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Forms and Checklists

A

Academic and Student Hire Checklist

Additional Pay Form

Affirmation of Sponsored Adult Dependent Partnership

Application for Student Employment

Appointment Notification Form

B

Beneficiary Designation Form

Benefit Change Form

Benefit Enrollment Form

Berkley Child Care Center Payroll Deduction Form

C-D

CFM Performance Appraisal Form

UM Choice Medical Claim Form (Coventry)

Delta Dental Claim Form (Beg 2011)

Direct Deposit Form (UMKC)

Direct Promotion Announcement Template

E

Educational Assistance Form

Employee Exit Checklist (Updated)

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

Group Life Evidence of Insurability Form

HSA Enrollment/Change Form

HIPAA Authorization for Release of Health Information Form

I-9 Employment Eligibility Verification Form

J K L

Kansas City City Tax Exemption Form

Long Term Disability Evidence of Insurability Form

M

UM Choice Medical Claim Form (Coventry)

Monthly/Biweekly Changes Form

Miscellaneous Deduction Form

N

New Employee Orientation Checklist

Nonresident Alien Honoraria/Business Expense Supporting Statement

Notice of Intent to Retire 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

Personnel Action Form for Non-Resident Aliens Not Employed

Position Classification Questionnaire (PCQ) Form | Instructions

Position Management Action Form

Public Transit Benefit Enrollment-Cancellation Form

Proof of Relationship Form

Q R

Reference Check Form

Relocation Incentive Payment Agreement

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 Form*

*Academic: This form is required for all leave requests

*Staff: This form is required for all leave requests with the exception of FMLA

S

Salary Increase Authorization Guidelines

Salary/Temporary Pay Increase Authorization Form

Student Employees FICA Checklist

Summer Earn Code Calculator

Supplemental-Optional Life Insurance Change/Cancellation Form

Supplemental-Optional Life Insurance Beneficiary Designation Form *

Supplemental-Optional Life Insurance Enrollment & Evidence of Insurability Form *

* Please Note: these two forms must be completed and submitted together.

 

T U V W X Y Z

Temporary Pay Increase Authorization Form

Tuition Reduction for Spouses and Dependents Form

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

 


Related Links

UM System HR Forms