FORMS

Faculty/Staff

• Paid Holidays Calendar
• Payroll Calendar
• Flexible Spending Enrollment Form
• Flexible Spending Enrollment Kit
• Payroll Adjustment Form
• Kronos Employee Leave Request Form
• Attendance Report for Nonexempt Employees
• Change of Address Form
• FSD Reimbursement Form
• FSH Reimbursement Form
• Agreement for Salary Reduction
• Tuition Remission Forms
  • Dependent Waiver Form
  • Faculty/Staff Waiver Form

Benefits, Leave or Job Data, Paystubs, W2 and T4 Forms, W4 data

• I9 Employment Eligibility Verification
• L4 Employee Withholding Exemption Certificate 2013
• W4 Employee Withholding Allowance Certificate 2013
• Direct Deposit/Cancellation Form

*All original documents along with proper identification must be brought to the Human Resources Department in person.

Student Employee

• DHP Timesheet with Calendar (2013)
• DHP Timesheet Instructions

Please complete the necessary forms and return to Human Resources room 410 XUSouth between the hours of 9:00 AM-4:00 PM M-F