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  • General – Forms Index

Forms Index

The index below contains important Human Resources forms.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

  • 1

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    • 12-Month Pay Election

    4

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    • 457 Contribution Change Form
    • 457 EZ Enrollment Form

    A

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    • A2 – Administrators, Academic Professionals and Faculty Position Recruitment Plan
    • Accrual Adjustment Form
    • Administrator Performance Criteria Sample
    • Aetna Conversion Form
    • Aetna Portability Application
    • Aetna Waiver of Premium – Part 1
    • Aetna Waiver of Premium – Part 2
    • Age 65 and Over ASRS Opt-Out Form (New Hires Only)
    • Approval for Access (policy 5.14)
    • Arizona A-4 Form and Instructions
    • Arizona State Retirement System (ASRS) Address/Name Change
    • Arizona State Retirement System (ASRS) Beneficiary
    • ASI Flexible Spending Account Claim Form – ABOR
    • ASRS Application for Return Or Transfer of Contributions
    • ASRS Medical Cost Subsidy/Reimbursement – Bi-annual Application Form
    • Avesis Vision Insurance Claim Form
    • AZ Labor Law Poster
    • AZ Labor Law Poster (Spanish)

    B

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    • Biometric results form
    • Blue Cross and Blue Shield Creditable Coverage Disclosure/COB Information
    • Blue Cross and Blue Shield Health Insurance Claim

    C

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    • Cell Phone Allowance Form
    • Classified Staff (CLS) Pay Grade Schedule
    • COBRA Enrollment Form
    • Compassionate Transfer of Leave (CTL) – Recipient
    • Compassionate Transfer of Leave (CTL) – Donor

    D

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    • Direct Deposit Authorization

    E

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    • Employee Exit Separation/Transfer Checklist
    • Exit Interview (Online Version)
    • Exit Interview (Printable Version)

    F

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    • Fidelity Enrollment, Investment Election, and Beneficiary Form for Qualified Plans
    • Flexible Spending Account (FSA) Forms
    • Flexible Spending Account Claim Form
    • Flexible Work or Hybrid/Remote Request Form
    • Foreign National Vendor Form
    • Form I-9

    G

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    H

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    • NAU Health Care Savings Account Election Form
    • State Health Care Savings Account Election Form
    • HSA Transfer Request Form – HealthEquity
    • HSA Transfer Request Form – Optum
    • Hire Smart Checklist

    I

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    • IRS Form W-4 (Federal)

    L

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    • Leave of Absence
    • Light Duty Assignment Request
    • Louie Security Access Request

    M

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    • Matrix Sample
    • Missing Punch Log

    N

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    • New Employee Checklist – Regular Benefit-Eligible Employee
    • New Employee Checklist – International Regular Benefit-Eligible Employee
    • New Employee Checklist – Hourly/Part-Time Temp Employee
    • New Employee Checklist – International Hourly/Part-Time Employee
    • Notary Form
    • Notary Instructions

    O

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    • Off-Cycle Check Request
    • ORP (Optional Retirement Plan) Investment Company Change Form
    • Out Of State Approval Form

    P

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    • Partner Assistance Application and Fact Sheet
    • Partner Assistance Request Form
    • Payroll Deduction Authorization
    • PeopleSoft Security Access Request
    • Performance Appraisal – Streamlined Alternate Form 2021 – 2022 – Fillable Word Doc
    • Performance Appraisal – Streamlined Alternate Form 2021 – 2022 – Plain Word Doc
    • Performance Appraisal for Classified Staff and Service Professionals – SELF APPRAISAL Narrative option 
    • Performance Appraisal for Classified Staff and Service Professionals – SELF APPRAISAL Ratings option
    • Performance Appraisal for Classified Staff and Service Professionals – SUPERVISOR Form
    • Phased Retirement Agreement
    • Position Description Form (Word)
    • Position Description Form (PDF)
    • Primary Name Change

    R

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    • Research Faculty (NCF/Privilege Only) Recommendation
    • Reference Check/Employment Verification Form
    • Remote Employee Hiring Packet
    • Report of Exposure to Bodily Fluids or Other Potentially Infectious Material
    • Request of Absence (ROA)
    • Retiree Return to Work Form

    S

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    • Safety/Security Sensitive Position Identification Tool
    • Social Security Number Request Form – F-1
    • Social Security Number Request Form – J-1
    • Standard Insurance Conversion Packet
    • Standard Insurance Portability Application
    • State of Arizona Loyalty Oath
    • Supervisors Report of Injury (SRI)
    • Supplemental Compensation for CLASSIFIED STAFF AND SERVICE PROFESSIONALS
    • Supplemental Compensation Pre-Approval Step 1 for FACULTY
    • Supplemental Compensation Payment Step 2 for FACULTY

    T

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    • TIAA-CREF
    • Time Sheet – Hourly Employees
    • Transmittal Advice for Hourly Time Slips

    U

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    • Unum Provident Hospital Claim Form
    • Unum Provident Short Term Disability Claim Forms
    • Unum Provident Short Term Disability Evidence of Insurability Form

    W

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    • W-4 IRS Form (Federal)
    • Waiver of Recruitment for Classified Staff and Service Professionals
    • Waiver of Recruitment for Faculty and Academic Professionals
    • Workers Compensation Physician Information Sheet
Welcome to Human Resources
Location
Building 91
Centennial Building
411 S Beaver Street
Flagstaff, Arizona 86011
Email
HR.Contact@nau.edu
Phone
(928) 523-2223