The following is a list of the most frequently requested forms.  Forms must be printed, filled out, and returned to Human Resources.

 

 

 Benefit Forms

 
  
  
  
Benefits Summary 2014.pdf
  
4/3/2014 12:07 PM
EE WAIVER OF BENEFITS FORM.pdf
  
2/13/2014 11:53 AM
FSA Claim Form.pdf
  
2/13/2012 3:04 PM
FSA Enrollment Form.pdf
  
2/13/2012 3:04 PM
JU Universal Enroll Election 2014.docx
  
2/13/2014 11:57 AM
Prime Prescription Mail Order Form.pdf
  
3/7/2013 11:16 AM
Retirement - Year of Service Requirement Confirmation.docx
  
2/13/2014 11:58 AM
TD HSA BANK APP.tif
  
2/13/2014 11:59 AM
TD HSA BANK CARD FOR DEPENDENT.tif
  
2/13/2014 11:59 AM
TIAA CREF ON-LINE ENROLLMENT INSTRUCTIONS JU PORTAL.pdf
  
2/13/2014 12:00 PM
TIAA Salary Reduction Form.pdf
  
2/13/2012 3:04 PM
VALIC Salary Reduction Form.pdf
  
2/13/2012 3:04 PM
Workman's Comp First Report of Injury.pdf
  
2/13/2012 3:04 PM

 

 

 

 New Hire Forms

 
  
  
  
2014 W4.pdf
  
1/3/2014 12:33 PM
Background Check Authorization.rtf
  
2/13/2012 3:05 PM
Confidentiality Agreement.doc
  
8/6/2013 9:03 AM
Employee New Hire Information Sheet.docx
  
8/8/2013 9:37 AM
Faculty Application.pdf
  
2/13/2012 3:06 PM
Hiring Freeze Form 2-23-12.docx
  
3/12/2012 2:00 PM
HR ACTION FORM.pdf
  
2/13/2012 3:06 PM
I-9 2013 (Instructions).pdf
  
3/18/2013 4:25 PM
I-9 2013 (List of Acceptable Documents).pdf
  
3/18/2013 4:24 PM
I-9_2013.pdf
  
3/18/2013 4:24 PM
Information Sheet - Food Services.docx
  
2/13/2012 3:06 PM
Information Sheet - New Hire.docx
  
2/13/2012 3:06 PM
Information Sheet - Physical Plant.docx
  
2/13/2012 3:06 PM
JU Employment Application.docx
  
4/3/2014 10:38 AM

 

 

 

 FMLA / Disability / Workman's Comp

 
  
  
  
1. Request for FMLA.docx
  
10/9/2013 2:28 PM
380-E Certification of Health Care Provider for Employee.pdf
  
4/12/2013 12:22 PM
380-F Certification of Health Care Provider Certification for Family Member.pdf
  
4/12/2013 12:22 PM
384 Certification of Qualifying Exigency for Military Family Leave.pdf
  
4/12/2013 12:28 PM
385 Certification for Serious Injury or Illness of Current Servicemember.pdf
  
4/12/2013 12:23 PM
385-V Certification for Serious Injury or Illness of a  Veteran for Military Caregiver Leave.pdf
  
4/12/2013 12:28 PM
5. Return-to-Work Certification.docx
  
5/7/2013 9:05 AM
FMLA Summary.pdf
  
2/13/2012 3:08 PM
Short Term Disability Claim.pdf
  
2/13/2012 3:08 PM
Workman's Comp First Report of Injury.pdf
  
2/13/2012 3:08 PM

 

 

 

 

 

 Summer Camps Forms

 
  
  
  
Affidavit of Good Moral Character.DCF.pdf
  
5/21/2012 3:46 PM
Background Check AuthorizationSummerCamp.rtf
  
5/21/2012 3:44 PM
Employee Information Sheet.Summer Camps.docx
  
5/21/2012 3:46 PM
​​

 

 

 

 Miscellaneous Other Forms

 
  
  
  
2014 W4.pdf
  
1/3/2014 12:35 PM
Direct Deposit Form.fillable.pdf
  
8/6/2013 8:59 AM
EE Meal Plans - Election for PR Ded 2013.docx
  
8/20/2013 10:00 AM
Employee-of-the-Month Form.pdf
  
4/4/2013 8:58 AM
Exit Interview.pdf
  
2/13/2012 3:09 PM
HR ACTION FORM.pdf
  
2/13/2012 3:10 PM
Performance Appraisal Form.docx
  
2/13/2012 3:10 PM
Performance Appraisal Interview Guide.pdf
  
2/13/2012 3:10 PM
Performance Review Factors Description.pdf
  
2/13/2012 3:10 PM
Performance_Appraisal_Presentation.pdf
  
5/22/2012 10:28 AM
Position Description Sample.pdf
  
2/13/2012 3:10 PM
Position Description Template.docx
  
5/16/2012 4:05 PM
Position Descriptions Guide.pdf
  
2/13/2012 3:10 PM
Request for Transfer to another position.doc
  
2/13/2012 3:10 PM
Tuition Benefits Wavier.docm
  
2/5/2014 3:16 PM