HR Liaisons Forms

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Required forms are listed under each of the actions in our Guidelines pages:

Alphabetical Order

9 Month Unclassified Summer Transactions (PER-45)

Above Entry Rate Request (PER-3)

Accident/Injury Report (Workers' Compensation)

Additional Pay

Administrative Leave Reporting

Advance Leave Agreement (PER-60)

Affiliated Person or Emeritus Faculty Form (PER-22)

Affirmative Action Classified Selection Report (PER-10)

Agreement for Limited Term Appointment (PER-43)

Agreement for Reimbursement of Moving Expenses (DA-22)

Agreement for School Employee Appointment (PER-21)

Agreement of Understanding for Overlapping Appointment (PER-28)

Annual Review of University Support Staff Position Descriptions (PER-26)

Appointment Form (PER-38)

Authorization to Release Information

Background Check Request Form (PER-59)

Change or Separation Form (PER-39)

Departmental Employee of the Year Award & Recognition Program Monetary Award Payment Form (PER-7)

Direct Deposit of Employee Pay (PER-58) OR Update in Employee Self Service

Documentation of Service for Immediate Participation in Regents Retirement Program (PER-33)

Employee Conference Form

Employee Separation Checklist (PER-24)

Employee Suggestion Program

Employment Application-University Support Staff

Employment Eligibility Verification (I-9)

Exit Interview for University Support Staff (PER-16)

Exit Interview Letters

Faculty and GTA Spoken English Competency Assessment Sheet (PER-20)

Financial Information System (FIS) Access

Flexible Spending Account Enrollment/Change Form

FMLA Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave (pdf)

FMLA Certification of Health Care Provider for Employee's Serious Health Condition (pdf)

FMLA Certification of Health Care Provider for Family Member's Serious Health Condition (pdf)

FMLA Certification of Qualifying Exigency For Military Family Leave (pdf)

FMLA Designation Notice (pdf)

FMLA Notice of Eligibility and Rights & Responsibilities (pdf)

Graduate Student Appointment Form (PER-41)

Health Care Selection Form

Health Insurance Affidavit of Common Law Marriage

Health Insurance Application for Coverage of Handicapped Dependent Child

Health Insurance Change Form

Health Insurance Communication Form

Health Insurance Dependent Grandchild Affidavit

Health Savings Account Enrollment & Change Form

HealthyKIDS Application
HIPAA- Authorization Form for Release of Medical Information

Holiday Emergency Overtime Reporting

Hourly Student Data Sheet (PER-40)

HRIS Access Termination

HRIS/PeopleSoft Access

Initial Screening of Candidates Prior to Interview (AA-28)

Intellectual Property Agreement

Investment Agreement - Voluntary Pre-Tax Retirement Plan (PER-19)

Investment Agreement - Voluntary Roth After-Tax Retirement Plan (PER-19R)

Kansas Board of Regents Mandatory Retirement Plan Investment Agreement (PER-13)

Kansas Employee's Withholding Allowance Certificate (K-4) OR Update in Employee Self Service

KBOR Designation of Beneficiary (KPERS-7/99A)

KPERS Designation of Beneficiary (KPERS-7/99)

KSU Foreign National Tax Information Form (PER-15)

Learning & Development New Course Request Form

Learning Quest Direct Deposit Change or Enrollment Form

Leave Balance Correction Sheet (PER-9)

Leave Record

Leave Request-Hourly (Non-Exempt) Employees

Leave Request-Salaried (Exempt) Faculty and Staff

Life Insurance Beneficiary Designation Form (TEA)

Life Insurance Enrollment Form (TEA)

Life Insurance Request to Change or Cancel Insurance Policy Form (TEA)

Life Insurance Statement of Health (TEA)

Mid Year Base Salary Increase Form (PER-46)

New Employee Forms for Orientation

Notification of Retirement (PER-37)

Optional Group Life Enrollment Form

Optional Group Life Reduction/Cancellation Form

Orientation Checklist

Out-of-Office Availability Addendum (PER-63)

Overtime Compensation Agreement for Non-Exempt Employees (PER-34)

