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 – Dining, Facilities, University Faculty, Non-Aligned, PSSA, Public Safety, SOL
- Benefit Election Form – Adjunct Faculty
- Blue Cross Enrollment Form (Fillable)
- Prime Reimbursement Form
- Prime Prescription Order Form
- Delta Dental Enrollment Form (Fillable)
- FSA Enrollment Form - Period of 01-2025 to 06-2025
- VSP Enrollment Form (Fillable)
- 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)
- 403b Salary Reduction Agreement (Adjunct Faculty)
- 403b Investment Company Change
- FSA & HRA Claim Reimbursement Form
- FSA Dependent Care Provider Letter (Sample)
- FSA - ACH Direct Deposit Form
Employment Forms
- Alternative Work Arrangement Request Form
- Alternative Work Arrangement Request Form (PSSA)
- Position Request Form
- Self-Identification for Protected Veterans
- Self-Identification of Disability
- Volunteer & Intern Questionnaire