HR Forms

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HR General Forms

• Authorized Payroll Check Courier Form
• Cabinet Approval Process for New Positions (updated 1/24/2011) 
• California Voluntary Plan Benefits (2011)
• Clipper Direct Enrollment Form
• Deferred Compensation Election 
• Designated Person Form for Paid Sick Leave
• FACHEX & Tuition Exchange Application
• FACHEX Program - Participating Schools
• Tuition Exchange and FACHEX Programs FAQs 
• Tuition Remission Application
• Faculty/Staff Separation Checklist
• Job Description Template
• Koret Family Form
• New Parent Packet
• Professional Development Procedures and Form
• Consent to Release Information
• Online Pay Stubs Request Form
• Relocation Assistance Vendor
• Spousal Surcharge Waiver Form
• USF 2028 
• USFFA Housing Subsidy Program 2011-2012
• Administrative Employee Handbook 

Health Plans

• USF Family Eligibility For Benefits
• Certification Form for Dependents Up to Age 26 
• 2012 Benefits Guide
• 2012 Benefits Rates
• 2012 LDA/RDP Rates
• Qualifying Events
• *Anthem Blue Cross Enrollment/Change Form
• Anthem Blue Cross Home Delivery Pharmacy Booklet
• Anthem Blue Cross Home Delivery Pharmacy Order Form
• Anthem Blue Cross Prescription Claim Form 
• Anthem Blue Cross Member Claim Form
• *Kaiser Enrollment/Change Form
• USF Employee Health Plan Waiver Form

Dental Care Plan

• *Delta Dental Claim Form
• *Delta Dental Enrollment/Change Form
• Delta Dental Benefit Highlights

Eye Care Plan

• *VSP Enrollment/Change Form
• VSP Benefit Highlights

Flexible Spending Plan

• 2013 USF Childcare Subsidy Application
• Benesyst Flexible Spending Accounts Information
• Benesyst Flexible Spending Accounts Information - Life Events
• Benesyst Flexible Spending Accounts Information - Dental Claims
• *Benesyst Direct Deposit Authorization Form
• Benesyst Dependent Care Reimbursement Request Form
• Benesyst Health Care Reimbursement Request Form

San Francisco Health Care Security Ordinance

• San Francisco Health Care Waiver Form
• San Francisco Health Care BeneFLEX Summary Plan Description
• San Francisco Health Care BeneFLEX Eligible Expenses
• San Francisco Health Care BeneFLEX Claim Form
• San Francisco Health Care BeneFLEX Direct Deposit Form

Life and AD&D Plans

• *CIGNA Beneficiary Form
• CIGNA Term & Accident Insurance Booklet
• CIGNA Optional Dependent Life Form
• *CIGNA Optional Life and AD&D Form  

Retirement

• 403(b) Salary Reduction Authorization 2012
• 403(b) Salary Reduction Authorization 2013
• 403(b) Automatic Enrollment Opt-Out
• 403(b) Automatic Enrollment Withdrawal
• *Fidelity 403(b) Application
• *Fidelity 403(b) Rollover Application
• *Fidelity Beneficiary Form
• Emeriti Voluntary Contribution Authorization Form
• *TIAA-CREF 401(a) Application
• *TIAA-CREF 403(b) Application
• *TIAA-CREF Rollover Form
• *TIAA-CREF Beneficiary Form
• Vesting Waiver Form

Health Club

• Health Club Membership Form

Workers' Compensation

• Workers' Compensation Benefit Highlights
• MPN Notice
• MPN Modification Notification

Performance Appraisals

• Vice President Annual Evaluation Form
• Administrative Staff Annual Performance Appraisal Form 2013
• OPE Performance Levels: General Definitions
• OPE Probationary Appraisal Form

New Hire Forms

• *Employment Eligibility Verification Form (I-9)
• *Employee Withholding Form (W-4)
• *CA State DE-4 Withholding Form 
• Direct Deposit Form
• Disclosure and Authorization Form
• USF Voluntary Self ID Form
• USF Employee Data & Emergency Contact Form

Payroll Advance Forms

• Special Check Request
• OPE Vacation Form
• Vacation Advance Form  

Payroll Year-End W-2 Instructions

• W-2 Instructions 2012
• W-2 Instructions 2011
• W-2 Instructions 2010
• W-2 Instructions 2009
• W-2 Instructions 2008