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Index of all forms referred to within the site.

 

0-9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

0-9

  • 12-Month Pay Election [pdf]

 

A

  • A - Service Professional / Appointed Staff Requisition Form (Form A) [doc] [pdf]
  • A1 - Vacancy Announcement Request - Staff [pdf] [doc]
  • A1 - Vacancy Announcement Request - Faculty [doc]
  • A2 - Administrators, Academic Professionals & Faculty Position Recruitment Plan [doc]
  • AIG Valic [pdf]
  • Absence Without Pay [pdf] [doc]
  • Accrual Adjustment Form [pdf]
  • Aetna Conversion Form [pdf]
  • Aetna Portability Application [pdf]
  • Aetna Waiver of Premium - Part 1 [pdf]
  • Aetna Waiver of Premium - Part 2 [pdf]
  • Applicant Testing Request Form [pdf] [doc]
  • ASRS Application for Return Or Transfer of Contributions
  • Approval for Access (policy 5.14) [pdf] [doc]
  • Arizona Form A-4 (State) [pdf]
  • Arizona State Retirement System Address/Name Change [pdf]
  • Arizona State Retirement System Beneficiary [pdf]
  • ASRS Retirement Disclosure [doc]
  • Authorized Signatures for Payroll Transmittals [pdf]

B

  • Background Check Authorization to Obtain a Consumer/Credit Report [doc] [pdf]           
  • Background Check Release and Authorization [doc] [pdf]  
  • Background Check Request Form for Faculty [doc] [pdf]  
  • Background Check Request Form for Non-faculty [doc] [pdf]  
  • Background Check International Home Address Form [doc] [pdf]
  • Blue Cross  and Blue Shield Health Insurance Claim for [pdf]

C

  • Cell Phone Allowance / Purchase Agreement 2008 [pdf] [doc]
  • Cell Phone Monthly Allowance Sample PAR [pdf] [doc]
  • Cell Phone Purchase Sample PAR [pdf] [doc]
  • COB Information - Creditable Coverage Disclosure [pdf]
  • Coded Appraisal Form [doc]
  • Certification of Health Care Provider [doc]
  • Compassionate Transfer of Leave, Donor [pdf] [doc]
  • Compassionate Transfer of Leave, Request For [doc]
  • Conviction Disclosure Form [pdf] [doc]

     

     

D

  • Direct Deposit Authorization [pdf]

  • Employee Acknowledgement Form [pdf]
  • Employee Development Support Fund Application [doc]
  • Employee (Exit) Separation/Transfer Checklist [doc]
  • Exit Interview (Print version) [doc]

 

F

  • Fidelity [pdf]
  • Flexible Spending Account Claim Form [pdf] [doc]
  • Flexible Time Evaluation for Exempt Employees [doc]
  • Foreign National Information [pdf]

G

  • Group Insurance Beneficiary Form (BF-1) [pdf] [doc]

H

  • Hire SMART! Checklist [doc]
  • Hire SMART! Toolkit [doc]

I

  • I-9 Employment Eligibility Verification [pdf]
  • IRS Form W-4 (Federal) [pdf]
  • IRS Form W-5 (Federal) [pdf]

J

K

L

M

N

  • New Employee Checklist [doc]
  • New Employee Enrollment Worksheet [doc]
  • New Hire Packet [pdf]
  • New Position Proposal [pdf] [doc]
  • Notice of Appointment - Form D(Appointed Staff) [pdf] [doc]

O

  • Off-Cycle Check Request [pdf]
  • On-line Time Administrator Request Form [doc]
  • Orientation Guide for New Employees [pdf] [doc]
  • ORP Investment Company Change Form [pdf]

P

Q

R

S

  • Safety/Security Sensitive Position Identification Tool/Form [doc]
  • Salary Adjustment - Change in Process, click here for information.
  • Salary Reduction Agreement Form [pdf] [doc]
  • Selective Service Certification [pdf]
  • Special Assignment Request [pdf] [doc]
  • Special Assignment Employee Notification [pdf] [doc]
  • Standard Insurance - Claims Packet
  • Standard Insurance Conversion Packet [pdf]
  • Standard Insurance Portability Application [pdf]
  • State of Arizona Loyalty Oath [pdf]
  • Student Wage Employment Authorization (SWEA) [pdf] [doc]
  • Supervisor’s Report of Injury / Illness (SRI) [doc]
  • Supplemental Compensation for CLASSIFIED STAFF AND SERVICE PROFESSIONALS [doc]
  • Supplemental Compensation Pre-approval (step 1) for FACULTY [doc]
  • Supplemental Compensation Payment (step 2) for FACULTY [doc] 

T

U

  • Unum Provident Hospital-Baby Claim Form [pdf] [doc]
  • Unum Provident Hospital-Medical Claim Form [pdf] [doc]
  • Unum Provident Short Term Disability Claim Form [pdf]
  • Unum Provident Short Term Disability Evidence of Insurability Form [pdf]

V

  • Vacancy Announcement Request - Staff  [pdf] [doc]
  • Vacancy Announcement Request - Faculty [pdf] [doc]

W

  • Waiver of Recruitment for Faculty and Academic Professionals Process and Form [pdf] [doc]
  • Waiver of Recruitment for Classified Staff and Service Professionals Process and Form [pdf] [doc]
  • Walgreens Prescription Mail Order Form [pdf]
  • Workers Compensation Physician Information Sheet [pdf] [doc]
  • Workforce Planning

Y

Z

 

Last Updated ( Wednesday, 24 September 2008 )
 
Copyright © 2005 Northern Arizona University

 
 

©2005 Arizona Board of Regents, Northern Arizona University
South San Francisco Street, Flagstaff, Arizona 86011