Documents and Forms
- Retirement Forms
To enroll in a supplemental 403b, 457b, or ROTH account with TIAA or Fidelity, please create an account with Retirement@Works. This website has replaced the forms previously submitted the HR. Here is a quick start guide for assistance: Retirement@Work Quick Start Guide (pdf). - Nationwide Enrollment Form 403(b) 457(b) 401k (pdf)
- Family Medical Leave (FMLA) - Employee Serious Condition (pdf)
- Family Medical Leave (FMLA) - Family Members Serious Condition (pdf)
- Report of Injury - Employee (pdf)
- HIPAA Certificate Request Form (pdf)
- HIPAA Authorization Form (pdf)
- Mail Service Order Form (pdf)
- Medicare Prescription Claim Form (pdf)
- Medicare Mail Service Order Form (pdf)
- Parental Leave Form (pdf)
- Prescription Claim Form (pdf)
- Request for Leave Form (pdf)
- Retiree Enrollment Form (pdf)
- Sick Leave Form (Advanced) (pdf)
- Sick Leave Form (Extended) (pdf)
- Tuition Remission Deadlines - Winter 2019 (doc)
- Tuition Remission Deadlines - Spring 2019 (doc)
- Telework Agreement (pdf)
- Telework Policy (doc)
- Tuition Remission Form (pdf)