Forms

Human Resources provides a variety of forms and sample letters. Please see the alphabetical list by topic below.

Topics

• Benefits
• Discipline & Counseling
• Employee - New
• Employee - Exiting
• Employment
• Grievance and Mediation
• Illness and Inactive Service
• Performance Review (FACE)
• Training & Development
• Other Forms

Documents are provided as Adobe Acrobat PDF files or Microsoft Word files as indicated.

Benefits:

Use OPUS Self Service to enroll in health insurance, dental insurance and life insurance plans; revise a life insurance beneficiary or update personal information.

• A Friend in Need (AFIN) Leave Donation Form
• A Friend in Need (AFIN) Leave Request Form
• CIGNA Dental Claim Form
• CIGNA Orthodontics Claim Form
• Deferred Compensation Forms
  
• Domestic Partnership Affidavit Form
• EyeMed Out-of-Network Claim Form
• Life Insurance Proof of Insurability Form

Discipline & Counseling:

• Counseling Form
• Demotion Form  
• Dismissal / Termination Letter 
• Inactivation of Discipline Form
• Oral Reminder (Documentation)
• Pre-Disciplinary Hearing Notice Form 
• Proposed Alternative Discipline after a Personnel Board Appeal
• Reduction in Pay Form 
• Suspension Form
• Suspension Pending Judicial Review – Hearing Notice
• Suspension Pending Judicial Review - Letter
• Written Reminder Form

Employee - New:

Use OPUS Self Service for time off requests, time cards, health insurance selection, life insurance beneficiary designation, payroll payment selection, W-4 tax withholding, etc.

• New Employee Departmental Orientation Checklist

 

 

Employee - Exiting:

 

• Acceptance of Resignation Letter
• Dismissal Letter - Exempt Employee
• Dismissal Letter - Probationary Employee
• Dismissal Letter - Temporary Employee
• Employee Knowledge Self Assessment (Preserving Institutional Knowledge)
• Exiting Employee Checklist
• Unauthorized Absence Resignation Letter

 

 

Employment:

 

Use Taleo iRecruit to enter a requisition for a job vacancy or to view employment registers.

 

• Application Form
• CDL Driver: Alcohol & Controlled Substances Testing Form
• Checklist for Hiring Process
• Outside Employment Request Form
• Position Requirement Profile (PRP)  
• Position Requirement Profile Candidate Questionnaire
• Personnel Requisition Form - Use Taleo iRecruit
• Position Analysis Questionnaire Request Form (PAQ)
• Position Maintenance Request Form (add or delete positions)
• Temporary Position - Request for Extension
• Veterans Preference Eligibility Form

 

 

Grievance and Mediation:

• Grievance Form
• Mediation Request Form

Illness and Inactive Service:

• Extended Illness or Incapacity Analysis Checklist Form
• End of Inactive Service Letter
• Inactive Service Transfer Letter
• Request for Change in Job Assignment Letter 
• Request for Date of Return to Full Duty Letter 
• Request for Date of Return to Work Letter 

Performance Review:

• Performance Review form: Use FACE

• Learning Roadmap Form

Training & Development:

Use OPUS Self Service to register for classes.

• Tuition Reimbursement Request Form

Other Forms:

• Classified Ad Request Form (The Pen Extra newsletter)
  
• Request Not to Work During a Declared Emergency
• Suggestion Awards Form

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