Payroll Transfer Form (PER-44)

Performance Management Process Forms

Position Analysis Questionnaire (PER-62)

Position Data Sheet (PER-36)

Position Description Forms (PER-1)

President's Award of Excellence for Unclassified Professionals

Request for Certified Names (PER-5)

Request for University Support Staff Position Review (PER-61)

Request for International Student On-Campus Work Permit through International Student and Scholar Services (ISSS)

Request for Taxpayer Identification Number and Certification (W-9)

Shared Leave Donation Form (PER-64D)

Shared Leave Request Form (PER-64A&B)

Student Application for Human Resources

Student Employee Performance Review (PER-29)

Substance Abuse Policy Affirmation Form

Supplemental Pay Form (PER-8)

Tax Clearance Information Form for Candidates and New Hires (DA-2004a) (pdf)

Tax Treaty Summary & Forms

Tuition Assistance Application (2013-2014) (pdf)

Tuition Assistance Application (2014-2015) (pdf

Tuition Assistance Application for Dependents/Spouses (2014-2015) (pdf)

University Support Staff Award of Excellence

W-4 Employee's Withholding Allowance Certificate OR Update in Employee Self Service

W-9 Request for Taxpayer Identification Number and Certification

Workers' Compensation Mileage Reimbursement Form

Numerical Order

1101-A, Accident/Injury Report (Workers' Compensation)

AA-28, Initial Screening of Candidates Prior to Interview

DA-22, Agreement for Reimbursement of Moving Expenses

DA-2004a, Tax Clearance Information Form for Candidates and New Hires  (pdf)

DPS-417, Substance Abuse Policy Affirmation Form

I-9, Employment Eligibility Verification (I-9)

K-4, Kansas Employee's Withholding Allowance Certificate OR Update in Employee Self Service

KPERS-7/99, KPERS Designation of Beneficiary

KPERS-7/99A , KBOR Designation of Beneficiary

PER-1, Position Description

PER-3, Above Entry Rate Request

PER-5, Request for Certified Names

PER-7, Departmental Employee of the Year Award & Recognition Program Monetary Award Payment Form

PER-8, Supplemental Pay Form

PER-9, Leave Balance Correction Sheet

PER-10, Affirmative Action Classified Selection Report

PER-13, Kansas Board of Regents Mandatory Retirement Plan Investment Agreement

PER-15, KSU Foreign National Tax Information Form

PER-16, Exit Interview for University Support Staff

PER-19, Investment Agreement - Voluntary Pre-Tax Retirement Plan

PER-19R, Investment Agreement - Voluntary Roth After-Tax Retirement Plan

PER-20, Faculty and GTA Spoken English Competency Assessment Sheet

PER-21, Agreement for School Employee Appointment

PER-22, Affiliated Person or Emeritus Faculty Form

PER-24, Employee Separation Checklist

PER-26, Annual Review of University Support Staff Position Descriptions

PER-28, Agreement of Understanding for Overlapping Appointment

PER-29, Student Employee Performance Review

PER-33, Documentation of Service for Immediate Participation in Regents Retirement Program

PER-34, Overtime Compensation Agreement for Non-Exempt Employees

PER-36, Position Data Sheet

PER-37, Notification of Retirement

PER-38, Appointment Form

PER-39, Change or Separation Form

PER-40, Hourly Student Data Sheet

PER-41, Graduate Student Appointment Form

PER-43, Agreement for Limited Term Appointment

PER-44, Payroll Transfer Form

PER-45, 9 Month Unclassified Summer Transactions

PER-46, Mid Year Base Salary Increase Form

PER-58, Direct Deposit of Employee Pay OR Update in Employee Self Service

PER-59, Background Check Request Form

PER-60, Advance Leave Agreement

PER-61, Request for University Support Staff Position Review

PER-62, Position Analysis Questionnaire

PER-63, Out-of-Office Availability Addendum

PER-64A&B, Shared Leave Request Form

PER-64D, Shared Leave Donation Form

W-4, Employee's Withholding Allowance Certificate OR Update in Employee Self Service

W-9, Request for Taxpayer Identification Number and Certification

 

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