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Online Forms

The documents below are PDF files unless otherwise indicated.
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• Payroll FORMS
  
  •     Banner Payroll Web Time Entry Authorization Request Form
  • Direct Deposit (Bi-Weekly Employees)
  • Direct Deposit (Lecturers Payroll Employees)
  • Faculty Sick Leave Reports
  • FICA Exemption Form
  • Sick Bank Access Request Form - ESPA
  • Sick Bank Access Request Form - FACULTY
  • Sick Bank Access Request Form - PSA
  • Sick Leave Bank Opt-out Form - ESPA
  • Sick Leave Bank Opt-out Form - FACULTY
  • Vacation Leave Request (Classified Employees & Calendar Year Faculty)
  • W-4 Federal
  • W-4 State (RI)
  •     Overtime Request Forms are available in HR and the Business Office
• 
  Benefits
  • Affidavit of Former Spouse's Eligibility for State Health Insurance
  • Certification of Tax Dependent Status (Civil Union Spouse/Children)
  • Certification of Tax Dependent Status (Domestic Partner)
  • Dental Claim Form
  • FSA Enrollment Form
  • Group Legal Enrollment Form
  • Health Insurance Enroll/Change/Waive Form
  • Health Insurance Waiver Form (Classified Employees)
  • Health Insurance Waiver Form (Non-Classified Employees)
  • Incentive Credit Request - CS365 (Classified Employees)
  • Life Insurance Beneficiary Form
  • Life Insurance Enrollment Form
  • Medication Order Form (MEDCO)
  • Pharmacy Reimbursement Form
  • Phased Retirement Form
  • RIPTA Bus Pass Payroll Deduction Form  
  • Treasury Direct
• 
  New Employment Forms
  
  •     Link to Part-Time Employee Forms
    
    
  • Intern/Interpreter/Non Employee Form
    
  • Request to fill a full-time position (RF-1)
• 
  Retirement Forms
  • 403(b) Retirement Authorization
  • 457(b) Deferred Compensation Plan Authorization (Classified Employees)
  • 457(b) Deferred Compensation Plan Authorization (Non-Classified Employees)
  • Catch-Up Form
  • Group Supplemental Retirement Annuity Form
  • Group Supplemental Retirement Enrollment Form
• 
  Leave and Worker's Compensation Forms
  
  • Certification of Health Care Provider for Employee's Serious Health Condition
  • Certification of Health Care Provider for Family Member's Serious Health Condition
  • Certification of Qualifying Exigency for Military Family Leave
  • Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave
  • Injury Report (two forms must be completed & submitted together)
  • Request for Leave (FMLA)
  • Sabbatical/Study Leave form for non-faculty
  •     Sabbatical Leave Procedures for Faculty
  • Vacation Leave Request
• 
  Accommodation Requests
  
  • Disability Verification Form - Health Provider Statement
  • Reasonable Accommodation Request Form
  • Voluntary Self-Identification Form for Employees with Disabilities
• 
  Miscellaneous FORMS
  
  • 2012-2013 PSA Bonus Project Proposal Form
  • 20-Year Statutory Status Application (Non-Classified Employees)
  • Affirmative Action Incident Report Form
  • Alternative Work Arrangement Request
  • Emergency Contact Form
  • Employee Recognition Nomination Form 2013
  • Exit Interview
  • Exit Survey
  • Notice of Non-Academic Disciplinary Action Form
  • Personal Change Form
  •     Performance Evaluation Form
  • Public Records Request
  •     Student Employment Forms - click here to be redirected

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