Employee Services
Forms    
For the convenience of ASU employees, all forms may be filled out online in PDF format. However, these forms must be printed off to obtain employee signatures.
General Benefits Forms for Supervisors

Change of Address
Time Sheet - Employee
Time Sheet - Student
Retiree Sick Leave Request Form
(For Classified Employees only)
Catastrophic Bank Donor Form
Catastrophic Leave Application
Grievance Form

FMLA
Notice of Eligibility and Rights*

Select one of the following:
Certification for Employee
Certification for Employee's Family
Certification of Qualifying Exigency for Military Family Leave
Certification of Covered Servicemember for Military Family Leave

*Required along with one of the applications above.

Section 125 Plan
Annual Enrollment Form
Change Form
Reimbursement Claim Form
Features and Options Enrollment Form

BlueAdvantage Claim Form
Prescription Claim Form
CAREMARK Internet Pharmacy
CAREMARK Mail Service Order Form

Parking
Parking - Payroll Deductions FAQs
Contracted Parking and Parking Permit Payroll Authorization
Tax-Free Transportation Agreement

Assignment/Change Form
   To be completed for new hires, changes in rate of pay, FTE changes, changes in employment locations on campus, changes in position or title, supervisor changes and for changes in benefit status.
Pay By Requisition Backup Documentation
Termination Form
   Please complete the termination workflow in http://in.astate.edu.
Budget (FOAPAL) Change Request
    To be completed only when FOAPAL changes occur or for reallocation purposes. 
Proxy Assignment Form
     To be completed when supervisor needs to assign a proxy to approve time.
Request for Provisional Position
Banner Security Approval Form
     To be completed when an employee needs to be an approver and/or needs access to internet native Banner HR forms.
Position Classification Questionnaire
Employee Counseling Statement
Telephone Reference Check Form

Code of Ethics

Tuition Discount / Educational Stipend / Room Discount Professional Development New Employee Orientation

Tuition Discount Form
Educational Stipend
Dependent Room Discount Form

Individual Performance
Development Plan

Complete Orientation Packet
(fax to Human Resources at 972-3337)
Taxes Name Change Governor's Executive Order Disclosures

NOTE:  As of 1/1/07, any new employee who was not employed with the university on
January 1st, 2007 and had previous employment with the university, must now complete a new hire packet upon re-employment.

New Hire Forms:
Employee Information Form
I-9
W-4
State Tax
Selective Service
ATRS Concurrent Contribution
TIAA Social Security Alternative
Veteran's & ADA Voluntary Survey
Direct Deposit Authorization
Direct Deposit Hardship Exemption

The Complete New Hire Packet is no longer available. Please complete each form above.

NOTE:  A copy of your social security card and proper identification will also be required in order to add to Payroll. Please submit with New Hire Packet.

If you are hiring a part-time student worker who is international, they will need to complete all of the above forms and submit supporting identification that verifies identity and employment eligibility.  Acceptable documents are listed in Column A on the I-9, and include items such as a copy of an I-94 or the I-20. 


 

W-4
State Tax
I-9
Employee Information Form
Attach copy of social security card and drivers license in new name and forward to Human Resources.  Contact your HR rep for name changes involving benefits.

Employee Disclosure/Certification and Employment of Family Members Form


This page is maintained by: Cassey L Tune
Please e-mail problems, comments, and suggestions to: fawebmaster@astate.edu