Telework
Telework Agreement Form
Employee Records & Payroll
Employee Records: New Employees
Federal & State
- I-9 Form (PDF) *this is a fillable PDF
- Checklist for I-9 Verifiers (docx)
- I-9 Remote Hire Notice Form (PDF)
- I-9 Remote Hire Instructions (PDF)
- Form W-11 Hiring Incentives to Restore Employment (HIRE) Act (link to IRS.gov)
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 Checklist (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)
2023 Benefits
2023 Medical Forms
- BCBSVT Medical Enrollment/Change Request (PDF)
- Certification of Dependents (PDF)
- BCBSVT Coverage of Adult Dependent Request (PDF)
- Waiver of Medical Coverage (PDF) *Must be completed if you are NOT enrolling in UVM Medical Benefits.
- Domestic Partner Attestation Form (PDF)
2023 Dental Insurance
Voluntary Vision
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 2023, please enroll through PeopleSoft Self Service. If you have a qualifying event, please complete the form below.
All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation.
- 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
All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation instead of the PDF form listed below.
Short-Term Disability
Enrollment Registration is ONLY Available During Annual Benefits Open Enrollment each fall and coverage would begin in January.
Long-Term Disability
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)
- PeopleAdmin Access Request Form
- Exempt Staff Salary Letter Template (docx)
- Non-Exempt Staff Salary Letter Template (docx)
- Position Description for Staff (doc)
- Reference Check for Job Applicants (doc)
- UE Probation Completion Letter Template (docx)
- Graduate Assistantship 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 difficulty opening any forms, please click on the settings icon in your web browser, then:
- Select History
- Select History Again
- Select Clear Browsing Data
Contact Human Resources at HRInfo@uvm.edu