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A         

Accident/Disabiltiy Insurance Election Form

Acting Appointment Letter

Acting Offer Letter - Athletics (Associate/Assistant  Coaches Only)

Additional Compensation Form
Non-Faculty Version
Faculty Version

AFLAC Brochure

Alta Brochure

Ameritas Dental Brochure

AMP Appraisal (Instructions) 

AMP Offer Letter - Internal Only

AMP Performance Appraisal Cover Sheet
Microsoft Word Version or  PDF Version

AMP Position Description
(No longer available on paper - must use PeopleAdmin system)

AMP Regular Offer Letter

Assurant Dental Brochure

Application for Sick Leave Pool Hours

Approval to Pay Lump Sum

Athletics - Acting Offer Letter (Associate/Assistant  Coaches Only)

B          
Banner HR Security Form

Benefits & Retirement (Full Listing of forms)

C           

Cigna Dental Brochure

Colonial Accd/Dis Enrollment Form

Colonial Brochure

Colonial Claim Form

D         

Direct Deposit  

Dental Forms and Information
Ameritas Dental Brochure
Assurant Dental Brochure
Cigna Dental Brochure
Dental Insurance Election Form
United Healthcare Dental Brochure

Deferred Pay Option Plan

DROP Beneficiary Form

DROP Brochure

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E         

EAP - Employee Assistance Program
EAP Website  Horizon Behavioral Health (1-800-865-3200)
Login ID: Florida Atlantic University
Password: EAP 
EAP Quarterly Newsletter
Spanish Version
EAP Monthly Bulletin
Spanish Version
EAP Supervisor Newsletter
Spanish Version

Employee Acknowledgement Form

Employee Educational Scholarship Program
EESP Form

Employee Exit Interview Survey

Employment Eligibility Verification ( I-9 Form Acceptable I-D's )

Employment Letters
Acting Appointment Letter
AMP Offer Letter - Internal Only
AMP Regular Offer Letter
Interim Appointment Offer Letter
Provisional Appointment Offer Letter
SP to AMP Offer Letter 
Support Personnel Offer Letter - Internal Only 
Support Personnel Regular Offer Letter
Temporary Offer Letter
Temp to AMP Offer Letter
Temp to SP Offer Letter
Time Limited Appointment Offer Letter
Voluntary Demotion (Acknowledgement Memo)

Evidence of Insurability

E-PAF Data Entry Worksheet

E-PAF Data Entry Worksheet Instructions

E-PAF User Guide

Extended Medical Leave Form
Certification of Health Care Provider - Employee Form

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F          

Faculty Notice of Appointment

Flexible Spending Plan Forms
Flex Enrollment/HSA Enrollment Form 
FSA Tax Favored Accounts Reference Guide
FSA Direct Deposit Form
HIHP HSA Mailer
HSA Application
Flex Spending Claim Form
FSA-MRA Letter of Medical Need
FSA-MRA Termination Form
myMRA(Medical Reimbursement Account) Card Mailer

FLSA Checklist for Temporary (formerly OPS)

(FMLA) Family and Medical Leave Act Forms
Certification of Health Care Provider - Employee Form
Certification of Health Care Provider - Family Form
Certification of Military Caregiver (WH-385) Form
Certification of Qualifying Exigency (WH-384) Form

FRS (Florida Retirement System)  Forms
FRS Beneficiary Form
FRS Beneficiary Investment Form
FRS Forms Web Site  ( Alternate Alphabetical Listing)
FRS General Retirement Plan Enrollment
FRS Investment Plan SPD (Summary Plan Description)
FRS Reemployment after 7/1/2010
Reemployment Rules for FRS Pension Plan and DROP Members
Reemployment Rules for FRS Investment Plan Members

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G         
Grievance Forms
General Grievances
Suspensions or Terminations    

Group Life Beneficiary Designation

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H           

Healthcare Dental Brochure

Health Insurance Forms
Spouse Program Enrollment Form
Surviving Spouse Program Enrollment Form
BC/BS Claim Form
Dependent Verification Form
Major Medical/Comprehensive Claim Form
Authorization to Disclose Personal Health Information
Pre-tax Premium Waiver form

HRS Security Request Form
Northwest / Plus (Online version)

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I        

I-9 Form Acceptable I-D's

Interim Appointment Offer Letter                          

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J       
Job Acknowledgement Form  

Job Acknowledgement Form  (Tutors Only)

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K         

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L        
Leave Pay Out Forms
Leave Cash Out Form 

Leave Request Forms
Leave Request Form - Standard
Leave Request Form - Special
Intermittent Leave Request Form

Letter of Offer
Acting Appointment Letter
AMP Offer Letter - Internal Only
AMP Regular Offer Letter
Interim Appointment Offer Letter
Provisional Appointment Offer Letter
SP to AMP Offer Letter 
Support Personnel Offer Letter - Internal Only 
Support Personnel Regular Offer Letter
Temporary Offer Letter
Temp to AMP Offer Letter
Temp to SP Offer Letter
Time Limited Appointment

Letter of Offer for SP to AMP (Promotions ONLY)

