{"id":55,"date":"2023-09-27T11:19:33","date_gmt":"2023-09-27T16:19:33","guid":{"rendered":"https:\/\/www.muw.edu\/humanresources\/?page_id=55"},"modified":"2026-04-09T15:31:06","modified_gmt":"2026-04-09T20:31:06","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.muw.edu\/hr\/employees\/forms\/","title":{"rendered":"Forms A-Z"},"content":{"rendered":"\n

NOTE: <\/strong>Some of these form links will take you to a site away from the MUW website.<\/p>\n\n\n\n

Banner Access Request<\/strong><\/td>Electronic Form is available on the ITS Website<\/a>. Select Banner, then Banner Access Request. <\/td><\/tr>
Banner Self-Service Instructions:<\/strong><\/td><\/td><\/tr>
Pay Stubs<\/td>[<\/a>PDF<\/a>]<\/a><\/td><\/tr>
W-2<\/td>[<\/a>PDF<\/a>]<\/a><\/td><\/tr>
BENEFIT Forms:<\/strong><\/td> <\/td><\/tr>
Benefits Election Form (all benefits EXCEPT State & School Employees’ Health\/Life)<\/td> [PDF<\/a>]<\/td><\/tr>
Claim Forms<\/td>Dental (Guardian)<\/a>, Vision (Davis)<\/a>, Disability, Term Life (call HR Generalist x7222) <\/td><\/tr>
Accident, Dental, Vision, Voluntary Life AD&D<\/td>Guardian Booklet 2026<\/a><\/td><\/tr>
Cancer, Critical Illness, Disability, Term Life<\/td>Other Optional Insurance Information<\/a><\/td><\/tr>
State & School Employees’ Health Insurance Application<\/td>Health PDF<\/a> <\/td><\/tr>
State & School Employees’ Life Insurance Application<\/td>Life PDF<\/a><\/td><\/tr>
State & School Employees’ Life Insurance Beneficiary Designation (Minnesota Life\/Securian)<\/td>Instructions to change your beneficiary are on the MS DFA Website<\/a>. Link takes you off-site.<\/td><\/tr>
State & School Employees’ Health Insurance & CVS Caremark Online Registration<\/td>Instructions for Online Registration<\/a><\/td><\/tr>
Confidentiality Agreement<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Deferred Pay Form<\/strong> (Faculty)<\/td>[PDF<\/a>]<\/td><\/tr>
Direct Deposit Authorization Form<\/strong><\/td>Call Human Resources x7222<\/td><\/tr>
Employee Certification and Authorization Form<\/strong><\/td>[Word<\/a>]<\/td><\/tr>
Employee Date Change Form<\/strong>
(For name, address, phone, email changes)<\/td>		Call Human Resources x7222<\/td><\/tr>
Employee Personal Information Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Employee Transfer\/Separation Checklist – Current Department<\/em><\/strong><\/td>[<\/a>Word<\/a>]<\/a><\/td><\/tr>
Employee Transfer Checklist – Receiving<\/em> Department<\/em><\/strong><\/td>[<\/a>Word<\/a>]<\/a><\/td><\/tr>
Employee Time Log (For all Benefits-Eligible Biweekly Employees)
<\/strong><\/td>		Email cajernigan1@muw.edu<\/a> for a copy of the time log.<\/td><\/tr>
Employee vs Independent Contractor Checklist<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Flex Time Request Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Health Savings Account Enrollment Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Job Evaluation Packet<\/strong><\/td>[<\/a>PDF]<\/a> To maintain fillable fields, use the save option vs printing as a pdf. Email hrinfo@muw.edu<\/a> if you don’t have this option.<\/td><\/tr>
Justification and Approval for Adjunct Teaching or Additional Duties<\/strong> (Staff)<\/td>[PDF<\/a>]<\/td><\/tr>
Leave – Application for Leave<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Leave – Instructions for Entering & Approving Leave in Banner Self-Service and Leave FAQs<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Leave Form – Biweekly Non-Exempt Employee<\/strong> Attendance\/Leave Record<\/td>[Exce<\/a>l<\/a>] or email cajernigan1@muw.edu<\/a> for a copy of the12-month master spreadsheet. <\/td><\/tr>
Leave Correction\/Late Forms:<\/strong><\/td> <\/td><\/tr>
