Student Group
 

Employee Forms

Non-Benefits Related Forms

TN New Hire Reporting 
W-4 Form 
I-9 Form 
Employee 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***

*- 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.
 

Spotlight On

Joel Kailing
Dr. Joel Kailing
Communication and the Arts

Professor of Communication

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