UA HR Forms Page

Before downloading any documents, please read about the document formats. Click on the format icon to download the document.

Department Sponsored Volunteer Form			back to top
X	11/09	Volunteer Agreement and Release Form	PDF	MS Word	Do not route. Maintain copy in department file.
Affiliate Forms			back to top
X	10/09	Letter of Affiliation (Offer letter)		MS Word	Send forms to Human Resources or COM Faculty Affairs Office.
X	2/10	Affiliate/Associate Agreement Form	PDF	MS Word
X	11/09	Person of Interest (POI) Designation Form	PDF	MS Word	For Pre-hires, Affiliates, Associates and Designated Systems Users.
X	11/09	Affiliate/Associate Information Form	PDF	MS Word
Associate Forms			back to top
X	10/09	Letter of Association (Offer letter)		MS Word	Send forms to Human Resources or COM Faculty Affairs Office.
X	02/10	Affiliate/Associate Agreement and Release	PDF	MS Word
X	11/09	Person of Interest (POI) Designation Form	PDF	MS Word	For Pre-hires, Affiliates, Associates and Designated Systems Users.
X	11/09	Affiliate/Associate Information Form	PDF	MS Word
Designated Systems Users			back to top
X	11/09	Person of Interest (POI) Designation Form	PDF	MS Word	Send forms to Systems Control.
X	07/11	Person Information Form	PDF	MS Word
Benefits Forms			back to top
	08/08	Qualified Same Sex Domestic Partner Affidavit	PDF
	08/08	Child of Same Sex Domestic Partner Declaration of Tax Status Form	PDF
X	10/10	Qualified Opposite Sex Domestic Partner Affidavit	PDF
X	10/10	Child of Opposite Sex Domestic Partner Declaration of Tax Status Form	PDF
X	03/12	Qualified Life Event Form	PDF	MS Word
X	03/12	Qualfied Life Event Form for Employees with Opposite Sex Domestic Partners	PDF	MS Word
X	12/10	Domestic Partner Change Form	PDF	MS Word
X	02/10	HSA Voluntary Contribution Designation Form	PDF	MS Word
Dental Claim Forms			back to top
		Delta Dental Claim Form	PDF
Life Insurance Forms			back to top
	7/00	ReliaStar Life Insurance - Enrollment Form	PDF
	8/04	ReliaStar Life Insurance - Request for Change Form	PDF
	10/09	Aetna Certificate of Coverage	PDF
	10/09	Aetna Summary of Coverage	PDF
Short Term Disability Forms			back to top
	10/09	UNUM Certificate of Insurance Effective October 1, 2009		MS Word
Retirement Enrollment Forms			back to top
X	5/10	15 Year Service Catch-Up Contribution Form for the 403(b)		MS Word	Yes
Retirement Forms for Retiring Employees			back to top
	01/12	Retiree Health Benefits Enrollment Form - ADOA	PDF		Yes
	04/10	Retiree Accumulated Sick Leave (RASL) Form (GAO-SL-50)	PDF		Yes
	04/10	Retiree Accumulated Sick Leave Checklist for University Employees (Submit with RASL form)	PDF		Yes
	04/10	Retiree Accumulated Sick Leave Federal Taxes (Submit with RASL form)	PDF		Yes
	01/11	Retiree Accumulated Sick Leave State Taxes (Submit with RASL form)	PDF		Yes
	06/06	Retiree Accumulated Sick Leave Nationwide - Deferral Notification Form (Submit with RASL form - if applicable)	PDF		Yes
	02/12	ASRS Application for Retirement Benefit	PDF		Yes
	02/12	ASRS Ending Payroll Verification Form	PDF		Yes
Flexible Spending Account Forms			back to top
	11/01	Flexible Spending Account Claim Form - ASI	PDF
	9/09	Flexible Spending Account Direct Deposit Sign Up Form		MS Word	Yes
Leave of Absence Forms			back to top
X	9/09	Compassionate Transfer of Leave Request Form	PDF		Yes
X	9/09	Compassionate Transfer of Leave Contribution Form	PDF		Yes
X	9/09	Extended Leave of Absence Form - Classified Staff		MS Word	Yes
X	8/05	Leave Of Absence Unpaid - Appointed Personnel: Template For Employee Request to Department Head		HTML / MS Word
X	8/05	Leave Of Absence Unpaid - Appointed Personnel: Template For Department Request to the Provost		HTML / MS Word
X	8/05	Leave Of Absence Unpaid - Appointed Personnel: Template For Department Head Approval/Denial of Employee Request		HTML / MS Word
X	04/11	Family and Medical Leave Request Form	PDF	MS Word	Yes
X	04/11	FML Certification of Health Care Provider	PDF	MS Word	Yes
X	04/11	Employer Response to Employee Regarding Family and Medical Leave	PDF	MS Word
Compensation Forms			back to top
X	9/00	Request for In-Classification Career Progression Form	PDF	MS Word	Yes
	7/12/01	Supplemental Compensation Form-Appointed Personnel	PDF		Yes
	7/12/01	Supplemental Compensation Form-Classified Staff	PDF		Yes
	7/12/01	Supplemental Compensation Form-Graduate Assistants/Associates	PDF		Yes
X	8/98	Position Description Format	Link
Pre-Employment & Background Checking Forms			back to top
	3/08	Candidate Consent and Disclosure Form	PDF	MS Word
	8/06	Request for Criminal Background/DMV Check (for Positions not Maintained in Career Track)	Online Form (requires NetID)
	2/05	Pre-Adverse Action Notice		MS Word
	2/05	Adverse Action Notice (Candidate)		MS Word
	2/05	Adverse Action Notice (Employee)		MS Word
	2/05	Summary of Rights under FCRA	PDF	MS Word
	2/05	Request for Security Sensitive Status	PDF	MS Word
	3/05	UA CDL Release Form		MS Word
New Hire/Appointment Forms			back to top
X	8/10	Hiring Form (Competitive and Non-Competitive)	PDF	MS Word
New Employee Packet Forms			back to top
X	9/07	New Employee Packet			Currently being revised. Please use documents below.
