Form for Weight Watchers

NGS Claim Form for Hospital Based/Physician Directed Weight Loss

NGS Request for Additional Coverage Information

NGS Request for Dependent Verification

Temporary Out-of-Area Election Form

Retirement Program Election Form

Form SSA-1945: Statement Concerning Your Employment in a Job Not Covered by Social Security

ARP Vendor Change Form

OPERS Traditional Pension Plan Refund Application (notarization required)

Supplemental Retirement Account Salary Reduction Agreement

Request for Prior Service Credit Certification

Student Retirement Election Form (includes GAAs, GRAs, and GTAs)

Request for Optional Exemption as a Student (OPERS)

STRS New Hire Notification for University and College Employers

Notice of Re-employment of a OPERS Retiree

STRS Notice of Reemployment as a Teacher of a Retiree

Health Election Form (includes sponsored dependents and opposite-sex domestic partners)

Affidavit of Sponsored Dependency For Health Care Coverage (includes opposite-sex domestic partners)

Affidavit of Termination of Sponsored Dependency For Health Care Coverage (includes opposite-sex domestic partners)

Dependent Tuition Assistance Application

Request for Course Enrollment During Regularly Scheduled Work Hours

Graduate Education Program Assistance Waiver

Employee Accident Report

Online Application

Equal Employment Identification Form

Offer Letter Samples Downloadable, customizable letters for use in the hiring process

Employment Eligibility Verification (I-9) Form [ I-9 Filing Instructions ]

Ohio Ethics Law Acknowledgement Form [ Ohio Ethics Law and Related Statutes ]

DMA Form [ Terrorist Exclusion List (TEL) | DMA Guidelines | DMA Frequently Asked Questions | DMA Letter to Affected Employees ]

DMA Letter to Affected Employees (Sample letter to be given to employees hired after April 14, 2006 who have not yet completed a DMA form)

Employment Verification

Request for Reduction in Workforce

Employment Dispute Form

Student Employment Form (departments may have their own versions of this form)

Staff Extramural Activity Reporting Form

Editable Full Time Equivalency (FTE) Change Letters (for department HR contacts to use with their customers)

Change of Record
For corrections or changes to Social Security Number, Name, or Date of Birth

Direct Deposit Enrollment Form
For direct deposit of student financial aid, contact Fees and Deposits.

Request for Retroactive Change in Job Data

Hire Data Worksheet

Request for Off-Cycle Check NOW ONLINE!

Exception User Request

Timesheet (departments may have their own versions of this form)

Application for Duplicate Payroll Check

Part-Time Exempt Employee Time Record

Internal Supplemental Compensation Approval Form

Relocation Check Request Form

Relocation Request Form

Payroll Processing Biweekly Checklist

Payroll Processing Monthly Checklist

Credit Union of Ohio Authorization for Payroll Deduction

Savings Bond Authorization for Enrollment/Payroll Deduction

College Advantage Savings Program Payroll Deduction Authorization Form

College Advantage Savings Program Application

W-4 Employee's Withholding Allowance Certificate

W-5 Earned Income Credit (EIC) Advance Payment Certificate

Form IT 4 NR Employee Statement of Reciprocity

Form W-9 Request for Taxpayer Identification Number and Certification

Form 1040NR US Income Tax Return for Nonresident Aliens with dependents

Form 1040NR-EZ US Income Tax Return for Nonresident Aliens without dependents

STEP Workshop Enrollment Form

Planning Worksheet

Coaching Worksheet

Self Evaluation

Performance Review

Alien's Change of Address Card (Form AR-11)

Employment Verification Information Sheet/Form

Agreement to Mediate

Settlement Agreement

Discrimination/Harassment Complaint Form

Staff Career Development Grant Application

Veteran Self-Identification Form

Skurow Student Veteran Award Application Form

Benefit Continuation During Military Leave of Absence

Whistleblower Report Form

Incident Report Form for Workplace Violence