UA HR Forms Page

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Volunteer Forms / Affiliate Forms / Associate Forms / Designated Systems Users / Benefits / Child Care / Coaching and Discipline / Compensation / New Hire/Appointment Forms / Layoff (Classified Staff) and Non-renewal (Appointed Personnel) / Leave of Absence / New Employee Packet Forms / Offer Letters / Performance Evaluations / Pre-Employment & Background Checking Forms / Tuition Reduction / Misc. Forms

Department Sponsored Volunteer Form			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	11/09	Volunteer Agreement and Release Form	PDF	MS Word	Do not route. Maintain copy in department file.
Affiliate Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	10/09	Letter of Affiliation (Offer letter)		MS Word	Send forms to Human Resources or COM Faculty Affairs Office.
X	11/09	Affiliate/Associate Agreement and Release		MS Word
X	11/09	Person of Interest (POI) Designation Form	PDF	MS Word	For Pre-hires, Affiliates, Associates and Designated Systems Users.
X	11/09	Affiliate/Associate Information Form	PDF	MS Word
Associate Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	10/09	Letter of Association (Offer letter)		MS Word	Send forms to Human Resources or COM Faculty Affairs Office.
X	11/09	Affiliate/Associate Agreement and Release		MS Word
X	11/09	Person of Interest (POI) Designation Form	PDF	MS Word	For Pre-hires, Affiliates, Associates and Designated Systems Users.
X	11/09	Affiliate/Associate Information Form	PDF	MS Word
Designated Systems Users			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	11/09	Person of Interest (POI) Designation Form	PDF	MS Word	Send forms to Systems Control.
X	11/09	Designated Systems User Confidentiality and Agreement Form		MS Word	Will be available on Monday, November 16.
X	11/09	Employee Information Form	PDF	MS Word
Benefits Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
	08/08	Qualified Domestic Partner Affidavit	PDF
	08/08	Child of Domestic Partner Declaration of Tax Status Form	PDF
	08/08	Older Child Declaration of Tax Status Form	PDF
X	11/09	Qualified Life Event Benefits Enrollment Form		MS Word
X	10/09	HSA Voluntary Contribution Designation Form		MS Word
Dental Claim Forms			back to top
		Delta Dental Claim Form	PDF
Life Insurance Forms			back to top
	7/00	ReliaStar Life Insurance - Enrollment Form	PDF
	8/04	ReliaStar Life Insurance - Request for Change Form	PDF
	10/09	Aetna Certificate of Coverage	PDF
	10/09	Aetna Summary of Coverage	PDF
Short Term Disability Forms			back to top
	10/09	UNUM Certificate of Insurance Effective October 1, 2009		MS Word
Retirement Enrollment Forms			back to top
	3/03	Arizona State Retirement System Beneficiary and Enrollment Form	PDF
X	5/09	15 Year Service Catch-Up Contribution Form for the 403(b)		MS Word	Yes
Retirement Forms for Retiring Employees			back to top
		Retiree Health Benefits Enrollment Form	PDF		Yes
	06/06	Retiree Accumulated Sick Leave (RASL) Form (GAO-SL-50)	PDF		Yes
	06/06	Retiree Accumulated Sick Leave Checklist for University Employees (Submit with RASL form)	PDF		Yes
	06/06	Retiree Accumlated Sick Leave Federal Taxes (Submit with RASL form)	PDF		Yes
	06/06	Retiree Accumulated Sick Leave State Taxes (Submit with RASL form)	PDF		Yes
	06/06	Retiree Accumulated Sick Leave Nationwide - Deferral Notification Form (Submit with RASL form - if applicable)	PDF		Yes
Flexible Spending Account Forms			back to top
	11/01	Flexible Spending Account Claim Form - ASI	PDF
	9/09	Flexible Spending Account Direct Deposit Sign Up Form		MS Word	Yes
Leave of Absence Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	9/09	Compassionate Transfer of Leave Request Form		MS Word	Yes
X	9/09	Compassionate Transfer of Leave Contribution Form		MS Word	Yes
X	9/09	Extended Leave of Absence Form - Classified Staff		MS Word	Yes
X	8/05	Leave Of Absence Unpaid - Appointed Personnel: Template For Employee Request to Department Head		HTML / MS Word
X	8/05	Leave Of Absence Unpaid - Appointed Personnel: Template For Department Request to the Provost		HTML / MS Word
X	8/05	Leave Of Absence Unpaid - Appointed Personnel: Template For Department Head Approval/Denial of Employee Request		HTML / MS Word
X	9/09	Family and Medical Leave Request Form		MS Word	Yes
X	9/04	FML Certification of Health Care Provider	PDF	MS Word	Yes
X	10/04	Employer Response to Employee Regarding Family and Medical Leave	PDF	MS Word
Compensation Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	9/00	Request for In-Classification Career Progression Form	PDF	MS Word	Yes
	7/12/01	Supplemental Compensation Form-Appointed Personnel	PDF		Yes
	7/12/01	Supplemental Compensation Form-Classified Staff	PDF		Yes
	7/12/01	Supplemental Compensation Form-Graduate Assistants/Associates	PDF		Yes
X	8/98	Position Description Format	Link
Pre-Employment & Background Checking Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
	3/08	Candidate Consent and Disclosure Form	PDF	MS Word
