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Title Assignment Correction Form Missouri W4


Forms   /  Forms

Forms are updated routinely and departments should NOT bookmark or print a specific version.

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Form NameCategoryDepartmentThis Form Is Used ForFormat
Accountable Equipment Officer and Authorized Signors-EquipmentThis form is used to designate the departmental contact for equipment inventories and also to identify other personnel authorized to transfer or dispose of the department's equipment.PDF
Addendum to Agreement for Clinical Affiliation-University Contracts
Affiliation for Clinical Education-University Contracts
Affiliation for Preceptorship Education-University ContractsThis form is used for establishing affiliation agreeements for preceptorship education.
Airline Ticket Request-Expenditure Review ServicesThis document provides detailed instructions on creating an Airline Ticket PO Requisition for tickets issued by ADTRAV.
Alabama Employee's Withholding Form: A-4-Payrollform is used by employees to adjust their state tax withholdings. Please complete the form and fax to Payroll Services (205) 975-7417.
Alys Stephens Center Contract Routing Form-University ContractsThis form is used as the cover sheet for contracts between the Alys Stephens Center and external parties.
Amendment to Fully Executed Agreement-University ContractsThis form is used to alter a fully executed agreement between UAB and an external party.
At Risk/Pending Account Request-GrantsThis form is used to request an "At Risk" or "Pending" account for sponsored activity where the legal agreement has not been finalizedPDF
Budget Modification-BudgetUsed when adjusting budgeted revenue and/or expense in a budgeted account; also to be used when actual dollars/funds are being transferred to or from a budgeted account, and a budget adjustment regarding such transfer is necessaryVND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
Business Associate Agreement-University ContractsPDF
Campus Kronos Time Correction Form-PayrollTo be completed by non-exempt employees requesting changes to their Campus Kronos timecard.PDF
Car/Van Rental Form-University PurchasingRequesting approval for renting a vehicle for University related businessPDF
Cash Receipt-American Express-AccountingTo prepare Departmental Deposits of processed American Express transactions remitted to either General Accounting or the Cashier's OfficeVND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
Cash Receipt-Cash-AccountingTo prepare Departmental Deposits of cash remitted to either General Accounting or the Cashier's OfficeVND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
Cash Receipt-Checks-AccountingTo prepare Departmental Deposits of checks remitted to either General Accounting or the Cashier's OfficeVND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
Cash Receipt-Visa, Mastercard, Discover-AccountingTo prepare Departmental Deposits of processed Discover transactions remitted to either General Accounting or the Cashier's OfficeVND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
Certificate of Screening-AccountingCertifcation there is not equipment already located on campus that can be used for the grant or contract awardPDF
Cost Sharing Commitment Form-GrantsUsed to document cost sharing commitments
Cost Transfer Form-AccountingTo request transfer of expenditures between accounts in accordance with the cost transfer policyPDF
Effort Report Policy ACT Checklist-PayrollACT documents with a retroactive effective date prior to the effort report rolling date or submitted on employees with delinquent Effort Reports require Payroll Services to flag the conversation on the document prior to the Submit. The flag is to assist in complying with the Effort Report Policy and review for new charges to reportable A21 accounts. Please complete the form below and fax to Payroll Services (205)975-7417.PDF
Equipment Purchase Information-EquipmentRequired for capital equipment purchases and used to indicate contact, affiliation, location, and other pertinent information about the equipmentPDF
Escrow Calculation Form-PayrollAssisting 9-mo employees in calculating escrow amountsMSEXCEL
Event Pre-Approval Form-AccountingUsed to request approval for EventsPDF
Event Pre-Approval Routing Checklist-AccountingThis form provides doucmentation requirements for Event Pre-Approval Forms.PDF
