FORMS

Holiday Calendar
Monthly Payroll Calendar
Staff Resource Book
Payroll Adjustment Form
Web Time Entry Employee Leave Form
Attendance Report for Nonexempt Employees
Change of Address Form
Name Change Form
Retirement Plan Representatives
2024 W4

Financial

Care Cash Open Enrollment
How to request your Care Cash card
How to use Care Cash and make the most of it

Tuition Remission Forms

Dependent Waiver Form
Faculty/Staff Waiver Form

Insurance Summary Plans

Benefits Guide

Employee Assistance Program (EAP)

Confidential Counseling and Support

Employee Assistance Program (EAP)

Please complete the necessary forms and return them to Human Resources room 410 XUSouth between the hours of 9:00 AM-4:00 PM M-F.

Electronic Personnel Action Forms