		The individual forms listed below are also contained in the New Employee Packet.
X	3/07	New Hire Information	PDF	MS Word
X	11/10	Person Information Form	PDF	MS Word
X	9/11	Options During 90-Day Waiting Period for Healthcare	PDF	MS Word
X	3/12	Transition Allowance Declaration Form	PDF	MS Word
X	3/07	Notification of Policies	PDF	MS Word
X	3/07	Benefits and Retirement Agreement	PDF	MS Word	This form is no longer in use effective January 2007. The online Offer Letters include the benefits and retirement terms for all employment types.
X	5/02	Employment Eligibility Verification (Form I-9)	Link		Yes
X	12/09	State of Arizona Employee Loyalty Oath	PDF	MS Word	Yes
X	8/10	Race/Ethnicity/Sex Self-Identification Form	PDF	MS Word
X	3/07	Veteran/Disability Self-Identification Form	PDF	MS Word
Classified Staff and Appointed Personnel Offer Letter Builders			back to top
X	05/11	Classified Staff Offer Letter Builder	Link		Yes
X	05/11	Faculty and Appointed Personnel Offer Letter Builder	Link		Yes
X	04/11	Limited-term Faculty Service Offer Letter Builder	Link		Yes
		Important information regarding the hiring of development officers.			Yes
College of Medicine Offer Letter Builders			back to top
X	02/10	College of Medicine Clinical Faculty Offer Letter Builder (University Physicians Healthcare)	Link		Yes
College of Medicine /UPH Offer Letter
X	02/10	University Physicians Healthcare Offer Letter (To be printed on UPH letterhead)	Link
College of Medicine General
X	3/12	College of Medicine Clinical Assistant Exception Pay Authorization Form	PDF	MS Word	No
Performance Evaluation Forms			back to top
X	12/06	Performance Feedback for Individual Contributors [New]		MS Word	Yes
X	12/06	Performance Feedback for Managers and Supervisors [New]		MS Word	Yes
X	1/98	Traditional Eight-factor Report of Performance Appraisal		MS Word	Yes
X	1/98	Objectives, Factors and Standards Format / Performance Appraisal		MS Word	Yes
X	1/98	Factors and Standards Format / Performance Appraisal		MS Word	Yes
X	1/98	Narrative Format / Performance Appraisal		MS Word	Yes
Disciplinary Action Forms - Classified Staff			back to top
X	10/05	Written Warning Memo Format (For Regular Classified Staff)	HTML / MS Word		Yes
X	10/05	Disciplinary Probation Memo Format (For Regular Classified Staff)	HTML / MS Word		Yes
X	1/07	Investigative Leave with Pay Memo Format	HTML / MS Word		Yes
X	10/05	Pre-discharge or Pre-suspension Meeting Memo Format (For Regular Classified Staff)	HTML / MS Word		Yes
X	10/05	Disciplinary Suspension Memo Format (For Regular Classified Staff)	HTML / MS Word		Yes
X	10/05	Discharge Memo Format (For Regular Classified Staff)	HTML / MS Word		Yes
X	05/08	Initial Probation Termination Memo Format (For Classified Staff on Initial Six-Month Probation Period)	NEW TEMPLATE HERE		Yes
X	09/09	Promotion/Transfer Probationary Period Performance Improvement Memo Format (For Classified Staff on a Promotion/Transfer Probationary Period)	NEW FORM HERE		Yes
X	09/09	Promotion/Transfer Probationary Period Termination Notice Format (For Classified Staff on a Promotion/Transfer Probationary Period)	NEW FORM HERE		Yes
X	9/04	Job Abandonment Letter Format	HTML / MS Word
Termination, Layoff and Non-renewal			back to top
X	09/09	Termination Report	PDF		This form is no longer in use. Terminations should now be processed though Manager Self Service at: http://uaccess.arizona.edu/
X	9/04	Layoff Notification Memo Format for Regular Classified Staff (who have completed the initial six month probation)	NEW TEMPLATE HERE		Yes
X	5/08	Layoff - FTE Reduction (below .50 FTE) Notification Memo Format for Regular Classified Staff (who have completed the initial six month probation)	NEW TEMPLATE HERE		Yes
X	3/06	Nonrenewal Notification Memos (Appointed Personnel) - Contact your Organizational Consultant
Qualified Tuition Reduction Forms			back to top
X	05/12	Application for Qualified Tuition Reduction	PDF	MS Word	Yes
X	05/12	Application for Domestic Partner Tuition Program	PDF	MS Word	Yes
Child Care Forms			back to top
X		Sick Child and Emergency/Back-Up Care Program for Students	See LWC website
X		Sick Child and Emergency/Back-Up Care Program for Employees	See LWC website
X		Employee Child Care Voucher Program Application	See LWC website
X		Employee Child Care Voucher Program Provider Verification Form	See LWC website
Misc. Forms			back to top
X	11/01 3/07	Extended Temporary Employment Staff Memorandum of Understanding	PDF	MS Word	This form is no longer in use effective January 2007. Use the online Offer Letter builder for issuing an offer letter for an Extended Temporary Employment (ETE) new hire.
X	07/09	Request for Time In Position Waiver	PDF	MS Word	Yes
	4/07	Notice of Appointment for Graduate Assistants and Associates	PDF
		Request for Revision or Addition to UHAP		MS Word	Yes