UA HR Forms Page

Before downloading any documents, please read about the document formats. Click on the format icon to download the document.

Go Directly To:

Affiliate/Associate/Volunteer Forms / 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

Affiliate/Associate/Volunteer Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	05/26/06	Affiliate/Associate Appointment Form	PDF	MS Word
X	05/26/06	Affiliate/Associate Information Form	PDF	MS Word
X	05/26/06	Letter of Affiliation Template	PDF	MS Word
X	05/26/06	Letter of Association Template	PDF	MS Word
X	5/26/06	Volunteer Agreement 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
	08/08	Qualified Life Event Benefits Enrollment Form (for health, dental, life and short term disability plans)	PDF
Dental Claim Forms			back to top
		Delta Dental Claim Form	PDF
Life Insurance Forms			back to top
	8/00	Life Insurance and Short Term Disability Beneficiary Form (BF-1)	PDF	MS Word
	7/00	ReliaStar Life Insurance - Enrollment Form	PDF
	8/04	ReliaStar Life Insurance - Request for Change Form	PDF
	10/04	Aetna Certificate of Coverage	PDF
	10/06	Aetna Summary of Coverage	PDF
Short Term Disability Forms			back to top
	10/06	UNUM Certificate of Insurance Effective October 1, 2006	PDF
Retirement Enrollment Forms			back to top
	3/03	Arizona State Retirement System Beneficiary and Enrollment Form	PDF
	5/09	15 Year Service Catch-Up Contritbution 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
Leave of Absence Forms			back to top
HR Form?	Rev.	Title	Available Formats		More info?
X	10/08	Compassionate Transfer of Leave Request Form	PDF		Yes
X	10/08	Compassionate Transfer of Leave Contribution Form	PDF		Yes
X	11/01	Extended Leave of Absence Form - Classified Staff	PDF	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	9/04	Family and Medical Leave Request Form	PDF	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	4/05	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
	5/02	Surepay Direct Deposit Form	Employee Link Website
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	10/05	Transfer/Promotion Probation Warning Memo Format (For Classified Staff on Transfer/Promotion Probation)	HTML / MS Word		Yes
X	9/04	Administrative Layoff Memo Format (Classified Staff on Transfer/Promotion Probation)	HTML / MS Word		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	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	3/09	Application for Qualified Tuition Reduction	PDF	MS Word	Yes
X	9/08	Application for Domestic Partner Tuition Program	PDF	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	6/25/01	Request for Time In Position Waiver	PDF	MS Word	Yes
	4/07	Notice of Appointment for Graduate Assistants and Associates	PDF
		Request for Revision or Addition to UHAP		MS Word	Yes

HR News