Excess Insurance Worksheet-PayrollMSEXCEL
Expenditure Guidelines Matrix-Expenditure Review ServicesThis matrix is intended to assist the user in identifying the appropriate method of payment for common university expenditures.
Federal Employee Withholding Allowance Form: W-4-PayrollUsed by employees to adjust their federal withholdings. This form is completed via the Adminsystem Self Service. For instructions please go to: http://tinyurl.com/4xf6pu
Federal Perkins Loan Request for Cancellation-StudentBorrower must complete to apply for postponement and/or cancellation of Federal Perkins Loan
Foreign Travel Approval Form-Expenditure Review ServicesThis form is used to request approval for business travel in a foreign country.
Grant Related Income Balance Carry Forward Request-GrantsSubmitted to request carry forward of Grant Related Income balancePDF
Grants and Contracts Accounting Receipt Form-GrantsTo prepare Departmental Deposits of funds remitted to Grants AccountingPDF
Group/Travel Advance Agreement-GeneralFor Student Group/Team Travel Advance OnlyMSWORD
Guest Travel Template-Expenditure Review ServicesThis form should be provided to all UAB guests (speakers, volunteers and recruits) to capture travel related expensesPDF
Hardship Form-StudentBorrower must complete to apply for hardship deferment
Health System Contract Routing Form-University ContractsThis form is used to route hospital and health system contracts for signature.
Hospital Advance PO Request-University PurchasingThis form is used to request an Emergency Advance Purchase Order for Hospital.PDF
Hotel PO Guest Form-Expenditure Review ServicesThis form is required to request a PO for Birmingham based hotels for volunteers, recruits, or guest speakers.PDF
Huntsville Contract Routing Form-University ContractsThis form is used to route Huntsville contracts for signature
Incentive Form For Research Subjects-GrantsUsed to request acquisition of incentives for Research Subjects of a Sponsored ProjectPDF
Indirect Cost Revenue Redistribution Agreement-GrantsThis form is used to redistribute indirect cost revenue among departments
International Student/Scholarship/Payroll form-PayrollAthletic Scholar AppointmentsPDF
IPOD, PDA, IPAD Wireless Service Request for Approval Form-Expenditure Review ServicesThis form is used to request wireless devices that require data capable service plans that are not provided by UAB Telecommunications. All other devices should be requested by contacting UAB Telecommunications directly.PDF
IRS Determination Letter-TaxLetter from Internal Revenue Service regarding tax exempt determination related to UABPDF
Loan Cancellation Request Form-StudentThis form is used by students wishing to cancel any portion of a current disbursement of their Federal Subsidized Student Loan, Federal Unsubsidized Student Loan, Federal PLUS Loan, Federal Perkins Loan or other loans.PDF
Loan Forbearance-StudentThis form is used by students to request a loan forbearancePDF
LPO Authorization Form-University PurchasingThis form is used to obtain approval for the use of Limited Purchase OrdersPDF
LPO Pick Up Form-University PurchasingThis form is used to identify departmental personnel authorized to pick up Limited Purchase Orders.PDF
Membership Dues Information-AccountingThis form is used to capture the UAB business purpose information required to process a request for an individual membership or dues.PDF
Moving Estimate Form-University PurchasingThis form is used to request an estimate for moving.PDF
New Account Request-AccountingTo request Oracle GL and GA Grant Related Income AccountsMSWORD
New Supplier Bar Code Form-TaxInstructions for completing the New Supplier Bar Code Form in Oracle
Object Code Request Form-AccountingTo request a change to the Oracle Object Code ListingMSWORD
Oracle Recurring Payment Request FormAccounts PayableTo request recurring paymentsMSWORD
Org Change Checklist-AccountingThis form is used to assist departments with changes in org structurePDF
Org Code Request Form-AccountingTo request a change to the Oracle Org ListingPDF
Out of State Advantage Direct Deposit Change Form-PayrollPayroll direct deposit is required for all UAB employees including those working outside the state of Alabama. Out of state employees are required to complete an Advantage Payroll Services Direct Deposit Form.PDF
