HR Forms

A

• Abridged Hiring Process Request Form
• Affirmation of Sponsored Adult Dependents

B

• Beneficiary Designation Form
• Benefit Change Form
• Benefit Enrollment Form
• Berkley Child Care Center Payroll Deduction Form (PDF)

C - D

• Deferred Pay Option (PDF)
• Delta Dental Claim Form
• Disability Accommodations Healthcare Provider Form (PDF)
• Disability Accommodations Request Form
• Discrimination and Harassment Report - UMKC

E

• Education Assistance for Employee
• Employee Exit Checklist (PDF)
• Ergonomic Self-Assessment Worksheet (PDF)
• Ergonomic Workspace Evaluation Request (PDF)
• Express Scripts Prescription Drug Claim Form
• Express Scripts Prescription Mail-In Form

F

• (ASI) Flexible Spending Account Claim Form and Instructions
• (ASI) Flexible Spending Account Mid-Year Change Form

G - L

• Grievance Worksheet 2025
• HSA Enrollment/Change Form
• HIPAA Authorization for Release of Health Information Form
• Integrity and Accountability Hotline

M

• Making a Report - Office of Equity & Title IX (UMKC.edu)
• Medical Claim Form 

N

• New Employee Orientation Checklist (PDF)
• Notice of Intent to Retire Form

O - P

• PeopleSoft HR ePAF PCQ Training and Reference Guide
• Proof of Relationship Form

Q - R

• Request and Authorization for Deduction of Organization Dues for Local 148
• Request and Authorization for Deduction of Organization Dues for Local 955

S

• Student Employees FICA Checklist (PDF)
• Supplemental-Optional Life Insurance Change Form
• Supplemental-Optional Life Insurance Enrollment and Evidence of Insurability Form *

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

T - Z

• Tuition Reduction for Spouses and Dependents Form

UM System Forms

• Human Resources
• Benefits