NOTE: Some of these form links will take you to a site away from the MUW website.
AFLAC Claim Form (This form is for Mississippi residents only. If you live in another state, please contact Human Resources for the correct form.) |
[PDF] |
Background Check Release |
[PDF] |
Change of Address |
Call Human Resources |
Confidentiality Agreement |
[PDF] |
Deferred Pay Form (Faculty) |
[Word] |
Deferred Pay Form (Staff) |
[Word] |
Dental Claim Form (Guardian) |
[PDF] |
Disability (Voluntary) Insurance Forms | |
- Highlight Sheet |
[PDF] |
- Rates |
[PDF] |
- Enrollment Application |
[PDF] |
- Disability Evidence of Insurability Form |
[PDF] |
Employee Biographical Form |
[Word] |
Employee Certification and Authorization Form |
[Word] |
Employee Time Log (For all Benefits-eligible Biweekly Employees Except Police) |
Email This email address is being protected from spambots. You need JavaScript enabled to view it. for a copy of the time log. |
Employee vs Independent Contractor Checklist |
[Word] |
Ethnicity/Race Form (NCES) |
[Word] |
Flexible Spending Account Claim Form (SABC beginning 2011) |
[PDF] |
Flex Time Approval Form | [Excel] |
Guardian Application for Dental, Life, and Vision Insurance |
[PDF] |
Job Evalution Packet |
[Word] |
Justification and Approval for Adjunct Teaching or Additional Duties (Staff) |
[Word] |
Leave - Application for Leave |
[Word] |
Leave - Approver Instructions |
[PDF] |
Leave Form - Biweekly Non-exempt Employee Attendance/Leave Record |
|
Leave Correction/Late Forms: | |
Exempt Employee Form | [Excel] |
Less Than 12 Month Faculty Form | [Excel] |
Non-Exempt Employee Form | [Excel] |
Leave Donation Eligibility Form |
[PDF] |
Leave Donation Form (Staff) |
[PDF] |
Leave Donation Form (Faculty) |
[PDF] |
Leave - Entering Leave or Submitting With No Time Used Instructions |
[PDF]
|
Leave Guidelines |
[PDF] |
Meal Plan Form |
[PDF] |
Medical Certification Form (Employee) |
[PDF] |
Medical Certification Form (Family Member) |
[PDF] |
Mississippi Affordable College Savings Program (MACS) Payroll Deduction |
Link takes you to an off-site link. |
Notice of Intention to Return from Medical Related Leave |
[Word] |
Onboarding Checklist for Supervisors |
[Word] |
Paycheck Authorization Form |
Call Human Resources |
Personnel Action Form (PAF) |
|
Reasonable Accommodations Request Form | [Word] |
Request for Outside Employment - Consultation and Research (Faculty) |
[Word] |
Request for Outside Employment (Staff) |
[Word] |
Sponsored Programs Personnel Action Form |
|
Student Worker Time Log (Time Entry Time Sheet - Use as Excel Document - Do Not Handwrite) |
[Excel] |
Summer Flex Program Guidelines, Examples, and FAQs | [PDF] |
Summer Flex Schedule Request Form | [Excel] |
Tax Deferred Annuity Form (for new TDA or change) |
[PDF] |
Tax Form - Form W-4 Employee's Withholding Allowance Certificate |
[PDF] |
Tax Form - Mississippi Withholding Exemption Certificate |
Link takes you to an off-site link. |
Telecommuting - Job Analysis |
[Word] |
Telecommutng - Temporary Agreement |
[Word] |
Tuition Remission Form (Employee/Retiree) |
Form is available on the Financial Aid website under Forms. |
Tuition Remission Form (Dependent Child) |
Form is available on the Financial Aid website under Forms. |
Tuition Remission Form (Spouse) |
Form is available on the Financial Aid website under Forms. |
Veteran's Self-Identification Form |
[Word] |
Vision Claim Form |
[PDF] |
Voluntary Self-Identification of Disability Form |
Link takes you to an off-site link. |
Workers' Comp Form - First Report of Injury (Form & Instructions) NOTE: DO NOT USE "SUBMIT TO AMFED" BUTTON. FORMS SHOULD BE PROCESSED THROUGH THE HUMAN RESOURCES OFFICE. |
[PDF] |
Workers' Comp Form - Investigation Report (Workers' Comp) |
[PDF] |
Notes:
- PDF format is PRINT ONLY which requires free Acrobat Reader
- Right click on "Excel or Word file" and save the file to a local directory
- For Word Fill-in Forms - Save form to your computer, in Word, on the "Forms" toolbar, click the "lock" or "protect form" once document is open.