Out of State User Work Location Checklist-PayrollACT documents with the proposed work location of Out of State, we have added a pre-submit process to ACT requiring this form to be completed. The purpose of this information is to determine the correct tax reporting. Please complete the form and fax to Payroll Services (205) 975-7417.PDF
Out of USA User Work Location Checklist-PayrollACT documents with the proposed work location of Out of USA, we have added a pre-submit process to ACT requiring this form to be completed. The purpose of this information is to determine the correct taxation, tax reporting, and composite fringe rates for these employees/trainees. Please complete the form and fax to Payroll Services (205) 975-7417.PDF
P-Card Account Maintenance Form-University PurchasingRequesting updates to existing P-CardsPDF
P-Card Agreement - Organization-University PurchasingAgreeing to the terms required for an organization P-CardPDF
P-Card Agreement - Organization Card User-University PurchasingAgreeing to the terms required to use an organization P-CardPDF
P-Card Application - Organization-University PurchasingRequesting an organization P-CardPDF
P-Card Log (Excel) - Organization-University PurchasingManaging organization P-Card activityVND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
P-Card Log - Organization-University PurchasingManaging organization P-Card activityPDF
Payment Action Form-AccountingPDF
Payment Requests and Object Code Edits-Expenditure Review ServicesThis provides a listing of allowable and unallowable object codes by payment request type.VND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET
Payment Requests Supplement Forms-Accounts Payable
Personal Services Form-University ContractsUsed to apply for an individual or employee to be paid as an Independent Contractor per UAB's Personal Services PolicyPDF
Petty Cash and Change Fund Agreement-AccountingRequired to be completed upon establishment of petty cash fundsPDF
Petty Cash and Change Fund Agreement Change of Custodian-AccountingTo be completed and submitted to request a change of Petty Cash CustodianPDF
Petty Cash Fund Request-AccountingUsed to request establishment of petty cash fundsPDF
Petty Cash Grant Transfer Request-AccountingTo request the transfer of an existing petty cash fund associated with a grant account to the continuation grant account.PDF
Petty Cash Reconciliation-AccountingReconciliation form to be completed and submitted quarterly to General or Grant AccountingPDF
Petty Cash Termination-AccountingUsed to terminate petty cash fundPDF
PO Add A Line - Exceeds Quantity Checklist-University PurchasingReconcile discrepancies between university purchase order and vendor invoicePDF
Rebudgeting Request-GrantsTo request rebudgeting of sponsored award
Recertification of Effort-Cost AnalysisThis form is used to make changes in % effort according to the UAB Effort Reporting Policy.PDF
Recertification of Effort Additional PI Signature Page-Cost AnalysisThis form is used when more than one PI signture is required when processing the Recertification of Effort form.PDF
Request to Create/Reclassify Position Strings - Faculty-BudgetPDF
Request to Create/Reclssify Position Strings - Non-Faculty (Staff)-BudgetPDF
Residual Closeout Request-GrantsTo request closeout of fixed price account to residual accountPDF
Review of Late Certification-Cost AnalysisTo allow for the certification of Effort Reports NOT certified during the ER period.PDF
Review of Late Effort Report Additional PI Signature Page-Cost AnalysisThis form is used when more than one PI signture is required when processing the Review of Late Certification form.PDF
Routing Forms-University ContractsThe appropriate routing form should be submitted as the cover sheet to any agreement processed through University Contracts.
Sample LPO Form-University PurchasingLimited Purchase Order forms may be picked up in Accounting Services (AB 620).PDF
School of Dentistry Contract Routing Form-University ContractsThis form is used by the School of Dentisty for contracts with external parties.
Service Center Equipment Depreciation Waiver-AccountingTo request a waiver of depreciation of service center affiliated equipment.PDF
Service Center Equipment Reserve Request for Transfer-AccountingTo be used to request a transfer of funds from a service center equipment reserve.PDF
Service Center Interface Privileges-AccountingUsed to request Service Center Interface Privileges in accordance with the Oracle Service Center Interface procedures.MSWORD
