Documents & Forms: Listed Alphabetically

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• 2012 Hire Dates for Health Insurance Coverage Begin Dates (PDF)
• 30 Day Waiver For Health Insurance (PDF)
• 30-Day Waiver Request FAQ (PDF)
• 403(b) Pre-tax Voluntary Retirement Plan Investment Agreement Form (PDF)
• 403(b) Roth After-tax Voluntary Retirement Plan Investment Agreement form (PDF)

• Academic Year Standard Hours Calculation Sheet (Excel)
• Academic Year Spreadsheet (Excel)
• Advance Prescription Drug Purchase (PDF)
• Advance Prescription Drug Purchase - Appendix I-1 (PDF)
• Affiliate Data Sheet (PDF)
• Annual Reminder Deadline for Budgetary Purposes (PDF)
• Available Affiliate Services (Excel)

• Beneficiary Form - KPERS/University Support Staff (PDF)
• Beneficiary Form - Regents/Unclassified Faculty & Staff (PDF)
• Benefits Communication Form (PDF)

• Campus Mailing List  
• Chart of Benefits (PDF)
• Consenting Relationships Brochure (PDF)

• Dependent Eligibility Audit (PDF)
• Direct Deposit Authorization of Employee Pay (PDF)
• Disclosure Form for Persons with Disabilities (PDF)

• Email and KU ID Card Access Prior to Appointment to Payroll (i.e. the "Friend" Process) (PDF)
• Employee Data Sheet (PDF)
• Employee Eligibility Verification (I-9) (PDF)
• Employee Invention Assignment Agreement (PDF)
• Employee of the Month Nomination 
• Exit Questionnaire 

• Faculty (Academic Year Spreadsheet) (Excel)
• Family Medical Leave Act (FMLA) Procedures (PDF)
• Flex-Time Agreement Form Sample (Word)
• Flexible Spending Account Enrollment and Change Form (PDF)
• Flexible Spending Claim Form (PDF)
• FLSA Designation Analysis Tool (Excel)
• FLSA Travel Guidelines FAQ (PDF)
• FMLA Certification Form for Family Member's Serious Health Condition (PDF)
• FMLA Certification Form for Qualifying Exigency Leave (PDF)
• FMLA Certification Form of Employee's Serious Health Condition (PDF)
• FMLA Certification Form of Serious Health or Injury to Servicemember (PDF)
• FMLA Designation Notice (Employer) (PDF)
• FMLA Notice of Eligibility & Rights (Employer) (PDF)
• FMLA Serious Health Conditions Excerpt (PDF)

• GRA (Graduate Research Assistant) Intent to Appoint Form (PDF)
• GRA Certification of Eligibility to Enroll in Fewer than Six Hours (Master's Level) (PDF)
• GRA Intent to Appoint Form (PDF)
• Grievance Form for University Support Staff (USS) (Excel)
• Grievance Form KU-1290PE (PDF)
• Grievance Response Form for University Support Staff (USS) (Excel)
• GTA Appointment Form 
• GTA Health Insurance Enrollment Instructions (PDF)
• GTA/GRA Certification of Eligibility to Enroll in a Single Hour (Doctoral Level) (PDF)
• GTA/GRA/GA Benefits 

• Health Care Selection Form (TEFRA) (PDF)
• Health Insurance Change Form (PDF)
• Health Insurance Common Law Marriage Affidavit (PDF)
• Health Insurance Enrollment Form (PDF)
• Health Savings Account Form (PDF)
• Healthy Kids Application 
• Healthy Kids Information 
• Holiday Compensation Chart (PDF)
• HRSA(PSoft Access)/PeopleAdmin/DEMIS Access Form (Excel)

• Inclement Weather Time & Leave Reporting Guidelines for Departmental Personnel Staff (PDF)
• Invitation to Self Identify Disabled and/or Veteran's Status  (PDF)

• K-4 – Employee’s Withholding Allowance Certificate (PDF)

• Leave of Absence Without Pay Checklist (PDF)
• Leave of Absence Without Pay Request Form (PDF)
• Life Insurance Conversion Form/Information (PDF)
• Life Insurance Portability Form/Information (PDF)

• Non-Exempt Staff Guidelines for Working Extra Hours (PDF)

• Oath (State of Kansas Employee's) and Intellectual Property (Acknowledgement of Policy) (PDF)
• Overtime/Compensatory Time Policy Agreement (PDF)

• Pay Worksheets & Charts 
• Paycheck Deduction Codes (PDF)
• PeopleAdmin Pools User's Guide (Word)
• Performance Evaluation for GTAs 
• Performance Evaluation for Unclassified Staff 
• Performance Evaluation for University Support Staff 
• Performance Evaluations for Students (Excel)
• Poll/Election Worker Application (KU) (PDF)
• Poll/Election Worker Information Sheet (PDF)
• Position Description Sample (Word)

• Reference Contact Form (PDF)
• Reference Release Form for Prospective Employee (PDF)
• Regents Mandatory Retirement Agreement (PDF)
• Request for Disciplinary Action (Excel)
• Request for Leave of Absence Without Pay (Word)
• Request for Reasonable Accommodation (PDF)
• Retirement Data (KBOR) (PDF)
• Retirement Data (KPERS) (PDF)
• Retirement Funds Access - Bona Fide Separation from Service (PDF)
• Retirement Funds Access - KBOR Mandatory 403(b) (PDF)
• Retirement Funds Access - KBOR Voluntary 403(b) (PDF)
• Retirement Verification (PDF)

• Self Service Center - Password Instructions (PDF)
• Shared Leave Donation (Excel)
• Shared Leave Medical Certification 
• Shared Leave Request (Excel)
• State of Kansas Employee Oath and Acknowledgement of the Intellectual Property Policy (PDF)
• Student Hiring Handbook (PDF)
• Student Hourly Special Rate Request (Word)
• Substance Abuse Policy Affirmation Form 

• Tax Clearance Form (PDF)
• Team Award Nomination 
• Time, Flex Agreement Form Sample (Word)
• Tobacco Certification Form (PDF)
• Tuition Assistance Application (PDF)

• Unclassified Professional Staff Annual Evaluations - FAQ (PDF)
• Unclassified Professional Staff Merit Increases (PDF)
• Unclassified Professional Staff Research & Research Administration Title Definitions (PDF)
• University Support Staff (USS) Rating Appeal (PDF)
• University Support Staff ER20A (PDF)
• University Support Staff ER20B (PDF)
• University Support Staff Sample Applicant Letters (Word)

• Voluntary Leave Without Pay (Excel)
• Volunteer Registration Form (Word)

• W-4 Employee's Allowance Withholding Certificate (PDF)
• Winter Recess Employee Arrangements (PDF)
• Workers Comp 1101A Employer's Report of Accident Form (PDF)
• Workers Comp 1101A Instructions (PDF)
• Workers Comp Injured Worker's First Fill Prescription Information Sheet (PDF)