Forms for Faculty & Staff
The forms listed below are most often requested from the Human Resources
Office.
Bank Deposit Form
Adobe Portable Document Format (.pdf)
Check Mailing Authorization
Employment Forms
Iowa W-4
Federal W-4
I-9
Flexible Benefit 2008 Enrollment Form
Adobe Portable Document Format (.pdf)
Flexible Benefit Claim Form
Adobe Portable Document Format (.pdf)—Type directly on form & print. Send completed form with receipts to Midwest Benefits.
Incident/Accident Report Form
Rich Text Format (.rtf) — Use Microsoft Word to open.
Adobe Portable Document Format (.pdf)
Midwest Benefits Group Change Form
Adobe Portable Document Format (.pdf)
Midwest Benefits Group Enrollment Form
Adobe Portable Document Format (.pdf)
Midwest Benefits FLEX Direct Deposit Form
Adobe Portable Document Format (.pdf)
Monthly Absence Report
Adobe Portable Document Format (.pdf)
Rich Text Format (.rtf) — Use Microsoft Word to open and complete form. Save to your C: drive and e-mail to "HR" as attachment
Personal Information Change Form
Adobe Portable Document Format (.pdf)—Type directly on form & print
Instructions for Change Form
Statement of Responsibility
Rich Text Format (.rtf)
Statement of Responsibility Acknowledgement
Rich Text Format (.rtf)
Temporary Employee Offer Worksheet
Rich Text Format (.rtf)
TIAA Salary Reduction Form
Rich Text Format (.rtf)
Tuition Remission Form for Staff
08-09 Rich Text Format (.doc)
Volunteer Agreement Form
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