Service Center New Account Request Form-AccountingTo request a new Service Center account.MSWORD
Severance Pay Tax Exemption Qualification-PayrollLump Sum Severance PaymentsPDF
Social Security Form SSA-131-PayrollEmployer reporting to the Social Security Administration special wage payments made to an employee for a prior year.PDF
Sole Source Justification Form-University PurchasingThis form is used to provide a clinical or technical justification of sole source.PDF
State Nursing Scholarship Request for Cancellation-StudentBorrower must complete to apply for cancellation of State Nursing ScholarshipPDF
Stop Payment Request Form-PayrollStop payment on check issued through Payroll ServicesPDF
Student Affairs Contract Routing Form-University ContractsThis form is used for contracts between Student Affairs and external parties.
Student Loan Forbearance-StudentBorrower must complete to apply for repayment forbearance.
Sub Recipient Invoice Certificate -Sub Recipient Personnel-GrantsIncluded with invoices submitted for sub recipient payment, per Sub-Recipient Agreements Policy (UAB)PDF
Sub Recipient Invoice Certificate -UAB Personnel-GrantsIncluded with invoices submitted for sub recipient payment, per Sub-Recipient Agreements Policy (Non-UAB)PDF
Tax Exemption Certificate-TaxThis form may be sent to any outside party seeking validation of our Alabama sales tax exemption. Includes ALDOR notice regarding Legislative Act 2015-534 whereby UAB is exempt from obtaining an annual certificate of exemption as an Alabama public institution.PDF
Temporarily Alter Salaried Employee Pay-PayrollPDF
Trainee Determination Checklist-PayrollUsed to determine if a non-US citizen will apply for an individual tax identification number (ITIN) or social security number (SSN)PDF
UAB EIN Verification-TaxIRS Letter 147C confirms the legal entity name and tax identification numberPDF
UAB Trainee Fact Sheet-PayrollUAB Trainee AppointmentsPDF
University Advance PO Form-University PurchasingThis form is used to request an Emergency Advance Purchase Order.PDF
University Routing Form-University ContractsThis form is used to route University contracts for signature.
Vehicle Purchase Approval Form-Business ServicesThis form is required to purchase a vehicle for UAB business.
Vendor Application Form-University PurchasingThis form is used by vendors seeking to become a valid supplier for UABPDF
Vendor Disclosure Statement-University PurchasingThis form is used to disclose any conflicts of interest related to purchases.PDF
Visa Participant Debit Card Log-AccountingThe log should be submitted when cards are ordered to track the card issuancePDF
Visa Participant Incentive Debit Card Approval-AccountingThis form is submitted with each order; this form also indicates the quantity and denomination of amount of cards neededPDF
Visa Participant Incentive Debit Card User Application-AccountingThis form is submitted with each order, and also used to track any changes.PDF
W-8 Forms and Instructions-TaxForm required to set up foreign individuals or entities as a UAB supplier in Oracle. The most common Form W-8 is the W-8BEN for use by foreign individuals and Form W-8BEN-E for use by foreign entities. If prospective vendor does not believe either of the "BEN" forms is appropriate, they should determine which of the other Forms W-8 is appropriate. (i.e. Form W-8CE, Form W-8ECI, Form W-8EXP or Form W-8IMY).
W-9 Form and Instructions-TaxForm required to set up an individual who is a U.S. citizen or U.S. resident alien, legal entity created or organized in the U.S. or under the laws of the U.S., an estate (other than a foreign estate) or a domestic trust (as defined in Regulations section 301.7701-7) as a UAB supplier
W-9 Form and Instructions (Spanish)-TaxForm required to set up an individual who is a U.S. citizen or U.S. resident alien, legal entity created or organized in the U.S. or under the laws of the U.S., an estate (other than a foreign estate) or a domestic trust (as defined in Regulations section 301.7701-7) as a UAB supplier
W-9 Form for UAB-TaxSigned form W-9 for UAB. Note that the information at the bottom of the form should be completed with the UAB department's information for correspondence with the vendor.PDF
W2 Balancing Worksheet-PayrollMSEXCEL
Work Study Request Form-PayrollPDF
Work-Study Placement Form-PayrollPDF


