Home > Forms > Tools and Forms
Tools and Forms
Last Modified: 2016-09-27
All forms are viewable using Adobe Acrobat (.pdf), unless otherwise noted.
Use the search box below to look for the form you need or use the column headers to sort the forms alphabetically or by form type.
| Form Name | Form Type |
|---|---|
| 415(c) Aggregation Form | Benefits |
| Leave Bank Adjustment Request - used to make increases/decreases to an individual's time off. | Payroll |
| Adoption Reimbursement Request Form | Benefits |
| Aetna HealthFund Health Option | Benefits |
| Aetna Plus Health Option |
Benefits |
|
Aetna Select Health Option |
Benefits |
| Aetna Claim Form (for domestic and international claims) | Benefits |
| Benefit Appeal Request | Benefits |
|
Benefits Overview: Benefits Overview 2016 for current employees (VUnetID required)Benefits Overview 2016 for future employees (no VUnetID required) |
Benefits |
| BlueCross BlueShield DentalBlue PPO - Claim Form | Benefits |
| BlueCross BlueShield DentalBlue PPO Evidence of Coverage | Benefits |
| BlueCross BlueShield DentalBlue PPO - Summary of Benefits | Benefits |
| Cigna Dental Care (DHMO) Summary Plan Description | Benefits |
| CIGNA Dental Care (DHMO) Summary Sheet (Patient Charge Schedule) | Benefits |
| Attendance Tracker (2016) | Employment |
| Criminal Background Disclosure Process | Employment |
| Department Change Form | Employment |
| Dependent Information Change Form | Benefits |
| Payroll | |
| Employment Law Posters | Employment |
| Enhanced Short-Term Disability Summary Plan Description | Benefits |
| Exit Interview Questionnaire | Employment |
| Family and Medical Leave Act (FMLA) | FMLA |
| Family Status Change Request | Benefits |
|
Flexible Spending Account (FSA)
|
Benefits |
| Health Care Plan Summary Plan Description | Benefits |
| Label Request Form | Payroll |
| Life and Accidental Death & Dismemberment Summary Plan Description | Benefits |
| Long-Term Disability Certification of Prior Coverage Form | Benefits |
| Long-Term Disability Summary Plan Description | Benefits |
| Medicare Creditable Coverage Notice | Benefits |
| MetLife Statement of Health Form | Benefits |
| Navitus Compound Claim Form | Benefits |
| Navitus Drug Claim Form | Benefits |
| Navitus Foreign Claim Form (for prescriptions purchased outside the United States) | Benefits |
| Navitus Pharmacy Booklet | Benefits |
| Notice of Privacy Practices | Benefits |
| Notification of Family Status Change | Benefits |
| Blank Payment Correction Request (Payroll Correction Request) - used for any event that includes the word prior (prior overtime, prior hours worked, prior increase to salary, etc.) | Payroll |
| Retirement Plan Summary Plan Description | Benefits |
| Superior Vision: Benefits Overview Brochure | Benefits |
| Superior Vision Claim Form | Benefits |
| Superior Vision: Finding In-Network Providers | Benefits |
| Superior Vision: Summary Plan Description | Benefits |
| Transferring a Vacant Position Quick Reference Guide | Employment |
Tuition Benefit for My Child Form
|
Benefits |
|
Tuition Benefit for Myself or My Spouse/Same-Sex Domestic Partner form
How to Determine If Your Course Is Job-Related
Request for Reimbursement for Tuition Expenses Form
|
Benefits |
| Additional Pay Form: please use either the ePAC Additional Pay module or the Payroll Correction Request | Employment |
Employment Eligibility Verification (I-9)
|
Employment |
Employee Information Forms:
|
Employment |
| Paycard Application Form | Employment |
| Performance Evaluation | Employment |
| Performance Evaluation (Leadership Model) | Employment |
| Personnel Action Form (New Hire PAF) | Employment |
Personnel Action Form - Distribution Form
Federal Centers |
Employment |
Personnel Action Form - Distribution Form
Non-Federal Centers |
Employment |
| Personnel Action Form (Turnaround PAF) | |
| Position Description Questionnaire (PDQ) | Employment |
| Position Description Questionnaire - EZ (PDQ-EZ) | Employment |
| Position Management Form - see Transferring a Vacant Position | Employment |
| End of Employment Process Checklist | Employment |
| Reporting of Taxable Gifts, Awards, Prizes and Other “Perks” | Employment |
| Summer Faculty Pay - see ePAC | Employment |
| Stipend Request Form | Employment |
| Traditional Short-Term Disability Summary Plan Description | Benefits |
|
How To Read Your W-2
W-2 Calculator |
Employment |
| Federal Tax Forms: W-4 Form for 2016 State Tax Forms:
|
Employment |
| Non-FMLA Medical Leave | FMLA |
| Alternative Work Arrangement Request | Employment |
| Payroll | |
| Commodore Award Eligibility and Criteria | Other |
| Commodore Award Nomination Form | Other |
| Electronic Communication Access Information Sheet | Other |
| Systems | |
| Payroll | |
| Employment |