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Forms and Checklists

A

Academic and Student Hire Checklist

Academic Request to Post Form

Additional Pay Form

Application for Student Employment

Appointment Notification Form

B

Beneficiary Designation Form

Benefit Enrollment Change Form

Benefit Enrollment Form

Biweekly Payroll Time Record Form

Biweekly Payroll Time Record – Comp Time Version Form

Biweekly Payroll Time Record – Non-Benefit-Eligible Version Form

C-D

CFM Performance Appraisal Form

Coventry Medical Claim Form

Direct Deposit Form (UMKC)

Direct Promotion Announcement Template

Disclosure to Employment Applicant Form and FCRA Summary of Rights

E

Educational Assistance Form

Educational Fee Reduction Form

Employee Exit Checklist

Employee Self Appraisal Form

Express Scripts Prescription Drug Claim Form

Express Scripts Prescription Mail-In Form

F

Faculty Pay Option Form

(ASI) Flexible Spending Account Claim Form and Instructions

(ASI) Flexible Spending Account Mid-Year Change Form

Foreign Visitor Tax Assessment Intake Form

G H I

Great West (Catastrophic Plan) Medical Claim Form

Great-West Dental Claim Form

Group Life Evidence of Insurability Form

HIPAA Authorization for Release of Health Information Form

Hiring Freeze Exemption Justification Form

I-9 Employment Eligibility Verification Form

J K L

Kansas City City Tax Exemption Form

Long-Term Disability Evidence of Insurability Form

M

Monthly Absence Summary Form

Monthly/Biweekly Changes Form

N

New Employee Orientation Checklist

Nonresident Alien Honoraria/Business Expense Supporting Statement

Notice of Intent to Retire Form

Notification of Academic Hire Form

Notification of Administrative Hire Form

Notification of Temporary Hire Form

O P

On-line Check Request Form

Other Leaves of Absence Request Form

Payroll Correction Form – Hourly

Payroll Correction Form – Salaried

Performance Appraisal Form

Personal Data Form

Personnel Action Form (PAF)

Personnel Action Form For Courtesy Appointments and Volunteers

Position Classification Questionnaire Form - Exempt (PCQ)

Position Classification Questionnaire Form - IT Only (PCQ)

Position Classification Questionnaire Form - Non-Exempt (PCQ)

Position Management Action Form

Proof of Relationship Form

Q R

Reference Check Form

Request and Authorization for Deduction of Organization Dues Form

Request for Duplicate W-2 Form

Request for Extra Compensation Form

Request for Leave of Absence (not FMLA) Form

Request for President's Approval (Executive Order 6) Form

Request to Fill an Administrative, Service or Support Position Form

S

Student Employees FICA Checklist

Supplemental-Optional Life Insurance Beneficiary Designation & Change Form

Supplemental-Optional Life Insurance Enrollment Form

Supplemental-Optional Life Insurance Evidence of Insurability Form

T U V W X Y Z

VSP Out-of-Network Reimbursement Form

W-4 Federal Employee’s Withholding Allowance Certificate Form

W-4 Missouri Employee’s Withholding Allowance Certificate Form

Withdraw of Authorization for Deduction of Organization Dues Form