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UA Statewide HR Office Forms (Personnel - Internal)

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HR Office Forms

Personnel Forms (Internal):

Form Name Available Formats
(Icon Legend)
Form Descriptions
Change Form Adobe PDF format file Computer enterable Adobe PDF format file To request a change to name, address, phone number, marital status, and/or Social Security number for an employee, student, and/or vendor.
Demographic - Personal Data Adobe PDF format file Computer enterable Adobe PDF format file To document employee demographic information.
Estate Disbursal Adobe PDF format file To request Disbursal of pay to employee estate (HR office use only).
Employment in a Job Not Covered by Social Security External Site Statement to be given to employees in a job not covered by Social Security.
Employment of Immediate Family Members Disclosure Form Adobe PDF format file For UA employees to disclose the employment of immediate family members.
Employment or Service Outside UA Disclosure Form - Faculty

Computer enterable Adobe PDF format file

Used for the disclosure of other employment or service outside of UA for Faculty.
Employment or Service Outside UA Disclosure Form - Staff/Student

Computer enterable Adobe PDF format file

Used for the disclosure of other employment or service outside of UA for Staff and Students.
FML: Q & A's
Adobe PDF format file Questions and answers regarding Family Medical Leave (FML).
FML Request Form Adobe PDF format file To request FML leave for a serious health condition (to be completed by employee).
FML: Certification of Health Care Provider for Employee's Serious Health Condition External Site To support an employee's FMLA leave request due to the employee's own serious health condition (to be completed by the employee, employer, and the employee's health care provider).
FML: Certification of Health Care Provider for Family Member's Serious Health Condition External Site To support an employee's FMLA leave request due to a family member's serious health condition (to be completed by the employee, employer, and the family member's health care provider).
FML: Certification of Qualifying Exigency for Military Family Leave External Site To support an employee's FMLA leave request due to a qualifying military exigency (to be completed by the employee and employer).
FML: Certification for Serious Injury or Illness of Covered Servicemembers - for Military Family Leave External Site To support an employee's FMLA leave request due to the serious health condition of a covered servicemember (to be completed by the employee or covered servicemember, employer, and DOD health care provider).
I-9 Form Computer enterable Adobe PDF format file To verify employment eligibility.
Injury/Illness Form (Previous) Adobe PDF format file To document an injury or illness prior to employment at UA.
Position Description Glossary Adobe PDF format file A listing of commonly used terms for the position description.
Job Form Adobe PDF format file Computer enterable Adobe PDF format file To record additions, deletions, or changes to job assignments.
Position Requisition Adobe PDF format file Computer enterable Adobe PDF format file To document a position request.
Relocation Allowance Adobe PDF format file To request a relocation allowance.
Social Security Card Application (SS-5 Form) External Site Instructions and form to apply for a social security card.
Social Security Exemption for Temporary Employees Adobe PDF format file To request exemption from Social Security (for temporary employees).
Student Employee Waiver Form Adobe PDF format file For student employees to request a waiver of UA Student Employment policies (e.g. minimum GPA, weekly work hours limit).
Student Status Verification Adobe PDF format file Computer enterable Adobe PDF format file Required for student employment only.
System Termination Adobe PDF format file Computer enterable Adobe PDF format file To document termination of employment.
System Termination - Employee Information Adobe PDF format file Computer enterable Adobe PDF format file Termination information for UA employees in letter format.
UA Computer Account Request Form Adobe PDF format file ITS form to request access to email, Meeting Maker, domains, etc.
UA System Administrative Access Request Form Adobe PDF format file ITS form to request access to UNIX, Oracle, and SCT Banner

 

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