header.gif Aurora, photo credit Jan Curtis 2003 Closeup photo of man in office setting Closeup of flower, photo credit Nile Mueller Woman at Sitka campus, photo credit UAS Mt. McKinley, photo credit © Rex Melton, Alaska Division of Tourism Woman in UAS Environmental Science field class, photo credit UAS UAS HR UAF HR UAA HR UA Human Resources Home University of Alaska Home
Benefits | Classification & Compensation | Employment | Forms | Labor & Employee Relations | Training |
UA HR Home
UA HR Staff
Activities
HR Council
Employee e-learning
Employee Resources
Holidays
MyUA
Payroll Calendars
Procedures
Redesign
Salary Schedules
Staff Benefits
Training & Development
UA Directory
UA Policies & Regs
UAK Jobs Administration
UAOnline
Workflow
HR Pick List >

  HR Forms Home
  Contact us with your forms questions and suggestions

  A-Z Forms Index

  Employee Forms:
  Benefits Forms
  Employment Forms
  Ethics Forms
  FSA Forms
  Health Forms
  Leave Forms
  NRA Forms
  Payroll Forms
  Retirement Forms
  Risk Forms
  Union Forms

  Office Use Forms:
  Payroll Forms
  Personnel Forms

Click here to get Adobe Acrobat Reader.
HR Employee Forms

Benefits Forms:

Form Name Available Formats
(Icon Legend)
Form Descriptions
Beneficiary Designation Form Adobe PDF format file Computer enterable Adobe PDF format file To declare beneficiaries for basic life, accidental death and dismemberment, or supplemental life insurance.

Financially Interdependent Partners (FIP) Explanation

Adobe PDF format file To explain and determine FIP eligibility.

Financially Interdependent Partners (FIP) Statement

Adobe PDF format file To declare FIP eligibility.

FSA Claim For Medical And Dependent Care Form

Adobe PDF format file Computer enterable Adobe PDF format file To submit a claim for your flexible spending account.

FSA Direct Deposit For Medical And Dependent Care Form

Adobe PDF format file To establish direct deposit of your flexible spending account payments.
Student Enrollment Verification/Dependent Health Care Eligibility Adobe PDF format file Computer enterable Adobe PDF format file To verify student enrollment and/or to notify employees of dependent (child) health care coverage eligibility.
TDA Salary Reduction Agreement Form (version for 2008) Adobe PDF format file To establish or change contributions to a tax deferred annuity.
Tuition Waiver Request Form (UAA) Adobe PDF format file For use by eligible employees to waive tuition costs at UAA.
Tuition Waiver Request Form (UAF) Adobe PDF format file For use by eligible employees to waive tuition costs at UAF.
Tuition Waiver Request Form (UAS) Adobe PDF format file For use by eligible employees to waive tuition costs at UAS.
UA Choice Health Plan Enrollment Form - FY09 Open Enrollment

Adobe PDF format file

To enroll employee and dependents in UA health care plan for 7/1/08 through 6/30/09.
UA Choice Health Plan Enrollment Form - FY08

Adobe PDF format file

To enroll employee and dependents in UA health care plan for 7/1/07 through 6/30/08.
UA Choice Opt Out Form - FY09 Open Enrollment Adobe PDF format file To elect to opt out of UA health care coverage as of 7/1/08.
UA Choice Opt Out Form - FY08 Adobe PDF format file To elect to opt out of UA health care coverage and verify proof of other insurance coverage for 7/1/07-6/30/08.
UA Choice Supplemental Benefit Election Form - FY09 Open Enrollment Adobe PDF format file To add or delete employee selected benefits and/or deductions - i.e., FSA, AD&D, and other employee selected deductions such as accounts payable, parking, United Way, etc. (7/1/08-6/30/09).
UA Choice Supplemental Benefit Election Form - FY08 Adobe PDF format file Computer enterable Adobe PDF format file To add or delete employee selected benefits and/or deductions - i.e., FSA, AD&D, and other employee selected deductions such as accounts payable, parking, United Way, etc. (7/1/07-6/30/08).
Wolfcard Payroll Deduction Form (UAA Employees Only) Adobe PDF format file To request a payroll deduction to credit your UAA Wolfcard.

 

Please email syhr about any problems with this page   21-Apr-2008

  Photo credits: woman in field class and woman at Sitka campus photos courtesy of UAS; Mt. McKinley photo credit © Rex Melton,
Alaska Division of Tourism; flower photo credit Nile Mueller; aurora photo credit Jan Curtis 2003