Human Resources Forms
Forms
If you are unable to locate a form using the filters, please email hrweb@ohio.edu. You can also visit ohio.edu/hr-forms to view the full catalog.
| Form | Description |
|---|---|
| Address Update | To update your address on file, please complete the appropriate tax forms. |
| Administrator and Faculty Request to Donate Vacation Leave | Used by administrative and faculty employees that are benefits eligible to elect to donate accrued vacation time to the paid leave pool. |
| Administrator and Faculty Request to Receive Donated Leave | Used by administrative and faculty employees that are benefits eligible to request donated time from the paid leave pool. |
| Adoption Benefit Financial Reimbursement | This form is completed by employees to request reimbursement for adoption expenses. |
| AFSCME 1699 Bargaining Unit Performance Evaluation Form | This form is used to evaluate the performance of employees in the AFSCME 1699 bargaining unit. |
| AFSCME 3200 Bargaining Unit Employee Probationary Performance Appraisal | This form is used to evaluate the performance of employees in the AFSCME 3200 bargaining unit during their probationary period. |
| AFSCME 3200 Request to Donate Sick Leave | Used by employees of the AFSCME 3200 bargaining unit to elect to donate accrued sick time. |
| AFSCME 3200 Request to Receive Donated Sick Leave | Used by employees of the AFSCME 3200 bargaining unit to request donated sick time. |
| Alternative Retirement Plan Vendor Change | Employees participating in the Alternative Retirement Plan complete this form to change their ARP provider. |
| Anthem International Claim Form | Used to submit institutional and professional claims for benefits for covered services received outside the United States, Puerto Rico, and the U.S. Virgin Islands. |
| Anthem Medical Claim Form | Completed by employees to submit a medical claim to Anthem. |
| Appointment Form | Completed by the department to request changes to faculty and administrative appointments. |
| Bobcat Beyond Submission Form | Submit your professional development progress to be considered for a Bobcat Beyond badge. |
| Certification of Bonding Leave Due to Adoption or Foster Care | This form is completed when an employee reports an incident involving a threat, act of intimidation, violence, or other unacceptable behavior being committed by another employee. |
| CVS Caremark Prescription Reimbursement Claim Form | Used by employees to request reimbursement for prescriptions paid out of pocket. |
| Dental Claim Form | Used for a pre-treatment estimate or for a claim for an actual service. |
| Direct Deposit Authorization | Initiate direct deposit or update existing direct deposit account information. |
| Domestic Partner Affidavit | This form allows an employee to establish a domestic partnership. The domestic partner can be a covered dependent for medical, educational, and sick leave benefits. |
| Domestic Partner Enrollment Form | This form allows an employee to enroll a domestic partner and/or dependents in medical coverage. |
| Educational Benefits Request Form: Employee | Employees must complete this form each semester when requesting educational benefits. |
| Educational Benefits Request Form: Qualified Dependent | Employees must complete this form each academic year when requesting educational benefits for a qualified dependent. |
| Email Access Request | This form is utilized by a department to request access to another user’s OHIO accounts or systems. |
| Emergency Service Leave Request | Used by employees serving as volunteer firefighters, paramedics, EMT and First Responders to request emergency service leave. |
| Employee Incident Report | Completed by an employee and their supervisor in the event of a work-related injury, illness, or incident. |
| Employee Recognition Policy Appendix A | Used to request a unique employee recognition program. |
| Evidence of Insurability (EOI) Submission | Employees requesting supplemental life insurance above the guaranteed issue amount must complete the EOI submission. |
| Exit Interview Survey | Employees departing from Ohio University are asked to complete this survey. |
| Faculty 24 Semi-Monthly Pay Option Authorization | Authorizes a faculty member to receive their academic year salary in 24 equal semi-monthly installments. |
| Faculty 24 Semi-Monthly Pay Option Cancellation | Cancels the 24 semi-monthly pay option for faculty members and reissues salary payments over the regular academic schedule. |
| Federal and State Tax Forms | New and current employees should complete the appropriate tax forms to establish or update their withholding status. |
| Flexplace Agreement Form | This form is used when administrators request a Flexplace arrangement. |
| FMLA Forms | Forms to be completed when requesting Family Medical Leave. |
| Interview Evaluation | Used as a guide for interviewers to evaluate a candidate's suitability for employment. |
| Justification for Compensation Exception | Completed by the hiring department to request compensation outside of the Pay Administration Guidelines. After submission, the form is reviewed for approval by Compensation, prior to an offer being made to a candidate. |
| New Hire Forms - Administrative | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - Administrative Part Time | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - AFSCME 1699 | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - AFSCME 1699 Part Time | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - AFSCME 3200 | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - AFSCME 3200 Part Time | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - Faculty | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - Fraternal Order of Police | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - Instructors | New employees are required to complete all applicable onboarding forms at the start of their employment. |
| New Hire Forms - Student Employees | New student employees are required to complete all applicable onboarding forms at the start of their employment. |