The following forms are intended for employees of Southeast Missouri State University. Please click the appropriate category to obtain the proper form: Benefits, Job Evaluation & Compensation, Employment, Foreign National, Human Resources Records, Leave, New Employee, Pay Related, Performance Appraisal, Personnel Actions, Separation and Workers' Compensation.

Benefit Forms

For more information about these forms and their use, call x2855.

Authorization for Release of Information
(Microsoft DOC), (Adobe PDF)
Release form to allow Human Resources to discuss protected health information

Change of Beneficiary on Life Insurance Form
(Microsoft DOC), (Adobe PDF)
Change life insurance beneficiary

Cooperative Doctoral Program Agreement
(Microsoft DOC), (Adobe PDF)
Cooperative Doctoral Program Enrollment Agreement

Cooperative Master's Program Agreement
(Microsoft DOC), (Adobe PDF)
Cooperative Master's Program Enrollment Agreement

Cooperative Graduate Program Reimbursement Form
(Adobe PDF)
Request reimbursement on Cooperative Graduate coursework

Dependent Tuition Reimbursement Application and Criteria
(MySoutheast), (Directions)
Request dependent's participation in undergraduate coursework for reimbursement

Dependent Care Assistance Program Reimbursement Form
(Adobe PDF)
Request reimbursement for medical or dependent care expenses from your existing flexible spending account

Employee Tuition Fee Waiver
(MySoutheast), (Directions)
Request employee's fee waiver for undergraduate and graduate coursework

Family Status Change Form
(Microsoft DOC), (Adobe PDF)
Add or drop dependent(s) from benefits due to qualified life events

HSA Form Trustee-to-Trustee
(Microsoft DOC), (Adobe PDF)
Form used to rollover Mellon HSA balance into OptumHealthBank HSA

HSA Rollover Transfer Form
(Adobe PDF)
Form used to rollover or transfer of HSA assets currently held by another custodian/trustee to OptumHealth Bank

Life Insurance Form
(Adobe PDF)
Form is for registering for Life Insurance

Medical Excuse Verifications
(Microsoft DOC), (Adobe PDF)
Sick leave verification

Medical Insurance Opt Out Form
(Microsoft DOC), (Adobe PDF)
Elect not to participate in University's medical insurance

Medical Reimbursement Account Direct Deposit Authorization Form
(Microsoft DOC), (Adobe PDF)
Direct deposit election form for BMI

Medical Reimbursement Account Reimbursement Form
(Adobe PDF)
Request reimbursement for medical or dependent care expenses from your existing flexible spending account

MSEP 2011 Contribution Beneficiary
(Adobe PDF)
Form used by members that wish to designate a beneficiary for their member contributions

MSEP 2011 Refund of Contribution Application
(Adobe PDF)
Form used by members that have terminated employment and wish to withdraw their contributions and forfeit their prior service

OptumHealth Bank Designation of Beneficiary
(Adobe PDF)
Form used to designate a beneficiary of your OptumHealth Bank HSA account

OptumHealth Bank Schedule of Fees
(Adobe PDF)
Fees associated with your OptumHealth Bank HSA account

OPTUMRx Order Form
(Microsoft DOC), (Adobe PDF)
Form used to order your prescription drugs using mail-order services

Prescription for Over-the-Counter Medication
(Microsoft DOC), (Adobe PDF)
Form used to accompany all requests for reimbursement for over-the-counter drugs and medicines

Salary Reduction Form - Tax Sheltered Annuities
(Microsoft DOC), (Adobe PDF)
Request a new or change in your TSA reduction amount

Salary Reduction Form - Health Savings Accounts (HSA's)
(Microsoft DOC), (Adobe PDF)
Request a new or change in your HSA reduction amount

Job Evaluation & Compensation

For more information about these forms and their use, call x2206.

