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Forms A to Z Index

# | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V |W | X | Y | Z |  Forms by PERS Number


12 month payment plan payroll authorization
403b Plan Payroll Deduction Form
457 Beneficiary Form
457 Change Form 


Administrative Professional Continuous Offer Letter
Administrative Professional Non-Continuous Offer Letter
Administrative/Professional Performance Evaluation Summary
Annual Report of Secondary/Outside Employment


Benefits Transfer From Other State Agencies


Campus Address Phone and Location Change Form
Campus Security Act Information Request
Cell Phone Stipend Request Form
Civil Service Employee Request To Take Courses During Work Hours
Coordination of Benefits Worksheet


Dental Claim Form
Domestic Partner


Employee Orientation Checklist
Evidence of Insurability - Prudential
Exempt Civil Service Employee Performance Appraisal and Development Review
EZ Reimburse MasterCard Receipt Transmittal Cover Sheet


Faculty Notice of Absence from Scheduled Duties
Fingerprint Consent Form
Flexible Spending Account Change in Status Certification
Flexible Spending Account Reimbursement Request Form
FMLA Application for your own health condition
FMLA Application for a health condition of your spouse, registered domestic partner, child, or parent


Graduate Assistant Administrative/Operational Offer Letter
Graduate Assistant TA, RA, or Graduate Practicum Offer Letter
Graduate Assistant Course Load Waiver Request Form
Graduate Assistant Unpaid Leave Application
Grievance Form - Non-Union
Group Medical Direct Claim Form CIGNA


HealthLink Health Insurance Claim Form


Insurance Opt Out Election Certificate


Joint Faculty Appointment Agreement


No forms


Leave of Absence Request – Civil Service
Leave of Absence Request-Faculty and A/P

Long Term Disability Change Form (Prudential) 
Long Term Disability Enrollment Form


MCAP COBRA Election Form
Medical Leave Application - Employee
Medical Leave Application - Family
Minnesota Life Beneficiary Designation CMS
Minnesota Life Statement of Health


NonExempt Civil Service Employee Performance Appraisal and Development Review
Non-Tenure Track Faculty Classroom Evaluation Form
Non-Tenure Track Faculty Evaluation Form
Non Tenure Track Faculty Notice of_Desired_FTE
NTT Faculty Sample Offer Letter
Non-Tenure Track Faculty Self Assessment Form


Orthodontic Expense Prorating Worksheet (QCDP)


PERS Forms
Personal Data Sheet 
Personnel Action Form
Part-Time Employee Election/Waiver of Group Insurance Participation
Phone (Cell) Stipend Request Form
Position Title Initial Data Review Form
Prudential - Evidence of Insurability


No forms


Recommendation For Academic Appointment To a Tenure Track Position
Request for Advertising
Request to Hire SURS Annuitant
Request to Take a Course During Work Hours
Resignation-Retirement Form 


Security Sensitive Positions
Sick Leave Bank Request for Sick Leave Credit
Sick Leave Transfer Form
Statement Concerning Your Employment in a Job Not Covered by Social Security
Statement of Claims for Behavioral Health Benefits 
Statement of Domestic Partnership
Statement of Security & Confidentiality of Data
Student Employment Webform
Summer Pay Request
SURS Sheet for Other SURS Employment (required document to be completed for returning retirees)



Tenure Year Designation
Termination of Domestic Partnership
Title Change Request For Administrative/Professional Personnel
Tuition/Fees Waiver for Retired Faculty and Staff  
Tuition Waiver for Children of Public University Employees - Attending ISU
Tuition Waiver for Children of Public University Employees - Not Attending ISU
Tuition Waiver for Children of Public University Employees - Attending ISU Parent Not Employed at ISU
Tuition Waiver for ISU Employees
Tuition Waiver for Non-ISU Employees


No forms


Vacation Accrual Rate Form
Voluntary Self-Identification Form – New Hire
Voluntary Self-Identification Form – Disability
Volunteer Services Instructional Form
Volunteer Services Non-Instructional Form



No forms


No forms


No forms


No forms

2016-03-30T09:01:04.076-05:00 2016