Telework
Telework Agreement Form
Employee Records & Payroll
Employee Records: New Employees
Federal & State
- I-9 Printable Form (PDF)
- I-9 Fillable Form (PDF)
- Only accessible via Internet Explorer
- Must have the most recent version of Adobe
- Checklist for I-9 Verifiers (doc)
- I-9 Remote Hire Notice Form (PDF)
- I-9 Remote Hire Instructions (PDF)
- Form W-11 (PDF) Hiring Incentives to Restore Employment (HIRE) Act
Leave, Overtime & Time Related
- Additional Pay Form (XLSX)
- FMLA Certification for Employee's Serious Health Condition (PDF)
- FMLA Certification for Family Member's Serious Health Condition (PDF)
- FMLA Tracking Spreadsheet (XLS)
- Leave of Absence Request (PDF)
- Parental Leave Request - Faculty (PDF)
- Teaching Availability Form (Part-Time Faculty) (PDF)
Misc
- Social Security Tax Refund Certification (PDF) (refund of over-withheld Social Security)
- United Academics Dues Form (PDF)
- Voluntary Self-Identification of Disability (PDF)
- Voluntary Self-Identification of Protected Veterans (PDF)
- Payroll Direct Deposit Compliance Form (PDF)
- Bonus Payment Request Form (XLSX)
2022 Benefits
Medical Insurance
For All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation instead of the PDF form listed below.
Dental Insurance
For All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation instead of the PDF form listed below.
Voluntary Vision
To enroll for this benefit in 2022, please enroll through PeopleSoft.
For All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation.
Flex Spending Account
To enroll for this benefit in 2022, please enroll through Flexible Spending Enrollment & Form.
For All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation.
- FSA Reimbursement: Direct Deposit (PDF)
- Medical Expense Flexible Spending Claim (PDF)
- Dependent Care Flexible Spending Claim (PDF)
- EBPA Reimbursement Portal (scan the above UVM claim form and receipts, then upload)
Life Insurance
For All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation instead of the PDF form listed below.
- Group Life Insurance Enrollment/Change Form (pdf)
- Change of Beneficiary (pdf)
- Retiree Change of Beneficiary (pdf)
Short-Term Disability
Enrollment Registration is ONLY Available During Open Enrollment. You must re-enroll in this benefit if you want to continue coverage in 2022.
To enroll for this benefit in 2022, please enroll through PeopleSoft.
Long-Term Disability
For All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation instead of the PDF form listed below.
Tuition Remission
Retirement
- 403(b) Retirement Plan Salary Reduction Agreement (PDF)
- 403(b) Retirement Catch-Up Option Request (PDF)
- 457(b) Salary Reduction Form/Participation Agreement (PDF)
Manager Tasks
Recruiting, Hiring, and Position Management
- Background Check: Forms & Information (PDF)
- Background Check: Request Form (PDF)
- Background Check: Disclosure Notice (PDF)
- Background Check: Acknowledgment & Authorization (PDF)
- Background Check: California Notice (PDF)
- Background Check: New York Notice (PDF)
- Background Check: Consumer Rights (PDF)
- Approval for Employment-Related Actions and Increases (XLSX)
- Approval for Employment-Related Actions and Increases (PDF)
- Position Description for Staff (doc)
- Reference Check for Job Applicants (doc)
- Exempt Staff Offer Letter Template (doc)
- UE Non-Exempt Staff Offer Letter Template (doc)
- UE Probation Completion Letter Template (docx)
- Graduate Assistantship Offer Letter Template (doc)
- Non-Exempt Staff Offer Letter Template (doc)
- Job Codes for new bargaining units (xlsx)
- Distribution Form (xlsx)
- Termination Form (pdf)
Forms and Templates for Faculty Appointment and Reappointment
Temporary Employee & Paid Non-Employee Forms
Please visit the Temporary Employee & Paid Non-Employee Resources webpage for forms.
Employee Performance Review
If you are having trouble opening any of the forms, please do the following:
Click on the settings icon in your web browser.
- Select History
- Select History Again
- Select Clear Browsing Data
Contact Human Resource Services and Operations Monday-Friday, 802-656-3150 or at HRSInfo@uvm.edu