Our most frequently used forms are listed below. Forms may be available in a type-able Word format or in PDF which must be printed to be completed.
| Form Name | Format Available | |
|---|---|---|
| Background Investigation Release Form | PDF |
|
| Change of Name or Beneficiary for Group Life Insurance | MS Word |
PDF |
| Delta Dental Claim Form | PDF |
|
| Employment Eligibility Verification Form (I-9) | PDF |
|
| Employee Personal Information Change Form | MS Word |
|
| Employee Separation Checklist for Managers | MS Word |
|
| Employment Application for Temporary Employees and Student Workers ONLY | MS Word |
PDF |
| Express Scripts Drug Reimbursement Form | MS Word |
|
| FMLA - Employee Request for Family & Medical Leave | MS Word |
|
| IBC Flu Shot Reimbursement Form | PDF |
|
| IBC Out Of Network Claim Form | PDF |
|
| IBC Davis Vision Claim Form | PDF |
|
| New Hire Personal Information Form | MS Word |
|
| Nomination Form For Naming University Assets | PDF |
|
| Personnel Action Form (PAF) | MS Word |
|
| *** Instructions for Personnel Action Form (PAF) *** | MS Word |
|
| Position Description template | MS Word |
|
| Prior Employer Certification for 403(b) | PDF |
|
| Reference Check Form | MS Word |
|
| Salary Reduction Agreement - Basic Retirement Plan | MS Word |
PDF |
| Salary Reduction Agreement - Supplemental Retirement Plan | MS Word |
PDF |
| Short Term Disability Claim Form and Reporting Procedure | PDF |
|
| Tuition Exchange Application | MS Word |
PDF |
| Tuition Remission Application for those without MyNova access ONLY |
MS Word |
PDF |
| United Way Pledge Form | PDF |
|
| WageWorks Flexible Spending Account -Medical Claim Reimbursement | PDF |
|
| WageWorks Flexible Spending Account -Dependent Care Claim Reimbursement | PDF |
|
| Workers' Compensation Employee Notification Form | PDF |
|
| Workers' Compensation Information Form | PDF |
|
