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Administration BuildingAnnual Enrollment Transfer Period

HR Forms

Benefits Forms
  • Educational Assistance Programs
    • Staff Scholarship and/or PC191 Acrobat Form
    • Student Fee Discount for Spouse/Child Acrobat Form
    • Voluntary Buyout Program Tuition Assistance Form Acrobat Form
  • Insurance
    • CIGNA HMO Primary Care Physician Form Acrobat Form
    • Insurance Enrollment/Change Form Acrobat Form
    • Optional Accidental Death & Dismemberment Form Acrobat Form
    • Optional Life Customer Service Request Form Acrobat Form
    • Optional Life Supplemental Application Acrobat Form
    • Optional Term Life Enrollment Application Acrobat Form
    • Optional Universal Life Enrollment Application Acrobat Form
    • Prepaid Dental Plan Dentist Selection Card Acrobat Form
  • Leave
    • Faculty Sick Leave Bank Enrollment Form Acrobat Form
    • Non-Faculty Sick Leave Bank Enrollment Form Acrobat Form
    • Request for Medical Leave Acrobat Form
    • Sick Leave Donation Agreement Acrobat Form
  • Parking
    • Pre-Tax Parking Guidelines Acrobat Form
    • Pre-Tax Parking Waiver Acrobat Form
  • Savings/Retirement Accounts
    • Traditional 401(k) and Roth 401(K) Initial Enrollment Form Acrobat Form
      (This form should be returned to Employee Benefits Office in 167 Admin Bldg. for processing.)
    • Roth 401(k) Enrollment form (and already enrolled in the Traditional 401(k) plan) Acrobat Form
    • Roth 401(k) Salary Reduction Change form Acrobat Form
    • Traditional 401(k)/Roth 401(k) Beneficiary Designation Form Acrobat Form
    • Traditional 401(k) Salary Reduction Change Form Acrobat Form
    • 457 Enrollment Form Acrobat Form
    • 457 Beneficiary Designation Form Acrobat Form
    • 457 Salary Reduction Change Form Acrobat Form
    • 403(b) Participation Agreement Form Acrobat Form
    • 403(b) Termination Form Acrobat Form
    • TCRS Retirement Estimate Request Acrobat Form
  • Workers' Comp
    • Bloodborne Pathogens Incident Report Acrobat Form
    • First Report of Injury or Illness Acrobat Form
    • State of Tennessee Accident Report Acrobat Form
  • Miscellaneous
    • Corporate Credit Card Acrobat Form
    • Flexible Benefits 2009 Enrollment Form Acrobat Form
    • Flexible Benefits 2010 Enrollment Form Acrobat Form
    • FBMC Claim Form Acrobat Form
    • FBMC Family Status Change Form Acrobat Form
    • Post-Retirement Service Program Policy and Agreement Acrobat Form
    • Post-Retirement Service Program Temporary Appointment Form Acrobat Form
    • University of Memphis Retiree Information Form Acrobat Form
    • Unpaid Compensation Beneficiary Form Acrobat Form

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Compensation Forms
  • Non-Exempt Paid Salary for Fluctuating Hours
    (Graduate Assistants & Some Part-Time Employees) Excel Form
  • Job Description Questionnaire MS Word Form

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Employee Relations Forms
  • Awards Nomination Submittal HTML Form
  • Degree Incentive Request Form Acrobat Form
  • Drug Testing Authorization Form Acrobat Form
  • Election of Rights/Grievance Forms
    Form I: Acrobat Form Form II: Acrobat Form
    (Note: Form I is for exempt/monthly employees and Form II is for non-exempt/hourly employees.)
  • Exit Questionnaire HTML Form
  • Performance Appraisal
    PC Version Excel Form 
    Macintosh Version Excel Form
    Acrobat Version Acrobat Form
  • Performance Appraisal Reference Guide HTML Form
  • Performance Management Worksheet HTML Form
  • Performance Improvement Process Notification Form Acrobat Form
  • Performance Improvement Process Release Form MS Word Form

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Employment Forms
  • Employee Referral Program Applicant Referral Acrobat Form
  • Employment Application (Temporary Employees Only) Acrobat Form
  • Temporary Appointment/Re-appointment form Acrobat Form
  • Temporary Services Order Form Acrobat Form

    The following Affirmative Action form(s) are maintained outside of the Division of Business & Finance but are often useful in the employment process.

  • Tennessee Board of Regents Form A3: Certification Acrobat Form

    The Provost Web Site also features a number of forms that are maintained outside of the Division of Business & Finance but are often useful in the faculty hiring process.
  • Provost Web Site (look for Academic Forms section) HTML Form

    The Student Employment Web Site also features a number of forms that are maintained outside of the Division of Business & Finance but are often useful in the student hiring process.
  • Student Employment Forms HTML Form

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Professional Development & Training Forms
  • Online Registration Form HTML Form
  • Transfer Voucher HTML Form Acrobat Form

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Employee Records Forms
  • Cell Allowance Request - Change Form Acrobat Form
  • Exit Questionnaire HTML Form
  • Extra Compensation Form Acrobat Form
  • Faculty Summer Compensation Authorization & Payment Request Acrobat Form
  • Monthly Time Sheet (Regular Employee) HTML Form Acrobat Form Excel Form
  • Post-Retirement Service Program Policy and Agreement Acrobat Form
  • Post-Retirement Service Program Temporary Appointment Form Acrobat Form
  • Records Release Form HTML Form Acrobat Form
  • Request for Name Change on Official University Record Acrobat Form
  • Request for Outside Employment/Consulting for Faculty and Administrative/Professional Staff Acrobat Form
  • Request to Inspect/Copy Public Records Acrobat Form
  • Research Incentive Payment Request Form Acrobat Form
  • Separation & Clearance Form (Immediate Notification) HTML Form
  • Separation & Clearance Form (hard copy) Acrobat Form
  • Temporary Employee/Grant-Based Regular Employee Appointment/Re-appointment Form Acrobat Form
  • Temporary Employee New Hire Application Acrobat Form
  • Web Time Entry Acknowledgement Acrobat Form

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