The Forms Library can also be accessed through the FlashLine portal, by clicking on the My HR tab.
Forms Library
The Forms Library can also be accessed through the FlashLine portal, by clicking on the My HR tab.
Forms Library
| Absence from Work (Leave) Forms and Information |
Leave Donation
- Leave Donor Authorization Form
- Leave Donation Guidelines and Procedures
- Employee (Donee) Leave Request Form
Leave Request Forms
- Leave Request
- Leave Request (AFSCME)
- Certification of Healthcare Provider Form - Employee
- Certification of Healthcare Provider Form - Family Member
- Certification of Healthcare Provider Form - Covered Servicemember
- Certification of Healthcare Provider Form - Military Family
- Poll Worker Verification Form
Banner HR Leave Information
- Leave Request Feature Added to Banner HR
- Banner Leave Request/Leave Report Flowchart
- Banner Leave Request/Leave Report Examples
Family Medical Leave Act Information
- Your Rights Under The Family Medical Leave Act
- FAQ - Family Medical Leave Act: Non-Military
- FAQ - Family Medical Leave Act: Military
- Military Family Leave
| Benefit Forms and Information |
Benefits Summary (Benefits in Brief)
Customer Service Contact Information
Dental
Flexible Spending Accounts
- Flexible Spending Account Enrollment Form 2009
- Flexible Spending Account Enrollment Form 2010
- Health Care/Dependent Care Flexible Spending Account Bulletin
- FLEXSAVE Dependent Care Reimbursement Form
- FLEXSAVE Spending Account Claim Form
Life Insurance
- Accidental Death & Dismemberment Insurance Enrollment Form
- Booklet for Standard Life Insurance
- Supplemental Life Insurance Enrollment/Beneficiary Change Form
- Beneficiary Change Form
- Medical History Form
Medical
- Dependent Verification Form/Instructions
- Anthem Plan BookletAnthem Claim Form
- Group Insurance Enrollment Form - Part-Time
- Group Insurance Enrollment Form - Full-Time
- Medical Mutual/Anthem Representative Onsite Schedule
- Medical Mutual Medical Claim Form Medical Mutual Plan Booklet
- Medical Plans Comparison Chart 2009
- Medical Plans Comparison Chart 2010
- Opt-Out Affidavit 2009 Opt-Out Affidavit 2010
- Medical Contributions - Full-Time
- Medical Contributions - Part-Time
Prescription
- Caremark Mail Order Prescription Form
- Caremark Primary Drug List
- Caremark Prescription Claim Form
- Caremark Prescription Plan Booklet
- Medicare Part D Disclosure Notice
Retirement Programs
- 403(b) Tax Deferred Annuity Provider List
- 457 Deferred Compensation Provider List
- Alternative Retirement Plan (ARP) Provider List
- Declaration of Prior State Service (Word) (PDF)
- OPERS Personal History Record
- OPERS Retirement Plan Election Form (Full-Time Classified & Unclassified)
- Salary Reduction Agreement for Tax Deferred Annuity and/or Deferred Compensation
- Social Security Windfall Notification
- Statement Concerning Your Employment in a Job Not Covered by Social Security (Word) (PDF)
- STRS Retirement Plan Election Form (Full-Time Faculty)
Tuition
Current University employees must apply for tuition benefits by utilizing the Tuition Waiver Benefit Request workflow, which is available on the My Action Items tab on FlashLine.
- Tuition Benefit Request for ROTC Staff, Retirees & Disabled Employees
- Tuition Benefit Request for Dependents of ROTC Staff, Retirees & Disabled Employees
Vision
Voluntary Group Long-Term Disability
| Employment Forms and Information |
- Background Check Release Form - HR
- Change in Status Form Criteria
- Change in Status/Term Assignment Renewal Form
- Change in Status/Term Assignment Renewal Form Instructions
- Declaration Regarding Material Assistance/Non-Assistance to Terrorist Organizations (DMA)
- Degree Verification Form - HR
- Direct Deposit Enrollment Instructions
- DMA Terrorist Exclusion List (DMAT)
- Employment Agreement - Unclassified
- Employment Verification Form
- External Advertising Request Form
- New Hire Getting Started Tip Sheet
- Hiring Process Guide
- Hiring Process Guide Workflow
- I-9 Employment Eligibility Verification
- Interview Evaluation Worksheet
- Job Aid
- Job Redesign Form
- Job Redesign Form - ERP Backfill
- Job Opp Information Form
- Letter of Appointment - FT Classified
- Letter of Appointment - PT Classified
- Letter of Appointment - Unclassified
- Ohio Ethics - Chapter 102OE
- Ohio Ethics - Section 2921.42OE
- Ohio Ethics Law - New Hire Compliance Form - Classified
- Personnel Action Form (Directions) (Word) (PDF)
- Personnel Action Form (Word) (PDF)
- Position Replacement Analysis Form
- PRA Checklist
- Professional Reference Form
- Request Form for Rehire after UESP Departure
| Equal Opportunity and Affirmative Action Forms and Information |
- Guidelines for Completing Your Affirmative Action Plan
- Recruiting and Hiring Strategies (Form EOAA-005)
- Community Support Activities (Form EOAA-007)
- Employee Training and Development (Form EOAA-008)
| Faculty Personnel Forms |
- Faculty Absence Authorization/Expense - Kent Campus
- Faculty Absence Authorization/Expense - Regional Campus
- Notice of Separation Form
- OPERS Student Exemption Form
- Salary Payment Option Form
- STRS Student Exemption Form
| Pay (Compensation) Forms and Information |
- Job Redesign Form
- Job Redesign Form - ERP Backfill
- Unclassified Position Description Questionnaire (PDQ)
- Supplemental Pay Form
| Payroll Forms and Information |
| Performance Appraisal Forms and Information |
Classified Forms and Information
- Classified Employee Development Plan Worksheet Word PDF
- Classified Employee Evaluation Worksheet Word PDF
- Classified Employee On-line Evaluation (PDF Copy)
- Classified Employee Performance Improvement Plan Word PDF
- Classified Employee Self Evaluation Worksheet
- Coaching Progress Review Notes
- Probationary Evaluation Form (Classified Employees) Word PDF
Unclassified Forms and Information
- Unclassified Performance Appraisal Guidelines
- Unclassified Performance Appraisal - Model A (previously Model II) Word PDF
- Unclassified Performance Appraisal - Model B (previously Model III) Word PDF
- Unclassified Performance Appraisal - Model C (previously Model VI) Word PDF
- Unclassified Performance Appraisal - Model D (previously Model X) Word PDF
- Academic Affairs (Provost) Model Word PDF
| Resignation & Separation Forms and Information |
- Checklist for Terminating/Transferring Employees (Word) (PDF)
- Notice of Voluntary Resignation (Word) (PDF)
- Notification of Separation (Word) (PDF)
- Request for Sick Leave Conversion Upon Retirement (Word) (PDF)
| Miscellaneous Forms and Information |
- BWC First Report of Injury
- FlashLine
- First Report of Injury
- HR Information Request
- HR Mailing Request
- Independent Contractor Determination Form Management Level Listing for PRA's
- Northeast Ohio: A Great Place to Live and Work
- Safety Hazard Report
Many of the above forms have been saved as PDF files. You can view and print the documents with Adobe Acrobat Reader. Click here for a free download of the reader