Office of Human Resources

Forms Online

Applications
Academic Classified
Leave Request
Faculty Administrative/Staff
Miscellaneous
Campus Decal Auto Registration Name/Address Change Request Direct Deposit Employment Request Pay Schedule Position Descriptions Position Request & Approval Form - Faculty/Major Administrators Recommendation for Employment - Staff Request for Approval to Fill Critical Personnel Vacancy
Performance Evaluations
Exempt Non-Exempt Professional Development and Performance Plan Employee assessment Form Performance Correction Notice Performance Tracking Tool
Tax Forms
W-4 G-4
Timesheets
Bi-Weekly Regular (B06) Bi-Weekly Student (B07) Bi-Weekly Temporary (B08) Overtime Justification Form Log of Hours Worked in Excess of 40 Hours Student Employment Contract
Benefits Forms
Indemnity Enrollment Form Medical Claim Form Pharmacy Claim Form

Dental Board of Regents Indemnity Dental Enrollment Form Board of Regents Indemnity Dental Claim Form
Blue Choice HMO Enrollment Form BCBS Change Form BCBS Cancellation Form
PPO Enrollment Form Medical Claim Form Pharmacy Claim Form
FMLA
FMLA Leave Request FMLA Medical Certification FMLA Return to Work
Board of Regents Life Insurance Plan
Board of Regents Supplemental and Dependent Life Insurance Application Form Board of Regents Life Insurance Beneficiary Designation Form
Flex Spending Accounts
Dependent Care Flexible Spending Account Election Form Dependent Care Claim Form Health Care Flexible Spending Account Claim Form Unreimbursed Health Care Flexible Spending Account Election Form Other Annuity Companies
Mandatory Retirement
Teachers Retirement System of GA Membership Application Form American Century ORP Allocation TRS ME-2 Notification from American Century Regarding a Change in its International Opportunities Fund Fidelity ORP Allocation TRS ME-2 TIAA-CREF Personal Information Verification Form Replacement Statement for Group Retirement Annuity(GRA) Certificate Replacement Statement for Life Insurance Policy ORP Allocation TRS ME-2 VALIC Enrollment Form ORP Allocation TRS ME-2