Employee   Forms

Non-Benefits   Related   Forms

• TN New Hire Reporting
• W-4 Form
• 8850 Form
• I-9 Form
• Information Form
• Account Creation for IT (ADCAR) Form
• Active Directory and Termination Form
• Employee Direct Deposit Form
• Employee Salary Advance Form
• Employee Tuition Discount Form
• Housing Allowance Exclusion Worksheet
• Habitat for Humanity Payroll Deduction Form
• University Giving Payroll Deduction Form
• United Way Payroll Deduction
• Special Pay Request
• New Employee Compensation – Salaried Employee
• New Employee Compensation – Hourly Employee
• Employee Compensation Change – Salaried Employee
• Employee Compensation Change – Hourly Employee
• Employment Separation Form

Employee   Benefits   Forms

• Blue Cross Blue Shield Enrollment Form*
• Blue Cross Blue Shield Add Dependent/Change Coverage Form*
• Blue Cross Blue Shield Termination Form
• Blue Cross Blue Shield Prescription Claim Form (use only for prescription drug claims when the claim is not filed through your pharmacist)
• Health Savings Account Application**
• Health Savings Account Beneficiary Designation
• Health Savings Account Payroll Deduction
• TASC Flex Spending Account Application
• TASC Card Request for Spouse/Dependent
• Lincoln Financial Enrollment Form
• Lincoln Evidence of Insurability Form
• TIAA Retirement Plan Salary Deferral***

Student   Employment   Forms

(All new student employees must complete both the I9 and W4 forms found under “Employee Forms”)

• Student Employment Payroll Action Form
• Non-Student Employment Payroll Action Form
• Student Separation Notice
• Student Pay Schedule
• International Eligibility

*- Change may be subject to a qualifying life event per plan
**-Subject to participation in a qualified high deductible plan (plans 2 or 3)
***- Changes effective soonest of January 1st or July 1st

Please contact the Human Resources Office for additional assistance with these forms.