Documents & Forms: Alphabetical

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• 30 Day Waiver For Health Insurance
• 30-Day Waiver Request FAQ
• 403(b) Pre-tax Voluntary Retirement Plan Investment Agreement Form
• 403(b) Roth After-tax Voluntary Retirement Plan Investment Agreement form

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• Academic Year Standard Hours Calculation Sheet
• Academic Year Spreadsheet
• Advance Prescription Drug Purchase
• Advance Prescription Drug Purchase - Appendix I-1
• Affiliate Data Sheet
• Annual Reminder Deadline for Budgetary Purposes
• Available Affiliate Services

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• Beneficiary Form - KPERS/University Support Staff
• Beneficiary Form - Regents/Unclassified Faculty & Staff
• Benefits Communication Form

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• Campus Mailing List
• Chart of Benefits
• Consenting Relationships Brochure

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• Dependent Eligibility Audit
• Direct Deposit Authorization of Employee Pay
• Disclosure Form for Persons with Disabilities

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• Email and KU ID Card Access Prior to Appointment to Payroll (i.e. the "Friend" Process)
• Employee Data Sheet
• Employee Eligibility Verification (I-9)
• Employee Invention Assignment Agreement
• Employee of the Month Nomination
• Exit Questionnaire

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• Faculty (Academic Year Spreadsheet)
• Family Medical Leave Act (FMLA) Procedures
• Flex-Time Agreement Form Sample
• Flexible Spending Account Enrollment and Change Form
• Flexible Spending Claim Form
• FLSA Designation Analysis Tool
• FLSA Travel Guidelines FAQ
• FMLA Certification Form for Family Member's Serious Health Condition
• FMLA Certification Form for Qualifying Exigency Leave
• FMLA Certification Form of Employee's Serious Health Condition
• FMLA Certification Form of Serious Health or Injury to Servicemember
• FMLA Designation Notice (Employer)
• FMLA Notice of Eligibility & Rights (Employer)
• FMLA Serious Health Conditions Excerpt

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• GRA (Graduate Research Assistant) Intent to Appoint Form
• GRA Certification of Eligibility to Enroll in Fewer than Six Hours (Master's Level)
• GRA Intent to Appoint Form
• Grievance Form for University Support Staff (USS)
• Grievance Form KU-1290PE
• Grievance Response Form for University Support Staff (USS)
• GTA Appointment Form
• GTA Health Insurance Enrollment Instructions
• GTA/GRA Certification of Eligibility to Enroll in a Single Hour (Doctoral Level)
• GTA/GRA/GA Benefits

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• Health Care Selection Form (TEFRA)
• Health Insurance Change Form
• Health Insurance Common Law Marriage Affidavit
• Health Insurance Enrollment Form
• Health Savings Account Enrollment and Change Form
• Healthy Kids Information
• HealthyKIDS Online Enrollment Form
• Hires Dates from Sept 2012 to Nov 2013 and Health Insurance Coverage Begin Dates
• Holiday Compensation Chart
• HRSA(PSoft Access)/PeopleAdmin/DEMIS Access Form

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• Inclement Weather Time & Leave Reporting Guidelines for Departmental Personnel Staff
• Invitation to Self Identify Disabled and/or Veteran's Status

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• K-4 Employee's Withholding Allowance Certificate

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• Leave of Absence Without Pay Checklist
• Leave of Absence Without Pay Request Form
• Life Insurance Conversion Form/Information
• Life Insurance Portability Form/Information

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• Non-Exempt Staff Guidelines for Working Extra Hours

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• Oath (State of Kansas Employee's) and Intellectual Property (Acknowledgement of Policy)
• Overtime/Compensatory Time Policy Agreement

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• Pay Worksheets & Charts
• Paycheck Deduction Codes
• PeopleAdmin Pools User's Guide
• Performance Evaluation for GTAs
• Performance Evaluation for Unclassified Staff
• Performance Evaluation for University Support Staff
• Performance Evaluations for Students
• Poll/Election Worker Application (KU)
• Poll/Election Worker Information Sheet
• Position Description Sample

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• Reference Contact Form
• Reference Release Form for Prospective Employee
• Regents Mandatory Retirement Agreement
• Request for Disciplinary Action
• Request for Leave of Absence Without Pay
• Request for Reasonable Accommodation
• Retirement Data (KBOR)
• Retirement Data (KPERS)
• Retirement Funds Access - Bona Fide Separation from Service
• Retirement Funds Access - KBOR Mandatory 403(b)
• Retirement Funds Access - KBOR Voluntary 403(b)
• Retirement Verification

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• Self Service Center - Password Instructions
• Shared Leave Donation
• Shared Leave Medical Certification
• Shared Leave Request
• State of Kansas Employee Oath and Acknowledgement of the Intellectual Property Policy
• Student Hiring Handbook
• Student Hourly Special Rate Request
• Substance Abuse Policy Affirmation Form

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• Tax Clearance Form
• Team Award Nomination
• Time, Flex Agreement Form Sample
• Tobacco Certification Form
• Tuition Assistance Application

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• Unclassified Professional Staff Annual Evaluations - FAQ
• Unclassified Professional Staff Merit Increases
• Unclassified Professional Staff Research & Research Administration Title Definitions
• University Support Staff (USS) Rating Appeal
• University Support Staff ER20A
• University Support Staff ER20B
• University Support Staff Sample Applicant Letters
• University Support Staff Verbal Counseling
• University Support Staff Written Reprimand (1290PE Members only)

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• Voluntary Leave Without Pay
• Volunteer Registration Form

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• W-4 Employee's Allowance Withholding Certificate
• Winter Recess Employee Arrangements
• Workers Comp 1101A Employer's Report of Accident Form
• Workers Comp 1101A Instructions
• Workers Comp Injured Worker's First Fill Prescription Information Sheet