	8/06	Request for Criminal Background/DMV Check (for Positions not Maintained in Career Track)	Online Form (requires NetID)
	2/05	Pre-Adverse Action Notice		MS Word
	2/05	Adverse Action Notice (Candidate)		MS Word
	2/05	Adverse Action Notice (Employee)		MS Word
	2/05	Summary of Rights under FCRA	PDF	MS Word
	2/05	Request for Security Sensitive Status	PDF	MS Word
	3/05	UA CDL Release Form		MS Word
New Hire/Appointment Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	9/09	Hiring Form (Competitive and Non-Competitive)	PDF	MS Word
New Employee Packet Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	9/07	New Employee Packet	PDF	MS Word
		The individual forms listed below are also contained in the New Employee Packet.
X	3/07	New Hire Information	PDF	MS Word
X	3/07	Employee Information Form	PDF	MS Word
X	3/07	Notification of Policies	PDF	MS Word
X	3/07	Benefits and Retirement Agreement	~~PDF~~	~~MS Word~~	This form is no longer in use effective January 2007. The online Offer Letters include the benefits and retirement terms for all employment types.
X	5/02	Employment Eligibility Verification (Form I-9)	Link		Yes
X	3/07	State of Arizona Employee Loyalty Oath	PDF	MS Word	Yes
X	5/07	Race/Ethnicity/Sex Self-Identification Form	PDF	MS Word
X	3/07	Veteran/Disability Self-Identification Form	PDF	MS Word
Classified Staff and Appointed Personnel Offer Letter Builders			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	12/06	Classified Staff Offer Letter Builder	Link		Yes
X	12/06	Faculty and Appointed Personnel Offer Letter Builder	Link		Yes
College of Medicine Offer Letter Builders
X	12/06	College of Medicine Clinical Faculty Offer Letter Builder (University Physicians Healthcare)	Link		Yes
Performance Evaluation Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	12/06	Performance Feedback for Individual Contributors [New]		MS Word	Yes
X	12/06	Performance Feedback for Managers and Supervisors [New]		MS Word	Yes
X	1/98	Traditional Eight-factor Report of Performance Appraisal		MS Word	Yes
X	1/98	Objectives, Factors and Standards Format / Performance Appraisal		MS Word	Yes
X	1/98	Factors and Standards Format / Performance Appraisal		MS Word	Yes
X	1/98	Narrative Format / Performance Appraisal		MS Word	Yes
Disciplinary Action Forms - Classified Staff			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	10/05	Written Warning Memo Format	HTML / MS Word		Yes
X	10/05	Disciplinary Probation Memo Format	HTML / MS Word		Yes
X	1/07	Investigative Leave with Pay Memo Format	HTML / MS Word		Yes
X	10/05	Pre-discharge or Pre-suspension Meeting Memo Format	HTML / MS Word		Yes
X	10/05	Disciplinary Suspension Memo Format	HTML / MS Word		Yes
X	10/05	Discharge Memo Format	HTML / MS Word		Yes
X	05/08	Initial Probation Termination Memo Format (For Classified Staff on Initial Six-Month Probation Period)	NEW TEMPLATE HERE		Yes
X	09/09	Promotion/Transfer Probationary Period Performance Improvement Memo Format (For Classified Staff on a Promotion/Transfer Probationary Period)	NEW FORM HERE		Yes
X	09/09	Promotion/Transfer Probationary Period Termination Notice Format (For Classified Staff on a Promotion/Transfer Probationary Period)	NEW FORM HERE		Yes
X	9/04	Job Abandonment Letter Format	HTML / MS Word
Layoff (Classified Staff) and Non-renewal (Appointed Personnel)			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	09/09	Termination Report	PDF	MS Word
X	9/04	Layoff Notification Memo Format for Regular Classified Staff (who have completed the initial six month probation)	NEW TEMPLATE HERE		Yes
X	5/08	Layoff - FTE Reduction (below .50 FTE) Notification Memo Format for Regular Classified Staff (who have completed the initial six month probation)	NEW TEMPLATE HERE		Yes
X	3/06	Nonrenewal Notification Memos (Appointed Personnel) - Contact your Organizational Consultant
Qualified Tuition Reduction Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	10/09	Application for Qualified Tuition Reduction		MS Word	Yes
X	10/09	Application for Domestic Partner Tuition Program		MS Word	Yes
Child Care Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X		Sick Child and Emergency/Back-Up Care Program for Students	See LWC website
X		Sick Child and Emergency/Back-Up Care Program for Employees	See LWC website
X		Employee Child Care Voucher Program Application	See LWC website
X		Employee Child Care Voucher Program Provider Verification Form	See LWC website
Misc. Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	11/01 3/07	Extended Temporary Employment Staff Memorandum of Understanding	~~PDF~~	~~MS Word~~	This form is no longer in use effective January 2007. Use the online Offer Letter builder for issuing an offer letter for an Extended Temporary Employment (ETE) new hire.
X	07/09	Request for Time In Position Waiver	PDF		Yes
	4/07	Notice of Appointment for Graduate Assistants and Associates	PDF
		Request for Revision or Addition to UHAP		MS Word	Yes

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