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)
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  (.ppt)

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

Job Description Form -- Faculty (.doc)

Job Description Form -- Staff (.doc)

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

Prospective Faculty Appointment (.doc)

Position Actions Forms

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.)

Continuity of Service (.pdf)
Bridge of Service Request Form. Explains Continuity of Service Policy after there has been a break in service.

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 (.pdf)

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

Benefits Enrollment/Change Form With Instructions (.pdf)

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

EPIC Hearing Service Plan (.pdf)

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

Kaiser HSA - Wells Fargo Reimbursement Request (.doc)

Health Savings Account (HSA) Payroll Deduction Form (.pdf)

Wells Fargo HSA Employee Enrollment Instructions (.pdf)

Preventive Care Services (.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.

Bereavement Leave Request Form (.pdf)

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 Beneficiary Designation Form (.pdf)

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

Wageworks: Click here to file reinbursements for claims between July 1, 2012 - June 30, 2013 (deadline to submit claims for FY13 is August 31, 2013)

Rocky Mountain Reserve: Click here to file reinbursements for claims between July 1, 2013 - June 30, 2014               

   Tuition Waiver Forms

Dependent Tuition Waiver Request Form (.pdf)

Retirement Forms

Retirement Funds After Separation from Service (.pdf)

Retirement Plan Eligibility Form (.doc)

Retirement Salary Reduction Agreement (.pdf)

TIAA-CREF Retirement Enrollment Form

TIAA-CREF Transfer Rollover Form (.pdf)

Other Forms

Affidavit of Common Law Marriage (.doc)

Affidavit of Domestic Partnership (.pdf)

Statement of Termination of Domestic Partner Relationship (.pdf)