Benefits Forms
Employment Forms
Family Medical Leave Act (FMLA) Forms
Human Resource Information Systems (HRIS)
Manager's Forms
Miscellaneous Forms
Payroll Forms
Tax Forms



Benefits

Continuing Education Class Request

Used to request permission to attend a Continuing Education course. Follow instructions on the form.

Donated Sick Leave

Required to authorize donation of sick leave to and participation in the Donated Sick Leave Program.

Georgia Higher Education Savings Plan (529) Payroll Authorization

Required to enroll for the voluntary college savings plan.

ORP Vendor Change/Allocation

Used by participants in the Optional Retirement Plan to designate contribution percentages to retirement vendors.

TRS/ORP Retirement Election

Used by newly benefited employees to elect participation in the Optional Retirement Plan or Teachers Retirement System.

Salary Reduction Agreement - 403(b) Tax Sheltered Annuity

Required to start, stop or modify payroll contributions to voluntary retirement accounts under tax code 403(b).

Salary Reduction Agreement (457(b) Tax Sheltered Annuity)

Required to start, stop or modify payroll contributions to voluntary retirement accounts under tax code 457(b).



Employment

Background Check Consent

Authorizes HR to request background information for criminal, credit or motor vehicle history as appropriate.

Employment Eligibility Verification (I-9)

Federally required form used to document work eligibility and identity.

Georgia "Right to Know" On-line Training"

Hazardous chemical training required by the Board of Regents for all University System of GA employees.

Alternative Work Schedule Proposal and Agreement

Proposal for alternative work schedule.


FMLA - Family Medical Leave Act

FMLA Request for Leave

Used to request job protection under the Family Medical Leave Act during a qualified medical Leave of Absence

Academic Affairs Faculty Request for Leave

Used by Faculty to Request a Leave of Absence through the University.

FMLA Medical Certification Forms for illness of injury of:

Employee (Section III - completed by the employee's physician)

Used to certify FMLA status for an employee's medical Leave of Absence.

A Family Member (Section III - completed by the family member's physician)

Used to certify FMLA status for an employee's Leave of Absence for the medical need of a family member.

A Covered Military Service Member (Section II - completed by the appropriate government official)

Used to certify FMLA status for an employee's Leave of Absence due to military activation of a family member.



Miscellaneous

Georgia Defined Contribution Plan Refund Application

Used upon separation of employment or becoming benefits eligible to request refund of contributions made to GDCP while in a non-benefited employment status.

Relocation Expense Reimbursement

To request reimbursement of moving expenses when newly hired (eligibility requires pre-approval).


Taxes

Federal Income Tax Withholding ('W-4')

To request a change in federal income tax payroll withholding status (can also be submitted electronically via ADP Self Service).

State of Georgia Income Tax Withholding ('G-4')

To request a change in state income tax payroll withholding status.