| Non-Employee Incident Report | Used to report a non-employee incident. |
| Occupational Injury/Illness Option of Sick Leave or Unpaid Medical Leave of Absence | Employees may elect to use accrued paid sick leave or to be placed on an unpaid medical leave of absence in the event of an occupational illness or injury. |
| OPERS Disability Benefit Packet | Employees can apply for a disability benefit using the OPERS Disability Benefit Application Packet. |
| OPERS Employee Information Sheet | Completed by new employees eligible for the OPERS retirement plan. |
| PAN Form | Completed by Compensation to request changes to an existing employee's salary, classification, or job title. |
| Parental Leave Form | Used to request parental leave. Employees must provide the requested start and end dates for both the six weeks of unpaid leave and the six weeks of paid leave. |
| Payroll Expense Accounting Correction (PEDS) | Make payroll expense accounting corrections. Changes must be submitted within 90 days of the report date. |
| Personal Data Profile | Employees complete this form to provide personal information, educational history, and license/certification information. |
| Position Classification Appeal | Request an appeal to a position’s classification or mapping as a result of an incumbent review. This form is completed by an employee, their supervisor, and the Department Head. |
| Position Description Questionnaire [PDF] | This form is used to create a summary of the most important features of a job, including the general nature of the work performed (essential duties and responsibilities) and level of the work performed (e.g., skills, effort, responsibility, and working conditions). |
| Record of Taxable Uniform | CFAOs or their designated delegates are responsible for submitting the Record of Taxable Uniforms via email. |
| Relocation Expense Repayment Agreement | This document serves as an agreement between an employee and Ohio University for relocation expense repayment. |
| Report an Accessibility Barrier | This form may be used to report issues that are impacting, or may impact, access for people with disabilities at Ohio University. |
| Request for Incumbent Position Review | Completed by the department to request an incumbent review of an employee’s position. |
| Request for Leave of Absence | Employees must complete this form to request a leave of absence. This form is used by faculty, administrators, and classified staff. |
| Request for Organ Donation Leave | This form is used when requesting a leave of absence for the purpose of organ donation. |
| Request for Transfer of Prior State Service Credit and Sick Leave | This form is submitted to an employee’s previous employer to request a transfer of prior state service credit and sick leave hours. |
| Resignation/Separation Form | This form may be completed by a department representative, University Human Resources, or the resigning employee in the event of an employee’s resignation or separation from Ohio University. |
| Retirement Plan Election Form | New benefits eligible employees may elect to contribute to the designated Ohio state retirement plan or an alternative retirement plan. |
| Retirement Separation Form | Employees should complete this form at least thirty days prior to their desired retirement date. The retirement effective date will be the first of the month following the employee's last day of employment. |
| Return to Work Form | This form is completed by a Physician or Health Care Provider and serves as an employee's medical authorization to return to work. |
| Salary Reduction Agreement | Employees use this form to start, stop, or make a change to their 403b or 457 Supplemental Retirement Account (SRA). |
| Sick Leave Conversion Statement | This form is completed by employees at the time of retirement to elect a one-time conversion of unused accrued sick leave credit in accordance with section 124.39 of the Ohio Revised Code. |
| SSA-1945: Administrators, Classified Staff, Student Employees | Completed by new employees to acknowledge that you will not contribute to Social Security. |
| SSA-1945: Faculty | Completed by new employees to acknowledge that you will not contribute to Social Security. |
| Statement of Termination of Domestic Partnership | This form is used by employees to formally terminate a domestic partnership. It must be submitted within 30 days following the dissolution of the partnership. |
| STRS Disability Benefits | Employees can apply for a disability benefit using the STRS Disability Benefits Application. |
| STRS Member Information | Completed by new employees eligible for the State Teachers Retirement System of Ohio. |
| Student Employee Background Check Request | Used to request the verification of additional information for student employees as part of their employment at Ohio University. |
| Student Employee Information Sheet | This form gathers information from current student employees who are starting a new position. |
| Timesheet for Classified Employees | Completed by part-time Classified and Administrative hourly employees that have more than one job on campus. |
| Timesheet for Student Employees | Completed by student employees to report time worked for any pay periods they are not in the Workforce system. |
| UNUM Long Term Disability Form | Employees can submit a claim for UNUM Long Term Disability. |
| UNUM Short Term Disability Form | Employees can submit a claim for UNUM Short Term Disability. |
| Voluntary Short-Term FTE Reduction | Administrative staff may request a voluntary, short-term reduction in their FTE (Full-Time Equivalent). |
| VSP Vision Care Out-of-Network Claim | Employees that have received eye care services (exam, contacts, or glasses) from an out of network provider may submit a claim to request partial reimbursement. |
| Workplace Alternative Arrangement Agreement | Under Ohio University Policy 40.107, any time related employees are in a supervisory relationship, a formal, public agreement must identify the relationship, establish conflict of interest safeguards, and reassign supervisory duties. This form serves as the agreement. |