Forms
A listing of Human Resource Services forms.
- Authorization for Criminal Record Check (OP70.20A)
- Authorization for pre-employment or 15 passenger van operator drug testing
- Consent to Drug & Alcohol Testing (OP70.35)
- Summary Notice of Privacy Practices Form (Benefits Eligible Employees Only)
- Employment History Verification Form
- Employee Recruiting Checklist - Faculty/Staff benefits eligible positions
- Employment Termination Checklist
- FCRA - Summary of Rights
- Offer of Employment to F1 Student
- Accelerated Life Benefit Claim
- Application to Request Continuation Coverage for a Disabled Child, at Age 25 and Over
- Caremark Mail Service Order Form(Health Select)
- Caremark Prescription Claim Form(Health Select)
- Comprehensive Claim Form for Benefits (HealthSelect)
- Dependent Child Certification
- Disability Claim Form
- Dismemberment Benefits Claim
- Evidence of Insurability(EOI) Application
- Extended Life Insurance Benefit (EIB) Claim with Group Life Beneficiary
- Group Life Insurance Conversion Application
- GBP Supplemental Information Form
- Insurance Multipurpose Form
- Long Term Care Application(username: ers; password: mybenefit)
- ORP Information Acknowledgement Form
- ORP Salary Reduction Acknowledgment/ORP Change of Company
- ORP Transfer Request Form
- SKIP Application
- TexFlex Direct Deposit Form
- TexFlex Enrollment Form
- TexFlex Health/Dependent Care Claim Form
- TRS Eligibility Determination & Enrollment Authorization Form
- TRS 6 - TRS Notice of Final Deposit and Request for Refund
- TRS 11 - TRS Designation of Beneficiary
- TRS 18 - TRS Request for Estimate of Retirement Benefits
- TRS 28 - ORP Notice of Election to Participate in Optional Retirement Program
- TRS 29 - ORP Application For Refund For Participants in the Optional Retirement
- TRS 358 - TRS Change of Address Notification
- TSA Salary Reduction Agreement Form
- Application for Family and Medical Leave
- Application For Sick Leave Pool
- Application to Contribute Sick Leave to the Sick Leave Pool
- Application for Legislative Leave for Peace Officers
- Certification of Physician or Practitioner
- Lump Sum Vacation Certification Form
- OP 70.01 Leaves of Absence
- Physician Statement for Sick Leave Pool