Forms
NEW HR/PAYROLL FORMS
- Staff Personnel Action Form Form Instructions (MAC version)
- Exempt Administrator Vacation Report Form Instructions (MAC version)
- Leaves of Absence Form Instructions
- Position Management (New Staff Admin) Form Instructions
- Position Management (Re-eval Staff Admin) Form Instructions
- Pre-Employment Request Form Form
- Separation Form Instructions (MAC version)
- On-Call and Temporary ID Card requests
- Summer Pre-Employment Request Form
NEWLY UPDATED FORMS
EMPLOYMENT
**Important Instructions for New Hire Paperwork** - click here
New Employee Package
- Federal Taxwitholding Form W-4
- Indiana Taxwitholding Form W-4
- Michigan Taxwitholding Form W-4
- Illinois Taxwitholding Form W-4
- Federal Form I-9
- J-1 Visa Form
Direct Deposit Form
Recruitment
- Criminal Background Report Authorization - Employee
- Criminal Background Report Authorization - Volunteer
- Employment Reference Check
- Intent to Employ
BENEFITS
Absences and Leaves
- Exempt Administrator Vacation Report Form Instructions
- FMLA Tracking Record
- Weekly Report of Absences and Overtime Worked
- Military Leave Supervisor Checklist
- Absentee and Vacation Reporting Access Form - 68 KB PDF
Education Benefits
- Degree Seeking Application for Employee and Employee Spouse Educational Benefit
- Application for Educational Benefits
- Fred E. Freeman Staff Scholarship Fund Application
- Non-Degree Seeking Application for Employee and Spouse Educational Benefit
- Non-Notre Dame Tuition Reimbursement
Flexible Spending Accounts
- Dependent Care Worksheet (PDF)
- Health Care Worksheet (PDF)
- Meritain Health Care Claim Form
- Meritain Health Dependent Care Claim Form
- Spending Account Direct Deposit Form
- Dependent Day Care Provider's Statement
Group Life Benefits
- Evidence of Insurability - Minnesota Life - 198KB PDF
- Group Life & Travel Beneficiary Form Designation
Medical and Dental Benefits
- Medical/Dental/Vision Plan Application - 703 KB PDF
- EyeMed Out of Network Claim Form
- Meritain Health Claim Form - 127 KB PDF
Prescription Drug Benefit
- Medco Health Home Delivery Pharmacy Service Order Form
- Medco Health Prescription Drug Reimbursement Form
Retirement
- Salary Reduction Agreement (SRA) for Voluntary Contributions - 126 KB PDF
- Changes to Your Contributions
- Mandatory Contribution 403b
- Fidelity Investments 403b Application
- Fidelity Transfer Rollover Form
- Fidelity Change of Address Form
- Vanguard 403b Application
- Vanguard 403b Transfer Form
- Vanguard Rollover Form
- TIAA CREF 403b Application
- TIAA CREF NDFA 403b Application
- TIAA CREF SRA 403b Application
- TIAA CREF Transfer Rollover Form
- W4P Form - 2008
- Claim Forms:
Other
COMPENSATION
Overtime Position Description Additional Pay for ServicesORGANIZATIONAL EFFECTIVENESS
Consulting- 90 Day Orientation Review Form (Word 97)
- Nonexempt Complaint Procedure Form (Word 97)
- Nonexempt Performance Review (Word 97)
- Exempt Performance Management Review Form and Instructions
- LifeWorks/Employee Assistance Program
INFORMATION CHANGES
Withholding
Personal
Awards
Forms
Many of the forms listed below can be filled out online by
clicking in the areas where information needs to be entered.
After filling out the form you should print it, sign it, and
send it to the Office of Human Resources, 100 Grace Hall.
All forms below are in Adobe Acrobat 5 format unless otherwise noted. Should you need assistance regarding Adobe Acrobat, please contact the OIT Help Desk .
Need Help Completing the Forms
Check out our extensive Tutorial Section on completing the new forms
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