• Benefits forms
• Employment Services forms
• Foreign national forms
• Leave forms/timesheets
• Payroll forms
• Other/all forms (alphabetical)

Benefits forms

• Direct Deposit for FSA Reimbursement (PDF)
• Flexible Spending Claim (PDF)
• Flexible Spending Debit Card Application (PDF)
• Flexible Spending Debit Card Substantiation (PDF)
• Group Life and Accidental Death and Dismemberment Beneficiary (PDF)
• Health Information Authorization (PDF)
• Legal Service Plan Enrollment (PDF)
• Personal Computer Loan Application **
• Supplemental Benefits Change and Service Request (PDF)

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Employment Services forms

• Application for Employment
• Criminal History Background Check Authorization Form (PDF)
• Criminal History Background Check Authorization for Minors Form (PDF)
• Criminal History Background Check Fax Cover Sheet (DOC)
• Criminal History Background Check Frequently Asked Questions
• Performance Evaluation (Temporary Services)
• Position Authorization Request (XLS)
• Position Information Questionaire (DOC)
• Request a University Temporary Services Employee

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Foreign National forms

• Alien Address Change (PDF)
• Code of Federal Regulations
• Foreign National Tax Treaty Information and Documents
• Guest Speakers Instructions for Payment (PDF)
• Immigration Classifications and Visa Categories
• Non Wage Payment Packet (PDF)
• Tax Treaty Acknolwedgement Letter (PDF)
• W-8BEN - Certificate of Foreign Status of Beneficial Owner for US Tax Withholding (PDF)
• W7 - Individual Taxpayer's Identificaton Number Form (PDF) (Instructions (PDF))

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Leave forms/timesheets

• Administrator Request for Family Medical Leave (PDF) (submit to Office of the President)
• Bi-Weekly Time Report (PDF) (used in reporting hours which cannot be reported through Payline)
• Attendance and Leave Form (bi-weekly employees)(excel format)
• Certification for Health Care Provider (PDF) (Shared Leave and Family Medical Leave)
• Chargeable Absences (DOC) (monthly employees)
• Faculty Request for Family Medical Leave (PDF) (submit to Office of the Provost)
• Request for Leave
• Shared Leave Program Request for Use (PDF)
• Staff Request for Family Medical Leave (PDF) (submit to Human Resources Department)
• UTS Temporary Timecard (XLS) (University Temporary Services)
• UTS Timesheet Tutorial (PDF)(University Temporary Services)

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Payroll forms

• Additional Pay Combo (XLS) (X-Pay)
• Additional Pay Rollover (XLS)
• Direct Deposit/Plastic Paycheck (PDF)
• Direct Deposit Reinstatement (PDF)
• City Tax Exemption Form (DOC)
• INS Form I-9, Employment Eligibility Verification (PDF)
• Job Data Change (XLS)
• New Hire Package (PDF) (Payroll Forms)
• Payroll Actuals Transfer (XLS) (Expense Transfer)
• Position Authorization Request (XLS)
• Staff Request for Family and Medical Leave (PDF)
• Termination/Retirement (Excel)
• UBM Separation Checklist (Excel)

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Other/all (alphabetical)

• Additional Pay Combo (XLS) (X-pay)
• Administrator Request for Family Medical Leave (PDF) (submit to Office of the President)
• Alien Address Change (PDF)
• Americans with Disibilities Act Accommodation (DOC)
• Benefits Service Request
• Bi-Weekly Time Report (used in reporting hours which cannot be reported through Payline)
• Attendance and Leave Form (biweekly employees)
• Certificate of Foreign Status of Beneficial Owner for US Tax Withholding (W-8BEN) (PDF)
• Certificate of Health Care Provider
• City Tax Exemption Form (DOC)
• Chargeable Absences (DOC) (monthly employees)
• Criminal History Background Check Authorization Form (PDF)
• Direct Deposit/Plastic Paycheck (PDF)
• Direct Deposit for FSA Reimbursement (PDF)
• Direct Deposit Reinstatement (PDF)
• Employee Suggestion Program
• Faculty Request for Family Medical Leave (PDF) (submit to Office of the Provost)
• Family Medical Leave Certification of Health Care Provider (PDF)
• Group Life and Accidental Death and Dismemberment Beneficiary (PDF)
• Health Information Authorization (PDF)
• Human Resources Authorized Usage Agreement
• Human Resource / Recruiting Solutions / University Reports Security Form (DOC)
• HR Customer Service Survey
• I-9 U.S. Dept of Justice Immigration and Naturalization Employment Eligibility Verification (PDF)
• Income Tax Treaties
• Indiana State Withholding and County Status Certificate - WH-4 (PDF)
• Job Data Change (XLS)
• K-4 Kentucky Exemption and Withholding Certificate (PDF)
• K-4E Kentucky Special Withholding Excemption Certificate (PDF)
• Kentucky Certificate of Non Residence (PDF)
• New Hire Package (PDF) (Payroll Forms)
• Payroll Actuals Transfer (XLS) (Expense Transfer)
• Payroll Unit Business Manager Checklist (PDF)
• Performance Appraisal for Classified and P&A Staff (DOC)
• Performance Evaluation (PDF) (Temporary Services)
• Personnel Action Notice (PDF)
• Position Authorization Request (XLS)
• Position Information Questionaire (DOC)
• Request a University Temporary Services Employee
• Staff Request for Family and Medical Leave (PDF)
• Tax Treaty Acknowledgement Letter (PDF)
• Temporary Timecard (Temporary Services)
• Termination/Retirement (Excel)
• W-4 Employee Withholding Certificate (Federal) (PDF)
• W-5 Form for Advance Earned Income Credit payments (PDF)
• WH-4 Indiana State Withholding and County Status Certificate (PDF)
• W-8BEN - Certificate of Foreign Status of Beneficial Owner for US Tax Withholding (PDF)

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