Human Resources Forms

Employment

New Employee Paperwork Performance Appraisal Forms and Guidelines
Job Description Template Staff Telecommuting Agreement
Professional Development Training Leave Staff Who Teach Authorization Form
Consent to Release Information Special Affiliate Request Form
Conflict of Interest Disclosure Form Employment of Relatives Disclosure Form

Benefits

General:

Anthem Blue Cross:

Dental/Vision:
Family Eligibility for Benefits Home Delivery Pharmacy Booklet Delta Dental Claim Form
CIGNA Life and Accident Insurance Application Home Delivery Pharmacy Order Form Delta Dental Benefit Highlights
CIGNA Beneficiary Form Prescription Claim Form Delta Dental Summary Plan
Leave of Absence (LOA) Request Form Member Claim Form VSP Benefit Highlights
Childcare Subsidy Form   VSP Summary of Benefits

Retirement:

Retirement:

USFFA:

Financial Advisor Reimbursement Form

 TIAA Online Enrollment Guide Rent Reimbursement Request Form

401(a) Vesting Waiver Form

Salary Reduction Agreement

 Relocation Reimbursement Request Form
Fidelity Incoming Rollover Form TIAA 403(b) Incoming Rollover Form USFFA Second Mortgage Program Description
Fidelity Beneficiary Form TIAA Beneficiary Form USFFA Second Mortgage Program Application
Emeriti Voluntary Contribution Authorization Form Emeriti Qualified Medical Expense Form Relocation Assistance Vendor

Tuition:

SF HCSO* and SF Sick Leave:
Tuition Remission Form HCSO Employee Voluntary Waiver Form
Tuition Remission Plan HCSO HRA Claim Form
FACHEX and Tuition Exchange Form HCSO HRA Direct Deposit Form
FACHEX Program - Participating Institutions HCSO HRA Welcome Packet (new enrollees)
FACHEX and Tuition Exchange Programs FAQ HCSO HRA Complete Employee Packet (continuing enrollees)

Flexible Spending Accounts:

 HCSO HRA Qualified Expenses - Dental/Vision/LTC Excepted Benefit
BASIC Pacific FSA Reimbursement Claim Form Designated Person Form for SF Paid Sick Leave
BASIC Pacific FSA Direct Deposit Form

Commuter:
BASIC Pacific FSA Employee Packet Pre-Tax Commuter Plan and Subsidy Enrollment Form
BASIC Pacific FSA Welcome Packet My Commuter Check (MYCC) Registration and Ordering Guide
  *HCSO: healthcare security ordinance

Wellness:

Payroll:
GoUSF Event RSVP form Deferred Compensation Election
Gym Membership Reimbursement Form (for branch campus employees) Online Pay Stubs Request Form
Wellness Event Reimbursement Form Authorized Payroll Check Courier Form
Ergonomics Assessment Form Out-of-State Income Tax Withholding Form
  Special Check Request

Workers' Compensation:

 OPE Vacation Request Form
Workers' Compensation Benefits W-2 Instructions 2015
Medical Provider Network (MPN) Notice  

To view the PDF documents on this page, Adobe Acrobat Reader software must be installed on your computer. Forms with an asterisk '*' must be submitted by hand or via fax to protect your Personal Identifiable Information, specifically your Social Security Number. Unencrypted e-mail transmission of Highly Confidential information is not permitted per the USF Information Security Policy.