Frequently Used Forms

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PEDS (Performance Evaluation and Development System)

Online Supervisory Reporting Structure Change Form

HR/Payroll Personnel Action

Downloadable Forms

Hiring Process Forms

Affirmation Statement (.pdf)

Background Check Interactive Form (.pdf)
Information and Directions Regarding Changes with the New Background Check Process
Interactive Form Help for Background Checks
Hiring Manager Memo

BECR-Faculty Benefited Faculty Change Request Form (.doc)

BECR-Staff Benefited Staff Change Request Form (.doc)

Classified Ad Form (.doc)

Confidentiality Statement Information (.pdf)
Directions for submiting this form online are contained in this document.

I-9 Employment Eligibility Verification Form (English) (.pdf)
I-9 Instruction Presentation (Powerpoint, 2003) by Sasha Robeson

I-9 Employment Eligibility Verification form (Spanish) (.pdf)

Job Description Form (.doc)

Non-Benefited Hire and Termination Form (.doc)
New non-benefited pay form!

Patent Agreement Information (.pdf)
Directions for submiting this form online are contained in this document.

PCR-Position and Change Request Form (.doc)

Prospective Faculty Appointment (.doc)

Position Actions Forms

Job Description Form (.doc)

PCR-Position and Change Request Form (.doc)

Employee Actions Forms

BES-Benefited Employee Separation Request (.doc)

Change of Address/Name Form (.doc) (For permanent name changes employees must present their social security card to Human Resources along with this form.)

myWeb - Change of Name (Accessing this site changes the appearance of your name on myWeb only. Simply accessing this site does not make a legal namechange required in our information system for payroll purposes.)

SRE-Special Recognition for Employee Form (.doc)

Payroll Forms

Direct Deposit Form (.doc)

Hand Check Request Form (.doc)

Instructions for Online Payroll Access (Web-for-Employees) (.doc)

W-2 Duplicate Request Form (.doc)

W-4 Employee's Withholding Allowance Certificate (.pdf)

Other Forms

DU Special Community Member Form (.doc)

Exit Interview Form (.doc)

Sample Bi-Weekly Timesheet And Overtime Report (.xls)

Transfer Exit Interview (.doc)

Volunteer Faculty Set-Up Form (.pdf)

Workers Compensation Release Form (.pdf)

Benefits

Downloadable Forms

Health/Dental Insurance Forms

NEW! Benefits Enrollment/Change Form With Instructions (.pdf)

Cancel Medical/Dental/Life Insurance Form (.pdf)

EPIC Hearing Service Plan (.pdf)

HSA Health Plan Acknowledgement of Rights and Limitations (.pdf)

HSA Health Plan and Savings Account Information and Forms (.html)

ID Theft Assistance Plan Enrollment

Kaiser HSA - Wells Fargo Reimbursement Request (.doc)

Salary Reduction Agreement for Health Savings Account (HSA) Contributions (.pdf)

Wells Fargo HSA Employee Enrollment Information Brochure (.pdf)

Wells Fargo HSA Employee Enrollment Form (.pdf)

Leave Forms

Important: If you are anticipating a leave of any kind, please contact
Sarah Childs in the Human Resources Benefits Department at
303-871-3501.

FMLA Certification of Health Care Provider for Employee (.pdf)

FMLA Certification of Health Care Provider for Family Member of Employee (.pdf)

LRF - Leave Request Form (.doc)

LOA - Leave of Absence Request Form (.pdf)

Parental Leave Pay Schedule (.pdf)

Life Insurance Forms

Hartford Personal Health Application and Evidence of Insurability Form (.pdf)

Hartford Portability and Conversion Comparison Guide (.pdf)

Hartford Voluntary Life Enrollment Form (.pdf)

Flexible Spending Forms

Flexible Spending Account Enrollment/Renewal Form (.dot)

Flexible Spending Account Reimbursement-CalculatesTotal (.pdf)
Fill out online, then print form.

Flexible Spending Account Reimbursement-Print (.pdf)
Print form, then fill in information.

Flexible Spending Direct Deposit Authorization (.pdf)

Flexible Spending Application for Debit Card (.pdf)

Tuition Waiver Forms

Certification of Job Relatedness Form (.pdf)

Dependent Tuition Waiver Request Form (.pdf)

Employee Tuition Waiver Request Form (.pdf)

Retirement Forms

American Century 403(b) Plan Account Application (.pdf)

Fidelity Investments 403(b) Enrollment Form (.pdf)

Retirement Funds After Separation from Service (.pdf)

Retirement Plan Eligibility Form (.pdf)

Retirement Salary Reduction Agreement (.pdf)

TIAA-CREF Retirement Annuity (Basic RA Plan) Enrollment Form (.pdf)

TIAA-CREF Group Supplemental Retirement Annuity Enrollment Form (GSRA) (.pdf)

Other Forms

Affidavit of Common Law Marriage (.pdf)

Affidavit of Domestic Partnership (.pdf)

Statement of Termination of Domestic Partner Relationship (.pdf)