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Benefits Forms

Insurance Forms:

Various insurance forms and publications can be found on the MyFlorida benefits website at http://www.myflorida.com/mybenefits/Tools/Forms.htm

Pre-tax insurance enrollment forms must be obtained through the PeopleFirst system. To obtain a form, you can either log into the PeopleFirst website at https://peoplefirst.myflorida.com or contact a Service Center representative at 1-866-663-4735.

Employees who choose to fax their forms to the Service Center, you must complete this fax cover sheet .

Retirement Forms:

Direct Deposit Form for Retirees

FRS Application for Disability Retirement

Fidelity Application (403(b) and/or Roth 403(b))

Fidelity Funds (Available to UCF Participants)

ORP-16 Form [for new enrollees]

ORP-16A Form [for changes to existing ORP accounts]

Salary Reduction Agreement (Non-ORP) [Contribution Changes can also be made online via myUCF Employee Self-Service]

Salary Reduction Agreement (ORP)

15 Year Catch Up Agreement Form

Other Benefits Forms:

Florida Prepaid College Plan Form

Tuition Waiver Program

Compensation Forms

Approval Process for a Compensation Override by the
President and Vice Presidents

Employment Certification Form (A&P and Faculty)

On-Call Form

Perquisite Form (Excel)

Perquisite Instructions

Position Description - A&P

Position Description -  USPS

Position Description Instructions

Post Doctoral Agreement (9189)

Shift Differential Form

Employee Recognition Forms

Davis Productivity Awards Form

Gabor Excellence Award Nomination Form

Employee of the Month Form

Employee Relations Forms

Arbitration Request Form - UCF 3.033 (USPS)

Conflict of Interest, Outside Activity/Employment Report (A&P/USPS)

Conflict of Interest, Outside Activity/Employment Report (Faculty)

Employee Exit Questionnaire

Non Unit Faculty and A&P Grievance Form (Word)

Performance Appraisal - A&P Annual Review

Performance Appraisal - Certified Law Enforcement

Performance Appraisal - USPS

Permission to Use University Personnel, Equipment, Facilities, Students, or Services (A&P/USPS)

Position Exemption Worksheet - Confidential Employee

USPS Grievance Form

Leave of Absence

Certification of Health Care Provider for Employee’s Serious Health Condition

Certification of Health Care Provider for Family Member’s Serious Health Condition

Certification for Serious Injury or Illness of Covered Servicemember – for Military Family Leave
Certification of Qualifying Exigency for Military Family Leave

FMLA Tracking Log

Intent to Return to Work (Non-medical)

Intent to Return to Work and Medical Release

Personal Leave Request Form

Military Leave Request Form

Military Leave Checklist

Military Tracking Log

Medical Leave Checklist

Medical Leave Request Form

Parental Leave Checklist

Parental Leave Request Form

Personal Leave Checklist

Workers' Compensation Forms

First Report of Injury Form

Instructions for completing First Report of Injury

Mileage Claim Form

Return To Work Plan

Return to Work Policy

Workers Compensation Checklist

Workers Compensation – Leave Approval

Sick Leave Pool

USPS Sick Leave Pool Open Enrollment Application

USPS Sick Leave Pool Request Form

Payroll Services Forms

Cell Phone Allowance Form

Departmental Cost Center Authorization List

Direct Deposit Authorization Form

Human Resources Security Request Form (formerly Payroll Certification Security Access Form)

Leave Audit Forms (Excel)

Off Cycle Check Request Form

On-Call Form

Paycheck Pick Up Authorization

PBA Leave Payout Request Form

Request for Compensatory Leave Payout

Request for UCF Dual Compensation

Request to Record Non-Cash Form

Retroactive Payment Request Form

Salary Supplement Request Form

Timesheet Helper (TSHelper)

Under 30 Days Form (Payment of Personal Services)

W-4

Records Forms

3-in-1 Form (Loyalty Oath)

Confidentiality Agreement for Employees

Confidentiality Agreement for Vendors/Volunteers

Graduate Assistantship Agreement

Degree Information Update Form

Employee Acknowlegement

Exit Checklist - All Employees

Faculty Affairs Employment of Relatives Form (AA-22)

Fall Faculty Orientation Notice

Human Resources Employment of Relatives Form

I-9 Form (Employment Eligibility and Verification)

Notice of Drug-Free Schools and Drug-Free Workplace Policy

On-Call Form

Orientation Notice

Personal Data Sheet

Post Doctoral Agreement (9189)

Public Records Request

Request for UCF Dual Compensation

Resignation Form

Retirement Notification Form

SSA-1945

Staff Application: OPS Hourly Non-Student

Supplemental Assignment Form (for Graduate Students)

Verification of Employment Request Form

Recruitment Forms

A&P Online Employment Application

CareerBuilder Advertisement Form

Degree Information Update Form

Disclosure and Release of Information Authorization Form - Graduate Assistantship Appointees/Student Employees/Volunteers

Employment Certification Form (For Faculty Positions Only)

Faculty Disclosure and Release of Information Authorization Form

Online Requisition Form

Online Security Access Form

Position Vacancy Announcement (for Faculty positions only)

Request for Interview Records

Search Committee Meeting Notice

Staff (USPS) Online Employment Application

Staff (USPS) Physical Exam Form

Telecommuting Program Forms

Telephone Reference Check (PDF)

Telephone Reference Check (Word)

Training Forms

Training Registration On-line Form

Last modified: 11 April 2012
Human Resources Webmaster

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