Office of Human Resources

Employment

HR Updates

References

Training

OTHER LINKS

Employee Self Service (ESS)

Employment Opportunities

GCSU Website

HR Homepage

Info Page

MyCats

University System of Georgia

Human Resources Forms Available for Download
You will need the free Adobe Acrobat Reader to download some of these forms. You can get it here, if you don't already have it on your workstation.

BENEFITS

• 403(b) Enrollment Form (PDF)

• 403(b) Cancellation Form (Word document)

• 457(b) Enrollment Form (Word document)

• 457(b) Cancellation Form (Word document)

• ADA Accommodations Health Information Release Waiver (doc)
• ADA Physician's Medical Request Form (doc)

• Annual/Sick Leave Request Form

• Life Insurance Beneficiary Designation Form (pdf)

• BlueCross/BlueShield Health Benefits Claim Form

• BlueCross/BlueShield Dental Benefits Claim Form

• Consent for  Use/Release of Health Information (HIPAA) Form (Word document)

• ExpressScripts Pharmacy Benefit Claim Form

• Family Status Change Form (Word document)

• Flexible Spending Reimbursement Form (PDF)

• Long Term Disability Enrollment Form

• PPO Health Benefits Claim Form

• Shared Leave Donation Form

• Shared Leave Physician's Certification Form

• Shared Leave Request Form

• Teacher's Retirement System of Georgia Beneficiary Change (PDF) (Changes to beneficiaries can be made at anytime during the year.)

• Workers' Compensation Claim Reporting Form (Word document)

EMPLOYMENT

• Employee Separation Checklist (must be completed by all retiring, terminating, or resigning employee prior to their appointment with Human Resources)
• Extra Compensation Form
• Extra Compensation Form Instructions
• GCSU Drug Free Schools and Communities Act
• Internal Posting Program (IPP)
• Name and/or Address Change form must be completed to insure that all insurance,w-2 information is mailed to the appropriate address)
• Part-Time Employee Separation Checklist
• Rehire Retiree Process and Application (This form can be completed online and submitted for approval via email.)
• Student Employee Separation Checklist (To terminate Federal and College Work Study employees and Graduate Assistants)
• Staff Evaluation for Hourly Paid Employees
• Staff Evaluation for Monthly Paid Employees
• Voluntary Retirement Program Guidelines and Application

Updated Employment Forms - January 2010
NEW! Personnel Action Form

HIRING PACKETS

• Please contact HR for a copy of the latest employment packet. Prior versions of the employment  packets will not be accepted.

PAYROLL

         Payroll forms can be found at this site - http://info.gcsu.edu/intranet/bandps/payroll/

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