¶¶MÅ®ÆÍ

• Banner HR Security Form
• Benefits & Retirement (Full Listing of forms)

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• Community Engagement Volunteer Leave
• Compensation Request Form for Vice President’s Direct Reports

• Contact Sheet -Recruitment

• Deferred Pay Enrollement
• Deferred Pay Termination

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EAP - Employee Assistance Program

• Ìý Horizon Behavioral Health (1-800-865-3200)
  ÌýÌýÌýÌýÌý Login ID: ¶¶MÅ®ÆÍ
  ÌýÌýÌýÌýÌý Password: EAP
• Employee Educational Scholarship Program
  • EESP-S Form
• Employee Exit Interview Survey
• Employment Eligibility Verification (Ìý I-9 Form Acceptable I-D's Ìý)

Ìý

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• FLSA Checklist for Temporary ÌýÌý(formerly OPS)
• Flu Shot Consent Form

(FMLA) Ìý Family and Medical Leave Act Forms

• FMLA Request Form
• FMLA Return to Work Form
• FRS (Florida Retirement System) ÌýForms
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  • FRSÌýGeneral Retirement Plan Enrollment
    ÌýÌý Ìý Ìý(Summary Plan Description)
    ÌýÌýÌýÌý
  • FRS Reemployment after 7/1/2010ÌýÌýÌýÌý
  • Reemployment Rules for FRS Pension Plan and DROP MembersÌý
    ÌýÌýÌýÌý
  • Reemployment Rules for FRS Investment Plan Members

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Grievance Forms

• General Grievances
• Suspensions or Terminations

Group Life Beneficiary Designation

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Health Insurance Forms

HRS Security Request Form

• Ìý(Online version)

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Leave Pay Out Forms

• Leave Cash Out FormÌý

Ìý

Life Insurance Forms

• Life Insurance Enrollment Form
• Group Life Beneficiary Designation
• Questionnaire Form (for Optional Life)
• Long Term Disability Claim Form
• Long Term Disability Brochure
• Lump Sum, Approval to Pay Ìý(Time Specific Payments)

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Offer Letters

• Recruitment - Full Listing of all Offer Letters
• On Call Payment Form
• OPS Conditions of Employment Form
• Optional Retirement Program Change Form
• Optional Retirement Program Enrollment Form
• Optional Retirement Program Mandatory Participation Form

Outside Interests

• Outside Employment/Professional Activity Report
• Outside Employment/Professional Activity Form for New Hires, if applicable. (Form) Ìý (Explanation)
  University Equipment, Facilities and Services form
  (for use along with the Report of Outside Employment or Professional Activity form)Ìý Report of Specified Interest
• Overtime Request Form

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Ìý ÌýPeopleAdmin Security Request Form

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Ìý Perquisites

• ÌýRequest for Approval of Perquisites or Sale of Goods & Services Form
  • Please email completed PDF file to classncomp@fau.edu.
• Philadelphia American Brochure 2008
• Position Job Identification Form Ìý(formerly OPS)

Preferred Legal

• Preferred Legal Enrollment Form
• Preferred Legal Brochure
• Previous State of Florida Service Form
• Provisional Appointment Offer Letter

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• Questionnaire Form (for Optional Life) 2008

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Request To Appoint Above Salary Guidelines

• Request for EstablishmentÌýForm
  Ìý(No longer available on paper - must use PeopleAdmin system)
• Request for Approval of Perquisites or Sale of Goods & Services Form
• Ìý ÌýMicrosoftÌýWord Version ÌýorÌý PDF Format
  
  Request for ReclassificationÌýForm
  Ìý ÌýÌý(No longer available on paper - must use PeopleAdmin system)

Retirement Forms

• • Tax Sheltered Annuity Representatives
  • FRS General Retirement Plan Enrollment
  • Ìý(Summary Plan Description)
  • Optional Retirement Program Change Form
  • Optional Retirement Program Enrollment Form
  • Optional Retirement Program Mandatory Participation Form
    
    Salary Reduction Agreement Form
  • Ìý
  • 403b Universal Availability Notice
  • FRS Reemployment after 7/1/2010
  • Reemployment Rules for FRS Pension Plan and DROP Members
  • Reemployment Rules for FRS Investment Plan Members

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Sick Leave Pool

• • Sick Leave Pool Physician Statement
  • Application to Use Sick Leave Pool Hours
  • Sick Leave Pool Booklet
    
    
    
    

Supplemental Insurance Forms

• • Long Term Disability Claim Form
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• Tax Sheltered Annuity RepresentativesÌý
• Temporary University Identification Number Request Form
• Termination of Deferred Pay Option Plan

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Tri-Rail

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• Volunteer Waiver Form

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Workers' Compensation Ìý Ìý Ìý Ìý Ìý Ìý Ìý

• • Non-Medical Injury Report
    • Ìý PDF ÌýVersion
  • Workers' Comp Mileage Reimbursement Form
    • PDF Version

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