HR Forms

Benefits Forms
  • Educational Assistance Programs
    • RIF Tuition Assistance Benefit Acrobat Form
    • Staff Scholarship and/or PC191 Acrobat Form
    • Student Fee Discount for Spouse/Child Acrobat Form
  • Insurance
    • 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 the University Benefits Administration Office in 165 Administration Building 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 2013 Enrollment Form Acrobat Form
    • Flexible Benefits 2014 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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Employee Relations & Engagement Forms
  • Awards Nomination Submittal HTML 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
  • Flex Time (Alternative Work Schedule) Request Form Acrobat Form
  • Performance Appraisal HTML Form
  • Performance Appraisal Reference Guide HTML Form
  • Performance Management Worksheet Acrobat Form
  • Performance Improvement Process Notification Form Acrobat Form
  • Performance Improvement Process Release Form MS Word Form
  • Telecommuting Agreement Acrobat Form
  • Telecommuting Checklist Acrobat Form

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HR Records Management Forms
  • Appointment/Re-appointment Form For Interim and Temporary Positions Acrobat Form
  • Exit Questionnaire HTML Form
  • Extra Compensation Form Acrobat Form
  • Faculty Summer Compensation Authorization & Payment Request HTML Form
  • I-9 Certification Acrobat Form
  • Incentive Compensation Agreement & Payment Request (Academic Affairs form) Excel 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 Access to Business & Finance Systems (Banner, OnBase, Hyperion) HTML 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 New Hire Application Acrobat Form
  • University Supplied Housing Information Form Acrobat Form
  • Wireless Communication Device Allowance Request/Change Form Acrobat Form

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Institutional Equity
  • Tennessee Board of Regents Form A3: Certification Acrobat Form

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Organization & Employee Development Forms
  • Online Registration Site HTML Form

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Workforce Management Forms
  • Appointment/Re-appointment Form For Interim and Temporary Positions Acrobat Form
  • Degree Incentive Request Form Acrobat Form
  • Employment Application (Temporary Employees Only) Acrobat Form
  • Extra Compensation Form Acrobat Form
  • Position Prioritization Request Form Acrobat Form
  • Professional Privilege Tax Form For Full-Time Regular Employees Acrobat Form
  • Temporary Appointment/Re-appointment form Acrobat Form
  • Temporary Services Order Form Acrobat Form
  • Waiver of Search Form for Faculty and Staff Acrobat Form

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