Certification of Health Care Provider (FMLA)

Used to certify a medical condition for Family/Medical Leave

Military Leave Letter/Form

Used to acknowledge a request for Military Leave.

Release to Return to Work Certification

Used when returning to work after a leave of absence that required a Certification of Health Care Provider Form or other medical documentation

Sick Leave Accrual Verification

Used to verify the sick leave balance of an employee moving to a different Arizona state government agency

New Hire Sick Time Transfer from Another State Agency

Used to request the transfer of sick time from another Arizona state government agency

Hours Adjustment

Used to manually adjust an employee's leave balance hours

Vacation/Compensatory Time Termination Worksheet

Used to calculate and authorize payment of vacation and/or compensatory time to terminating employees

PDF

Info

Non-Exempt Employee Calendar

Alternate record for reporting time worked

Background Check Services and Pricing

Sterling Testing Systems services and prices

Fingerprint Checklist

To guide you through the fingerprint process

Background Verification Checklist

To guide you through the background check process

Background Check Packet for Classified Staff, Service Professionals and Academic Professionals

• Authorization to Obtain a Consumer Report
• Summary of Rights Under Fair Credit Reporting Act
• Consent and Disclosure Form

• Faculty Consent and Disclosure Form
• Summary of Rights Under Fair Credit Reporting Act

Fingerprint Check

Pre Employment Inquiry Form

Fax Cover Sheet

Use to fax a criminal background request to HR

Conditional Offer Letter Template

For Classified Staff in a position that is not grant funded

Conditional Offer Letter Template

For Classified Staff in a position that is grant funded

Benefits Enrollment or Change Form

Used to enroll in benefits or to change your benefits

Used to continue or decline insurance after termination of employment

Savings Bonds

Used to authorize a deduction from your pay to purchase U. S. Savings Bonds or to change beneficiary for U.S. Savings Bonds

Employees, spouses or dependents taking classes at U of A or NAU; Retirees and Affiliated Staff taking classes at ASU, U of A or NAU

Worker's Compensation Forms

Please print out all of the following forms when reporting an incident:

Employer's Report of Injury

Supervisor's Incident Report

ALERT

Authorization Form

PDF

Word

PDF

Delta Dental Claim

To use in submitting a claim for an out-of-network provider

MetLife Dental Claim

To use in submitting a claim for an out-of-network provider

Arizona State Retirement System Forms

Link to the Arizona State Retirement System (ASRS) forms page

Retiree Benefits Enrollment

Used to continue or decline benefits upon retirement

Independent Contractor Checklist

Use this form for review and approval of Independent Contractors before performance of services begins.

Consultant/Independent Contractor Forms

Checklist Substitute W9 Department Professional Service Order Instructions to ASU Substitute W-9

Personal Data Form

Form used to collect personal information on new hires or for existing employees to report changes of personal information.

Applicant List- for resumes sent directly to departments

Use this form to track resumes received from applicants replying to a posted position.

Hiring Process Report

Form used to initiate new hire process for all except student workers.  This form is also required for employee promotions, transfers and rehires.  Upon completion, submit to HR Payroll for processing.

Post Offer of Employment Physical Exam Sheet

Use this form when requiring an employee to have a physical examination.

Emergency Hire

Use this form to fill an open position that needs an immediate hire.

Waiver of Recruitment

Use this form to request a waiver of recruitment.

Use this form as a template to confirm an offer of employment.

Sample Regret Letter #1

Use this form as a template to notify applicants that the position will not be filled at this time.

Sample Regret Letter #2

Use this form as a template to notify applicants that they were not selected.

Staff Request

Use this form to post a vacancy announcement for Classified/Service Professional/Administrative positions.

Classified Staff Performance Review

Suggested form for classified staff performance review

PDF

Word

Classified Staff Self Evaluation

Suggested form for classified staff self evaluation

PDF

Word

ASU ID Change Request Form

Employee Earned Income Credit (W-5 Form)

Use IRS Form W-5 if you are eligible to get part of the Earned Income Credit (EIC) in advance with your pay and choose to do so.

Direct Deposit Form

Form used to establish or change direct deposit of pay.

Pay Option Change

Form used to select payment options for faculty on academic year appointments.

New Employee Payroll Packet

Payroll and other HR forms needed from new hires.

Expense Transfer (for Non-Sponsored Accounts)

Expense Transfer (for Sponsored Accounts)

Form used to transfer employee expenses to or from a sponsored account.

Retroactive Adjustment

Form used to make a retroactive adjustment to an employees pay or accounts.

RIF Analysis Form

Use this form to perform a departmental analysis in the determination of a RIF.