Clerical/Service Job Description Questionnaire
(Word, Adobe PDF)
Write up clerical and service job descriptions

Administrative/Professional/Technical Job Description Questionnaire
(Word, Adobe PDF)
Write up administrative, professional and technical job descriptions

Evaluation Request Form for Clerical/Service Jobs
(Word, Adobe PDF)
Request an evaluation of current clerical and service job descriptions

Evaluation Request Form for Administrative/Professional/Technical Jobs
(Word, Adobe PDF)
Request an evaluation of current administration, professional and technical job descriptions

Employment

For more information about these forms and their use, call x2080 (Faculty) or x5096 (Staff).

NEOGOV Instructions (creating personnel requisitions, reviewing applications, creating hire, etc)
(Adobe PDF)

Instructions for Entering Blanket Temporary Staff Personnel Requisition in NEOGOV
(Microsoft DOC), (Adobe PDF)

Instructions for Entering Individual Temporary Staff Personnel Requisition in NEOGOV
(Microsoft DOC), (Adobe PDF)

Instructions for Entering Temporary Faculty Personnel Requisition in NEOGOV
(Adobe PDF)

Faculty Search Process
(Microsoft DOC), (Adobe PDF)
Step by step instructions for completing the faculty search process using NEOGOV

Faculty Recruitment Plan
(Microsoft DOC), (Adobe PDF)
Recruitment plan for faculty positions

Staff Search Process
(Microsoft DOC), (Adobe PDF)
Step by step instructions for completing the staff search process using NEOGOV

Staff Recruitment Plan
(Microsoft DOC), (Adobe PDF)
Recruitment plan for staff positions

Employment Application
(Microsoft DOC), (Adobe PDF)
Use to apply for custodial and crafts/trades jobs

Foreign National

For more information about these forms and their use, call x2855.

Foreign National Information Form
(Microsoft DOC), (Adobe PDF)
Tax determination for international employees

Human Resources Records

For more information about these forms and their use, call x2206.

Fee Schedule for Requested Information
(Microsoft DOC), (Adobe PDF)
Calculate fees for requests of public information

Label Request (Internal Use only)
(Adobe PDF)
Request label lists for mailings on campus

Personal Data Change Form
(Adobe PDF)
Change employee's personal information: name, telephone, address, and other personal information

Leave Forms

For more information about these forms and their use, call x2206.

FML Employee Rights and Responsibilities
(Adobe PDF)

FML Medical Certification for Employee
(Adobe PDF)

FML Medical Certification for Family Members
(Adobe PDF)

FML Medical Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
(Adobe PDF)

FML Medical Certification for Serious Injury or Illness of a Current Service Member - for Military Family Leave
(Adobe PDF)

FML Certification of Qualifying Exigency for Military Family Leave
(Adobe PDF)

Request for Leave or Approved Absence
(Microsoft DOC), (Adobe PDF)

New Employee

For more information about these forms and their use, call x2080 (Faculty) or x5096 (Staff).

Appointment Memorandum
(Microsoft DOC), (Adobe PDF)
Temporary new hire/changes in job assignments

Background Check Consent Form
(Microsoft DOC), (Adobe PDF)
Consent form for conducting background on employees working with students or handling money

Direct Deposit Authorization Form
(Microsoft DOC), (Adobe PDF) 
Set up direct deposit

Employment Eligibility Verification (I-9 Form)
(Adobe PDF)
Verification of employment eligibility NOTE: Your browser will not be able to preivew this document. You will have to download the form and view it in Adobe Reader.

Faculty/Staff Financial Responsibility Agreement
(Adobe PDF)

Federal W-4 Tax Form
(Adobe PDF)
Elect federal withholdings

Foreign National Information Form
(Adobe PDF)
Tax determination for international employees

Missouri W-4 Tax Form
(Adobe PDF)
Elect state withholdings

Personal Data Sheet Form
(Adobe PDF)
Personal Data on new hires

Pay Related

For more information about these forms and their use, call x2085.

