Forms may be accessed from this index. You may sort the table by Index, Title, Owner, Published, or Format by clicking on the table headings. Content displayed may be refined by using the column filters located underneath the column titles.

Listings of Retired Forms and Exhibits maybe be found in the disposition table.

Index
Title
Owner
Published
1-23 Employee Change of Address Payroll Services/Human Resources 05/05/2014
3-3 Personnel Action Form Human Resources 04/30/2014
3-5 Record of FLSA (Overtime) Compensation Time Earned and Taken Human Resources 03/05/2008
3-7 Form I-9, Employment Eligibility Verification Human Resources 02/02/2009
3-8 Notice of Voluntary Service Human Resources 07/07/2014
3-9 Criminal Background Check Human Resources 10/27/2014
3-15 Appeal of Disciplinary Action - First Step Human Resources 12/01/2000
3-15A Disciplinary Action Appeal - Continuation Human Resources 12/01/2000
3-16 Employee Clearance Human Resources 01/13/2015
3-18 Sick Leave Pool Application Human Resources 07/07/2014
3-19 Conflict of interest, Conflict of Commitment and Outside Activities Human Resources 09/10/2014
3-23 Request for Family and Medical Leave Human Resources 07/07/2014
3-24 Return to Work Release Human Resources 02/27/2012
3-26 High School Student - Position Information and Application Human Resources 07/21/2011
3-27A New Employee Packet Human Resources 03/11/2015
3-27B Instructions for Completing New Employment Paper Work Human Resources 03/26/2013
3-28 Employee Insurance Enrollment Application Human Resources 05/20/2014
3-30 Benefits Cost Worksheet Human Resources 05/20/2014
3-33 Coverage for Incapacitated Child Form Human Resources 07/10/2007
3-34 Medco Pharmacy Home Delivery Order Form (UT Select) Human Resources 07/10/2007
3-35 Medco Prescription Drug Claim Form (UT Select) Human Resources 07/10/2007
3-36 Transitional Benefits Form Human Resources 07/10/2007
3-37 UT Select Dental Claim Form Human Resources 07/10/2007
3-38 Superior Vision Provider Nomination Human Resources 07/10/2007
3-39 UT FLEX Claim Form Human Resources 07/10/2007
3-40 UT FLEX Direct Deposit Form Human Resources 07/10/2007
3-41 UT FLEX Letter of Medical Necessity Human Resources 07/10/2007
3-42 Fort Dearborn Term Life Beneficiary Designation Human Resources 07/10/2007
3-44 Notice of Creditable Coverage for Medicare Part D Human Resources 07/10/2007
3-45 TRS Form 6 (Notice of Final Deposit and Request for Refund) Human Resources 07/10/2007
3-46 TRS Form 18 (Request for Estimate of Retirement Benefits) Human Resources 07/10/2007
3-47 Transfer Verification Form Human Resources 07/10/2007
3-48 TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program) Human Resources 07/10/2007
3-50 Authorization for Reduction for Employee Contributions Human Resources 05/20/2014
3-51 Authorization for Reduction for Employee Contributions for Employees returning to ORP Human Resources 05/20/2014
3-52 ORP Acknowledgement Form Human Resources 05/20/2014
3-53 Optional Retirement Program (ORP) Retirement Certification Form Human Resources 07/10/2007
3-54 Tax-Sheltered Annuity Disclosure Human Resources 07/10/2007
3-55 Purchase Change Agreement Human Resources 07/10/2007
3-56 Special Catch-Up Provision Disclosure Human Resources 07/10/2007
3-57 Short Term Disability Highlights Human Resources 01/07/2010
3-58 Long Term Care Brochure Human Resources 07/10/2007
3-59 Continuation Coverage Notice Human Resources 08/13/2010
3-60 HIPAA Privacy Information Human Resources 07/10/2007
3-61 Accidental Death and Dismemberment Benefits Guide Human Resources 07/10/2007
3-62 DeltaCare Benefits Guide Human Resources 05/20/2014
3-63 UT System Group Benefit Handbook for Employees Human Resources 05/20/2014
3-64 Group Term Life Benefits Guide Human Resources 07/10/2007
3-66 Long Term Disability Benefits Guide Human Resources 07/10/2007
3-67 Short Term Disability Benefits Guide Human Resources 07/10/2007
3-68 Superior Vision Benefits Guide Human Resources 05/20/2014
3-69 Teachers Retirement System (TRS) Handbook Human Resources 07/10/2007
3-70 UT FLEX Benefits Guide Human Resources 07/10/2007
3-71 UT Select Benefits Guide Human Resources 07/10/2007
3-72 UT Select Dental Benefits Guide Human Resources 07/10/2007
3-73 UT System Group Benefits Handbook for Retirees Human Resources 05/20/2014
3-74 UT System Retirement Programs Guide Human Resources 07/10/2007
3-75 Exit Interview Questionnaire Human Resources 07/28/2010
3-76 Quest Release Time Form Human Resources 02/27/2014
3-77 Employee Tuition Certification Form Human Resources 11/25/2014
3-78 Classified Staff Evaluation Form - Narrative Format Human Resources 07/07/2014
3-79 Employee Self-Evaluation Form Human Resources 07/07/2014
3-80 Administrative and Professional Form Human Resources 07/07/2014
3-81 Classified Staff Evaluation Form - Check Box Format Human Resources 03/26/2015
3-82 Performance Management Forms Human Resources 02/18/2015
3-83 Performance Management Form for New Employees Human Resources 07/07/2014
3-84 Sample Reference Check Form Human Resources 03/23/2009
3-85 On-Campus Summer Camp / Conference Employment Application Human Resources 10/12/2011
3-86 Flexible Work Arrangement Agreement Human Resources 07/07/2014
3-87 Telecommuting Agreement Human Resources 07/07/2014
3-201 Personal Information Form Human Resources 03/11/2015
3-202 State Employment Verification Form Human Resources 02/17/2015
3-203 Selective Service Registration Verification Form Human Resources 02/18/2015
3-204 Sick Leave Pool Contribution Form Human Resources 07/07/2014
3-205 Financial Disclosure and Conflicts of Interest Human Resources 04/26/2010
3-206 Outstanding Maverick Award Nomination Form Human Resources 02/06/2015
3-207 Hiring Request Questions to Submit to Hiring Review Committee Human Resources 09/14/2012