Life Insurance Forms
Life Portability form
Life Insurance Enrollment Form
Group Life Beneficiary Designation
Questionnaire Form (for Optional Life)
Minnesota Life Insurance Booklet

Long Term Disability Enrollment Form

Long Term Disability Claim Form

Long Term Disability Brochure

Lump Sum, Approval to Pay (Time Specific Payments)

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M        
Minnesota Life Insurance Booklet    

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N        

New Student Employee Form

New Student Employee Form Instructions

Notice of Appointment (Faculty)

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O         
On Call Payment Form

Optional Retirement Program(ORP16)

Optional Retirement Program(ORP16a)

Optional Retirement Program - Written Plan

Oral Reprimand Form

Outside Employment or Professional Activity, Reporting of ( Form ) (Guidelines)

Overtime Request Form

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P          

(PAF) Personnel Action Form
PAF Addendum Form
Package for exempt Temporary (formerly OPS) -
contains PAF & FLSA Checklist
Package for non-exempt Temporary (formerly OPS) -
contains PAF & Acknowledgement

Payroll Schedule

PeopleAdmin Security Request Form

Performance Appraisals
AMP Performance Appraisal Cover Sheet  -
Microsoft Word Version or  PDF Version

SP Performance Appraisal Form

Perquisites
Request for Approval of Perquisites or Sale of Goods & Services Form
Microsoft Word Version or PDF Format   

Personal Data Sheet

Philadelphia American Brochure 2008

Position Job Identification Form (formerly OPS)

Preferred Legal
Preferred Legal Enrollment Form
Preferred Legal Brochure

Previous State of Florida Service Form

Provisional Appointment Offer Letter

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Q         
Questionnaire Form (for Optional Life) 2008    

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R         

Recreation and Fitness Center
Membership Information and Forms

Request To Appoint Above Salary Guidelines

Request for Establishment Form
(No longer available on paper - must use PeopleAdmin system)

Report of Specified Interest
PDF Version

Reporting of Outside Employment or Professional Activity ( Form ) (Guidelines)

Request for Approval of Perquisites or Sale of Goods & Services Form
Microsoft Word Version or PDF Format

Request for Reclassification Form
(No longer available on paper - must use PeopleAdmin system)

Retirement Forms
Tax Sheltered Annuity Representatives
FRS General Retirement Plan Enrollment
FRS Investment Plan SPD (Summary Plan Description)
Optional Retirement Program (ORP16)
Optional Retirement Program (ORP16a)
Optional Retirement Program - Written Plan
Salary Reduction Agreement Form
FRS Beneficiary Form
FRS Beneficiary Investment Form   DROP Beneficiary Form
DROP Brochure
FRS Forms Web Site  ( Forms Alphabetically)
403b Universal Availability Notice
SUSORP Brochure
FRS Termination Kit
Retirement Options for New Employees
FRS Reemployment after 7/1/2010
Reemployment Rules for FRS Pension Plan and DROP Members
Reemployment Rules for FRS Investment Plan Members

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S         

Separation Clearance Form
PDF Version

Sick Leave Pool
Sick Leave Pool Application
Sick Leave Pool Physician Statement
Application for Sick Leave Pool Hours
Sick Leave Pool Booklet

SP Performance Appraisal Form

SP Position Description
(No longer available on paper - must use PeopleAdmin system)

SP to AMP Offer Letter

Special Pay Increase Form: Information Page
Also used for AMP Bonus Payments
Microsoft Word Version or PDF Format

Student Employment Appraisal Form

Student Temp Appointment Form (Exempt)

Student Temp Appointment Form(Non-Exempt)

Supplemental Insurance Forms
Long Term Disability Enrollment Form
Long Term Disability Claim Form
Long Term Disability Brochure
Evidence of Insurability
Colonial Claim Form
State Securities Hospital Claim Form
Supplemental Hospital Insurance Web Site
AFLAC Brochure
AFLAC Cancer Screening Wellness Benefit Claim Form Alta Brochure
New Era Brochure
Colonial Brochure

Support Personnel Offer Letter - Internal Only 

Support Personnel Regular Offer Letter

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T          
Tax Sheltered Annuity Representatives

Temp to AMP Offer Letter

Temp to SP Offer Letter

Temporary Offer Letter

Termination of Deferred Pay Option Plan

Time Input Calendar

Time Input Verification Form (Timekeepers only)

Time Limited Appointment Offer Letter

Timesheets
Directions: Change the Pay Period # to the desired pay period and print.
Non-Exempt Timesheet
Temp Timesheet

Time Specific Payments (Approval to Pay Lump Sum Payments)

Tri-Rail

Tri-Rail Employee Discount Application

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U             
University Equipment, Facilities and Services
PDF Version    

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V         

Veteran's Preference Consideration Form

Vision Care
Vision Brochure
PPO Vision Coverage

Volunteer Waiver Form

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W         
W-4 Form

WORKERS' COMPENSATION:                         
FMLA (Family and Medical Leave Act)
Non-Medical Injury Report
PDF Version
Mileage Reimbursement Form
PDF Version

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X        
Y        
Z        

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Last Modified 2/28/12

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