Human Resource Forms

​​​​​​​By Form Number

403(b) Voluntary Salary Reduction Agreement
403(b) Explanation of Contribution Limits 
457(b) Voluntary Salary Deferral Agreement

Retirement Outside Contribution Disclosure Form

Retirement Vendor Allocation Form-R10 (university contribution) for hourly & salaried Professional Administrative, hourly & salaried Public Broadcasting, Senior Officer, Fixed-Term Faculty, Regular Faculty, Police, Police Sergeants, Office Professionals, Service Maintenance & Supervisory Technical

Retirement Vendor Allocation Form-R12 (university contribution) for employees in the 12% Retirement Plan.  These employees were hired prior to January 1, 1996 and have continuous employment.

By Name

Address Change Instructions
Address Change
AFSCME Contract Administration
Catastrophic Leave
Campus ID
Dental Claim Form - Meritain
Dependent Care Flexible Spending Account, Request for Reimbursement
Dependent Care Receipt Form
Employment Verification Form (Staff, Students, Temporaries, and Volunteers)
Ergonomic Evaluation Request Form
Family Medical Leave Act (FMLA)
Fidelity 403(b) Custodial Account Application (employee contribution)
Fidelity Beneficiary Designation
Fidelity Custodial Account Application (university contribution)
FSA Direct Deposit
Hartford Evidence of Insurability
Health Care Flexible Spending Account, Request for Reimbursement

HSA Contribution Change Form (submit directly to Benefits Office)
HSA Certification Form
(For Staff, Fixed-term Faculty, CMED, Postdoctoral Research Fellows) (no application required for CMU contribution)

I-9 Employment Eligibility  (form)​  (policy)​
Independent Contractor Hiring Selection
Maximizing Tax Investment Contributions Worksheet
MESSA Status Change Form (submit directly to Benefits Office)
MESSA Application: Choices 10/20 or Saver Rx (submit directly to Benefits Office)   MESSA Application ABC HSA Plan (submit directly to Benefits Office)

MESSA Beneficiary Form (submit directly to MESSA)
MPSERS Beneficiary Designation
New Employee Checklist
Payroll Forms
Performance Evaluation - Management (all forms & guides)
Personnel Transaction
Position Creation/Elimination
Probationary Review Form

Progressive Discipline Form​

Reclassification Request
Reference Check Questions
Request for Union Leave

Retirement Vendor Allocation Form-R10 (university contribution) for salaried Professional Administrative, hourly Professional Administrative, Office Professionals, Police (including hourly police sergeants), hourly & salaried Public Broadcasting, Service Maintenace, Senior Officer, Supervisory Technical Fixed-Term Faculty, and Regular Faculty
Retirement Vendor Allocation Form-R12 (university contribution) for employees in the 12% Retirement Plan (these employees were hired prior to January 1, 1996 and have continuous employment)

Separation Checklist
Status Change Form
Student Employment Forms
Supplemental Assignment Pay
Temporary Employee Hire Forms
TIAA On-line Enrollment Applications
Travel Voucher
Tuition Waiver - Education at Other Institutions
Unpaid Leave of Absence( PDF)
Voluntary Salary Deferral Agreement-457(b)
Voluntary Salary Reduction Agreement-403(b)
Voluntary Self-Identification of Disability
Volunteer Waiver of Liability and Release
Waiver of Representation Rights
Work Accommodation ( PDF) ​​​​