Forms

Benefits Forms

Child of Domestic Partner Declaration of Tax Status Form PDF  
Dependent Information Update Form PDF  
Flexible Spending Account Claim Form - ASI PDF Visit Flexible Spending Accounts page
Flexible Spending Account Direct Deposit Sign Up Form PDF Visit Flexible Spending Accounts page
Flexible Spending Account Election Change Form PDF  
HSA Voluntary Contribution Designation Form PDF  
ORP Change of Election Form PDF  
Qualified Domestic Partner Affidavit PDF  
Qualified Life Event Form PDF  
Termination of Domestic Partnership PDF  

Compensation Forms

9/12 Pay Plan Option Enrollment Agreement PDF Additional Information
Contract Rate Adjustment Request PDF  
Incumbent Review Request Form PDF  
Other Professional Services Form (OPS) PDF Additional Information
Position Description Form PDF How to Write a Position Description
Return to 9/9 Pay Plan PDF Additional Information
Salary Increase Worksheet PDF  
Transition to University Staff Form PDF  

Designated Campus Colleagues (DCC)

Affiliate Verification Form PDF  
Designated Campus Colleague Worksheet MS Word  
Intermittent Volunteer Agreement (Macro-enabled Word document) MS Word  
Intermittent/Occasional Volunteer Worksheet MS Word  
Intern-Department Worksheet MS Word  

Leave of Absence Forms

Compassionate Transfer of Leave Request Form PDF Compassionate Transfer of Leave page
Compassionate Transfer of Leave—Request to Forfeit Vacation Hours PDF Compassionate Transfer of Leave page
Extended Leave of Absence Form - Classified Staff & University Staff MS Word Personal Leave of Absence policy
FMLA: Certification for Serious Injury or Illness of a Current Servicemember - For Military Family Leave PDF  
FMLA: Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave PDF  
FMLA: Certification of Health Care Provider for Employee’s Serious Health Condition PDF  
FMLA: Certification of Health Care Provider for Family Member’s Serious Health Condition PDF  
FMLA: Certification of Qualifying Exigency for Military Family Leave PDF  
FMLA: Designation Notice PDF  
FMLA: Employee Request for Family and Medical Leave PDF  
FMLA: Notice of Eligibility and Rights & Responsibilities PDF  
Leave Of Absence Unpaid - Appointed Personnel: Template For Department Head Approval/Denial of Employee Request MS Word  
Leave Of Absence Unpaid - Appointed Personnel: Template For Department Request to the Provost MS Word  
Leave Of Absence Unpaid - Appointed Personnel: Template For Employee Request to Department Head MS Word  

Paid Parental Leave Request 

Request for Miscarriage/Stillbirth Recovery Leave

PDF

PDF

 

Miscellaneous FormS

Departmental Checklist for Employee Separation PDF  
Signature Authorization List  PDF Signature Authorization List instructions

New Hire Forms

** These forms are only used for processing approved exceptions to the new hire process in UAccess. **

The individual forms listed below are also contained in the 

 

Employment Eligibility Verification Form I-9 (version date 08/01/23) PDF

Employment Eligibility and Identity and Social Security policy

Form I-9 Instructions

Health Insurance Marketplace Coverage Notice PDF  
Hiring Form (Competitive and Non-Competitive) PDF  
New Hire Worksheet MS Word HR Workforce Systems Forms page
Person Information Form PDF  
Self Identifier Ethnicity PDF  
State of Arizona Employee Loyalty Oath PDF Loyalty Oath policy
Veteran Status PDF  
Voluntary Self-Identification of Disability PDF  

Offer Letters

University Staff Offer Letter – Interim Assignment MS Word  
University Staff Offer Letter – Acting Assignment MS Word  
Faculty and Appointed Personnel Offer Letter Builder Template  
Graduate Assistant/Associate Offer Letter Builder Template  Must be on campus or using campus VPN to view
Limited-term Adjunct Offer Letter MS Word  
Tenure Eligible/Continuing Eligible Review Date Calculator Link  

 

Pre-Employment & Background Checking Forms

Background Screening Consent Form PDF  
Background Screening Disclosure Form PDF  
Employment Reference Release Form MS Word  
Summary of Rights under FCRA PDF  
Request for Criminal Background/DMV Check (for Positions not Maintained in Talent)   This form is no longer available. Effective 6/25/2021 Background Check Requests are submitted in UAccess Manager Self Service. Questions? Contact preemployment@arizona.edu.
Request for Security Sensitive Status PDF This form is under revision.  Please contact the HR Background Check Team for assistance: preemployment@arizona.edu

Qualified Tuition Reduction Forms

Visit the EDucational BEnefits PAge for more INFORMATION

Application for Domestic Partner Tuition Program - Retirees only PDF This form is for retirees only. Active Employees should apply online in UAccess Employee.
Application for Qualified Tuition Reduction - Retirees lacking online access and employees on LTD only PDF This form is for retirees,and employees on long-term disability only. Active employees and affiliates should apply online in UAccess Employee

Retirement Forms

Retirement forms have been moved to the Road Ahead website.

UAccess Employee

Electronic Manager Self Service (MSS) Forms UAccess  
PAF (Personnel Action Form) Link  

Termination, Layoff and Non-renewal

Layoff - FTE Reduction (below .50 FTE) Notification Memo Format for Regular Classified Staff (who have completed the initial six month probation)  

Contact Senior HR Partners

Layoff/Reduction in Force Policy

Layoff Notification Memo Format for Regular Classified Staff (who have completed the initial six month probation)  

Contact Senior HR Partners

Layoff/Reduction in Force Policy

Nonrenewal Notification Memos for Appointed Personnel  

Contact Senior HR Partners

University Handbook for Appointed Personnel

Reorganization or Reduction in Force for University Staff  

Contact Senior HR Partners

Layoff/Reduction in Force Policy