Exempt Employee Form<\/td>[Excel<\/a>]<\/td><\/tr>
Less Than 12 Month Faculty Form<\/td>[Excel<\/a><\/td><\/tr>
Non-Exempt Employee Form<\/td>[Excel<\/a>]<\/td><\/tr>
Leave Donation Eligibility Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Leave Donation Form (to 12 Month Employee)<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Leave Donation Form (to less than 12 mo Faculty)<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Leave Guidelines<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Meal Plan Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Medical Certification Form<\/strong> (Employee)<\/td>[<\/a>PDF<\/a>]<\/a><\/td><\/tr>
Medical Certification Form<\/strong> (Family Member)<\/td>[<\/a>PDF<\/a>]<\/a><\/td><\/tr>
Onboarding Checklist for Supervisors<\/strong><\/td>[Word<\/a>]<\/td><\/tr>
Outside Employment Request Form (Faculty)<\/strong><\/td>[Word<\/a>] | [PDF<\/a>]<\/td><\/tr>
Outside Employment Request Form (Staff)<\/strong><\/td>[Word<\/a>] | [PDF<\/a>]<\/td><\/tr>
Paid Parental Leave Request Form<\/strong> (Primary Caregiver)<\/td>[PDF<\/a>]<\/td><\/tr>
Personnel Action Form (PAF)<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Reasonable Accommodations Request Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Release to Return to Work from Medical Related Leave<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Sponsored Programs Personnel Action Form (SPPAF)<\/strong> <\/td>[PDF<\/a>]<\/td><\/tr>
Student Worker Time Log (Time Entry Time Sheet – Use as Excel Document – Do Not Handwrite)
<\/strong><\/td>		[Excel<\/a>]<\/td><\/tr>
Summer Flex Program Guidelines, Examples, and FAQs<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Summer Flex Schedule Request Form<\/strong><\/td>[Excel<\/a>]<\/td><\/tr>
Tax Deferred Annuity Form<\/strong> (for new TDA or change)<\/td>[PDF<\/a>]<\/td><\/tr>
Tax Form – Form W-4 Employee’s Withholding Allowance Certificate<\/strong><\/td>Form W-4 2026<\/a> Link takes you off-site.<\/td><\/tr>
Tax Form – Mississippi Withholding Exemption Certificate<\/strong><\/td>MS Tax Withholding Form<\/a> Link takes you off-site.<\/td><\/tr>
Teleworking – Job Analysis<\/strong><\/td>[Word<\/a>]<\/td><\/tr>
Teleworking – Temporary Agreement<\/strong><\/td>[Word<\/a>]<\/td><\/tr>
Tuition Remission Form (Employee\/Retiree, Dependent Child, Spouse)<\/strong><\/td>Forms are available on the Financial Aid Forms Webpage.<\/a><\/td><\/tr>
Veteran’s Self-Identification Post-Offer Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Voluntary Self-Identification of Disability Form<\/strong><\/td>[PDF<\/a>]<\/td><\/tr>
Workers’ Comp Form<\/strong> – First Report of Injury<\/strong> (Form & Instructions) Complete all applicable yellow highlighted boxes and SUBMIT TO THE HUMAN RESOURCES OFFICE.<\/td>[PDF<\/a>]<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

NOTE: Some of these form links will take you to a site away from the MUW website. Banner Access Request Electronic Form is available on the ITS Website. Select Banner, […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":10,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-55","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/pages\/55","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/comments?post=55"}],"version-history":[{"count":154,"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/pages\/55\/revisions"}],"predecessor-version":[{"id":1239,"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/pages\/55\/revisions\/1239"}],"up":[{"embeddable":true,"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/pages\/10"}],"wp:attachment":[{"href":"https:\/\/www.muw.edu\/hr\/wp-json\/wp\/v2\/media?parent=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}