| Benefits Forms |
PDF |
DOC |
WEB |
| Affidavit of Domestic Partnership |
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| Application for Dependent Education Program |
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| Application for Continuation of Catastrophic Leave & Health
Care Provider Recertification Statement |
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| Benefits Deduction Worksheet |
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| CIGNA Life Insurance Cancellation Form (REVISED)
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| CIGNA Insurance Cancellation Request |
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| Dental Insurance Enrollment/Change Form (REVISED)
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| ERB-Beneficiary (Still Employed) |
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| Family and Medical Leave Certification of Health Care Provider for
Employee's Serious Health Condition (WH-380-E) |
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| Family and Medical Leave Certification of Health Care Provider for
Family Member's Serious Health Condition (WH-380-F) |
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| Family and Medical Leave Certification of Qualifying Exigency For
Military Family Leave (WH-384) |
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| Family and Medical Leave Certification for Serious Injury or
Illness of Covered Service Member -- for Military Family Leave
(WH-385) |
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| Family and Medical Leave Designation Notice (employer response) |
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| Family and Medical Leave Employee Request |
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| Family and Medical Leave Act - Employee Rights and
Responsibilities (poster) |
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| Family and Medical Leave Notice of Eligibility, Rights, &
Responsibilities (employer response) |
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| Family and Medical Leave Process |
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| Family and Medical Leave - Supervisor Letter for Possible FMLA |
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| Flexible Spending Accounts/Dependent Care Enrollment |
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| Flexible Spending Accounts/Medical Reimbursement Enrollment |
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| FSA Debit Card Request Form |
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| FSA Medical Determination Form |
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| FSA Medical & Dependent Care Claims |
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| Health Insurance Enrollment/Change Form (REVISED)
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| Initial Application for Catastrophic Leave Program & Health
Care Provider Statement(NEW)(Process
Flow) |
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| Life Insurance/Accidental Death and Dismemberment Form_UPA |
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| Life Insurance/Accidental Death and Dismemberment Form_UNM |
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| Life Insurance Beneficiary Form_Employee Coverage |
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| Life Insurance Beneficiary Form_Family Coverage |
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| Long Term Disability Election Form |
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| Long Term Disability Evidence of Insurability |
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| Pre-Tax Insurance Premium Plan (PIPP) Designation (REVISED) |
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| Pre-Tax Parking Fee Waiver Form |
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| Retiree Enrollment Form (REVISED) |
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| Retirement Forms |
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| Termination of Domestic Partnership |
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| Tuition Remission |
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| Vision Insurance Enrollment/Change Form (REVISED)
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| Compensation Forms |
PDF |
DOC |
WEB |
| Career Ladder Manager's Checklist for Eligibility |
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| Pre Approved Career Ladder Forms by Job Family |
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| Individual Career Ladder Form |
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| Career Ladder Plan Form |
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| Career Ladder Progress Report Form (optional) |
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| Completion of Career Ladder Form |
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| In-Range Career Ladder Form Checklist |
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| In-Range Career Ladder Form Initiation |
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| In-Range Career Ladder Form Completion |
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| Job Analysis Questionnaire Form |
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| Staff MSU Out-of-Guidelines Request Form |
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| Staff Recognition and Awards Template |
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| Non-Standard Payment Form (NEW) (Guide) |
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| Employment Forms |
PDF |
DOC |
WEB |
| Behavioral Questions by Job Competency for Job Interviews |
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| Department Orientation Checklist |
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| Equity Grid Form (NEW) |
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| NMERB Employer Data Form |
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| License/Certificate Request Form |
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| HSC Compliance Questions |
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| Non-Credit Instructors Agreement |
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| Non-Credit Instructors Hiring Form |
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| ePAN (Personnel Action Notice) |
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| ORG Change Form |
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| Position Maintenance Form (NEW)(Guide) |
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| Reference Checking Guide |
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| Supplemental Veterans Reporting Form |
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| Summer Employment Non-Conflict Statement |
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| Standard Timesheet for Staff - Updated on 09/01/09 (Guide) |
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| Summary of Hire Template |
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| Term Assignment Memo of Understanding |
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| Monthly Leave Usage (NEW) (Guide) |
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| Update Supervised By Template |
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