|
Other Forms |
| FORM |
PDF |
WORD |
EXCEL |
| Address Change Form |
 |
No |
No |
| Annual Leave to Earned Time Conversion |
 |
No |
No |
| Biomechanical Job Analysis Form |
 |
 |
No |
| Certification of Health Care Provider Form |
 |
No |
No |
| Compassionate Donation - Donor Form |
 |
No |
No |
| Compassionate Donation - Receiver Form |
 |
No |
No |
| Delta Dental Claim Form |
 |
No |
No |
| Delta Dental Vision Care Flyer |
 |
No |
No |
| Earned Time to Annual Leave Conversion Form |
 |
 |
No |
| Earned Time to Sick Pool Conversion Form |
 |
 |
No |
| Employer's Request For Child Labor |
 |
No |
No |
| FAIR Notice Form (Complaint and Grievance Process) |
 |
 |
No |
Fidelity Investments - Change of Address Form |

| No |
No |
Fidelity Investments - Online Enrollment Instructions |

| No |
No |
| Harvard Pilgrim Mail Service Prescription Drug Program |
| No |
No |
| Mandatory
Employment Posters |
No |
No |
No |
| Name Change Form |
 |
No |
No |
| Paycheck Distribution Form |
 |
No |
No |
| Presidential
Award of Excellence Nomination Form |
No |
No |
No |
| Record of Higher Education |
 |
No |
No |
| Report of Injury/Occupational Illness Form |
 |
No |
No |
| Report of Injury/Occupational Illness Form (Spanish Version) |
 |
No |
No |
| Request for Leave of Absence Form |
 |
 |
No |
| Salary Reduction
Agreement - New |
No |
No |
No |
| Salary Reduction
Agreement - Non - Status |
No |
No |
No |
| Salary Reduction
Agreement - Postdoctoral |
No |
No |
No |
| Short Term Disability Information
Form |
 |
No |
No |
| Short Term Disability Long Information Form (Pre-existing
Conditions) |
 |
No |
No |
| Short Term Disability Payroll Deduction Form |
 |
No |
No |
| Short Term Disability Simple Application Form |
 |
No |
No |
| TIAA/CREF - Change of Address Form |

|
No |
No |
| TIAA/CREF - Online Enrollment Instructions |

|
No |
No |
| Traditional Leave to Earned Time Conversion Form |

PDF "Fill-In" |
No |
No |
| UNH Campus Mailing Address/Employee Information Form |
 |
 |
No |
| USNH Personal Reimbursement Form (Travel) |
 |
No |
 |
W-4 Form (Employee's Witholding Allowance Certificate)
Federal Privacy Law Disclosure Statement |
 |
No |
No |
W-5 Form (Earned Income Credit Advance Payment Certificate)
Federal Privacy Law Disclosure Statement |
 |
No |
No |
| WageWorks Dependent Care Claim Form |
 |
No |
No |
| WageWorks Flexible Spending Medical and Dental Claim Form |
 |
No |
No |
| WageWorks Guide to Health Care and Dependent Care Accounts |
 |
No |
No |
| Waiver of Overtime Wages |
 |
 |
No |
| Wellness Connection Activity Card |
 |
No |
No |
| Wellness Connection Certification of Completion/Reimbursement
Form |
 |
No |
No |
| Wellness Connection Fitness Enrollment Form |
 |
No |
No |
| Wellness Connection Health Education Class List |
 |
No |
No |
| Wellness Connection Participating Gyms |
 |
No |
No |
| Wellness Connection Prize List - 2008 |
 |
No |
No |