Human Resources Forms

• AP Attendance Record (382kB)
• Police Attendance Record (290kB)
• 403(b) Compensation Plan Agreement Form (124kB)
• 457(b) Deferred Compensation Plan Agreement Form (106kB)
• BCBS/HealthPlus 2013 Enrollment/Change Form (65kB)
• Benefit Enrollment and Election Form (76kB)
• CARE (Cards and Response to Event) Form (42kB)
• Change of Address, Name or Username Change Form (51kB)
• Comp Time payout (10kB)
• Direct Deposit Form (47kB)
• Employee Data Form (112kB)
• Exit Interview Questionnaire for Employees (147kB)
• Exit Interview Questionaire for Managers (48kB)
• FERPA Faculty Form (33kB)(Including Adjunct Faculty)
• FERPA Staff form (104kB)
• FERPA Student Employees (93kB)
• Financial Conflict of Interest Policy (8kB)
• Flexible Spending Health & Dependent Care Reimbursement Form (40kB)
• Flexible Spending Health & Dependent Care Reimbursement Form page 2‌ (33kB)
• Hartford Life Beneficiary Form‌ (324kB)
• Hartford Personal Health Form‌ (260kB)
• Hartford Supplemental Life Form‌ (192kB)
• Hartford Long Term Disability form (94kB)
• Internal Bid Sheets‌ (1kB)
• MESSA Supercare I or Choices II MESSA Member Application (99kB)
• MESSA Beneficiary Designation Form (33kB) (All MESSA members are provided with $5,000 life insurance coverage)
• MESSA Member Change Form‌ (152kB)
• MESSA Member Cancellation Request Form‌ (75kB)
• Supplemental Life Ins Enrollment Form‌ (192kB)
• Termination Checklist (146kB)please e-mail hr@svsu.edu 
• Tuition Waiver Benefit Form (78kB)
• Tuition Waiver Benefit Form - Adjunct Faculty (73kB)
• TIAA-CREF.org or contact Tiaa-CREF at (1-800-842-2776)
• TIAA-CREF Name Change (31kB)  (The change can also be made online at www.tiaa-cref.org )
• Vacancy Bid Sheet‌ (1kB)