Additional Payment (AP) Form
(Fillable DOC), (Printable DOC), (Printable PDF)
Process an additional payment for an employee for work outside their normal duties

Additional Payment (AP) Form Instructions
(Adobe PDF)
Instructions for Additional Payment Form

Bi-Weekly Leave Correction Report
(Microsoft DOC), (Adobe PDF)
Used by Clerical, Technical, Service and Skilled Crafts employees to correct amount of leave on timesheet

Bi-Weekly Student Payroll Timesheet
(Adobe PDF)
Used by Student employees to enter time, per department request

Direct Deposit Authorization Form
(Microsoft DOC), (Adobe PDF)
Revise Direct deposit for paycheck. Mandatory for all regular employees and strongly encouraged for temporary and student employees.

Earnings Request Form
(Microsoft DOC), (Adobe PDF)
Request payment for an employee regular time entry window

Employee Payroll Deduction Form
(Microsoft DOC), (Adobe PDF)
Used by employees to initiate deductions from employee paychecks for various fees

Faculty Pay Plan Form
(Microsoft DOC), (Adobe PDF)
Faculty may elect either the 10 or 12 month payment plan

Labor Distribution Reallocation Form
(Microsoft DOC), (Adobe PDF)
Reallocate labor expenses from one account to another. Questions: call (573) 986-6192

Monthly Leave Adjustment Report
(Microsoft DOC), (Adobe PDF)
Used by Administrators, Professional Staff and Faculty to correct amount of leave on timesheet

Prizes and Awards Reporting
(Microsoft DOC), (Adobe PDF) 

State of Missouri Tax Form
(Adobe PDF)
Form to elect state withholdings

Union Dues Discontinuation
(Microsoft DOC), (Adobe PDF)

W-4 (Federal)
(Adobe PDF)
Form to elect federal withholdings

Withholding Calculator (Federal)
Link: IRS.gove website
Federal withholding calculator

Withholding Calculator (State)
Link: Missouri Department of Revenue
State withholding calculator

Vacation Buyback Request

(AdobePDF) Used by Union Employees to request vacation buyback hours

Performance Appraisal

For more information about these forms and their use, call x6192.

Performance Appraisal Instructions/Appeals
(Microsoft DOC), (Adobe PDF)
Performance appraisal instructions and appeals process

Performance Evaluation Procedures
(Adobe PDF)
Detailed procedures for each level of evaluation

Clerical/Technical/Service Staff Performance Appraisal
(Microsoft DOC), (Adobe PDF)
Performance appraisal for clerical, technical and service staff

Admin/Prof Staff Performance Appraisal
(Microsoft DOC), (Adobe PDF)
Performance appraisal for administration and professional staff

Executive Staff Performance Appraisal
(Microsoft DOC), (Adobe PDF)
Performance appraisal for executive staff

Personnel Actions

For more information about these forms and their use, call x2407.

Labor Distribution Change Template
(Microsoft DOC), (Adode PDF)
Change labor distribution charges

Separation

For more information about these forms and their use, call x2084.

Staff Property Clearance Form
(Adode PDF)
Verify terminating employee's financial obligations to the university

Faculty Check-out Procedures
(Adode PDF)
Verify terminating faculty member's financial obligations to the university

Termination Report Form

(Adode PDF)
Report employee termination

Workers' Compensation

For more information about these forms and their use, call x2084.

Authorization to Release Medical Records
(Adode PDF)
Release medical records to CARO; form is completed by injured employee

Employee Injury Report
(Adode PDF)
Report injury; form is completed by injured employee

Supervisor Statement
(Adode PDF)
Report injury; form is completed by supervisor

Vendor Input Form
(Adode PDF)
Provide contact information; form is completed by injured employee

Witness Statement
(Adode PDF)
Witness to the accident of the injured employee; form is completed by witness.

Family Status Change Form

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