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