HR Forms

The table below provides links to various HR forms that employees and other affiliated individuals may need to complete during the course of their employment or affiliation with SIUE. Please use the following key to identify forms by employment class or affiliation. The forms can be sorted by clicking on a column header/title (the column header titles, EE, AP, CS, F, and O are abbreviations used within the key). To sort by more than one column, shift and click on a second column header after you have sorted the first selected column.

Key:

-	All Eligible Employees (EE)	-	Civil Service (CS)		Other (O)
-	Administrative & Professional Staff (AP)	n	Non-Exempt	g	Grad/Teaching Assistants
-	Faculty (F)	e	Exempt	s	Student Workers
		+	Plus Extra-Help	b	Illinois Board Members
				f	Fiscal Officers
				i	Independent Contractors
				m	Minors

Form Name	EE	AP	CS	F	O	Category
403b Salary Reduction Agreement	-					Financial: Annuities
Absence Request		-		-		Leave: Absence
Absence Request			+			Leave: Absence
Appointment Approval		-				New Hire/Rehire
Appointment Approval				-		New Hire/Rehire
Application for Civil Service Employment			+			New Hire/Rehire
Appraisal Review Confirmation		-	-			Performance: Annual Appraisal
Background Investigation Certification**	-					New Hire/Rehire
Confidentiality Agreement***	-					New Hire/Rehire/Current Employees
Data Collection for Applicants		-		-	g	New Hire/Rehire
Data Collection/Change for Employees & Graduate Asts. Definitions of Racial and Ethnic Categories		-	+	-	g	New Hire/Rehire/Current Employees
Dental Claim: CompBenefits/Quality Care	-					Health, Dental & Vision
Dependent Coverage Certification	-					Health, Dental & Vision
Direct Deposit	-					Payroll: Direct Deposit
Domestic Partner Domestic Partner Enrollment Domestic Partnership Affidavit Domestic Partner Termination	-					Health, Dental & Vision
Educational Loan Default Statement		-	+	-		New Hire
Employee Excellence Program Appraisal		-	e			Performance: Annual Appraisal
Employee Excellence Program Appraisal			n			Performance: Annual Appraisal
Employee Recognition Program Nominee Information Nomination Criteria		-	-	-		Performance: Recognition
Employee Termination Termination Form		-	-	-	g	Leave: Termination
Employing Minors - Terms, Conditions, & Self Assessment Tool					m	New Hire/Rehire
Ethics Illinois Board Appointees & Employees					b	New Hire/Rehire
Ethics Illinois Public University Employees		-	+	-	gs	New Hire/Rehire/Current Employees
Flexible Spending Account: Appl for Direct Deposit of FSA Reimbursement Dependent Care Assistance Plan Enrollment Form Flexible Spending Acct (FSA) Reimbursement Form Medical Care Assistance Plan Enrollment Form	-					Financial: Flex Spending
Group Insurance Enrollment/Change Form	-					Health, Dental & Vision
Health Plan Claim: Quality Care	-					Health, Dental & Vision
I-9 Employment Eligibility		-	+	-	g	New Hire/Rehire
Independent Contractor Analysis					i	New Hire/Rehire/Independent Contractors
Job Change Request		-		-		Current Employees
Life Insurance: Minnesota Life, Beneficiary Designation Statement of Health	-					Financial: Life Insurance
Long Term Disability Enrollment Form	-					Leave: Long Term Disability
Non Resident Alien Tax Status Information Form	-					New Hire/Rehire
Non Resident Alien Tax Status Form Instructions	-					New Hire/Rehire
Oral English Proficiency Certification				-		New Hire
Payroll/Benefits Discrepencies Reporting Form Instructions Reporting Form	-					Personal Data: Discrepencies
Payroll Deduction - Authorization		-	-	-		Payroll Deduction
Payroll Deduction - Revocation		-	-	-		Payroll Deduction
Payroll/Personnel Reporting			-			Payroll: Reporting Paid & Unpaid Time
Pharmaceutical Claim	-					Health, Dental & Vision
Position Description Questionnaire		-	-			New Hire/Rehire/Current Employees
Position Control		-	-			New Hire
Preferred Qualifications			-			New Hire/Rehire
Principal Administrative Position Exemption		-				New Hire/Rehire
Probationary Review			-			Performance: Probationary
Recruitment Routing Slip (Use Internet Explorer to access)	-					New Hire/Rehire
Release of Information**	-					New Hire/Rehire
Request to Hire or Change the Status of Civil Service Personnel			-			New Hire/Rehire/Current Employees
Request to Hire Civil Service Extra Help			+			New Hire/Rehire
Sabbatical Leave				-		Leave: Sabbatical
Salary Deferral: Salary Deferral Election Guidelines Salary Deferral Election Form Salary Deferral Revocation Form		-		-		Financial: Salary Deferral
Savings Bond Authorization for Purchase/Change Request	-					Financial: Savings Bonds
SECA SECA Pledge Form SECA 2009 Booklet	-
Social Security Coverage Statement*		-	-	-		New Hire/Rehire
Time Entry & Time Approval Authorization					f	Payroll: Banner Time Entry/Approval
Tuition Waivers: Employee Tuition Waiver Dependents Attending SIUE Dependents Attending Other IL State Universities Inter-Institutional Tuition Waiver	-					Financial: Waiver
Vacation, Sick Leave Reporting & Salary Time Records Instructions FY10 One Time Record FY10 Five Time Records FY10 Ten Time Records FY09 One Time Record FY09 Five Time Records FY09 Ten Time Records			-			Leave: Absence
Vacation, Sick Leave Reporting 10 or less records 11-25 records 26-50 records		-		-		Leave: Absence
Vision Claim: EyeMed Out-of-Network	-					Health, Dental & Vision
W-4 Federal Withholding State Withholding		-	+	-	g	Payroll: Tax Withholding
Waiver of Payment		-		-		Financial: Waiver
Workers' Compensation: Employee's Notice of Injury Initial Workers' Compensation Medical Report Supervisor's Report of Injury or Illness Information Release Authorization Workers' Compensation Witness Report Demands of the Job	-					Leave: Workers' Compensation

* Excludes Extra-Help, hourly paid Adjunct Staff, F1/J1 Visa holders, and faculty with a contract for less than 4 months.

**For Security Sensitive Positions Only

***For employees who work with sensitive HR employment or payroll records.

Human Resources

HR Forms

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