• Employee Information Form (PDF)
• Distribution Form  (PDF)  (For new employees only.)
• Personnel Action (PA) Change Form (PDF) - Change Form Instruction (PDF)
• Personnel Action (PA) Set-Up Form (PDF) - Set-Up Form Instructions (PDF)

• 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)

• 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)

• 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)

• Employee Information Form (PDF)

• 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)

• Dental Enrollment Form (PDF)
• Waiver of Dental Coverage (PDF)

All New Hires: Please use the emailed link for online enrollment as part of New Employee Orientation.

To enroll for this benefit in 2023, please enroll through PeopleSoft Self Service. If you have a qualifying event, please complete the form below.

• Flexible Spending Enrollment Form (PDF).

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)

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)
• Medical History Form

Enrollment Registration is ONLY Available During Annual Benefits Open Enrollment each fall and coverage would begin in January.

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 Long-Term Disability Enrollment/Change Form (pdf)
• Medical History Form

• Tuition Remission Request Form (PDF)
• Tuition Remission Application for Part-time Represented Faculty (PDF)
• Tuition Remission Taxability for Graduate Courses (PDF)
• Tuition Remission Request Guide (PDF)

• 403(b) Retirement Plan Salary Reduction Agreement (PDF)
• 403(b) Retirement Catch-Up Option Request (PDF)
• 457(b) Salary Reduction Form/Participation Agreement (PDF)

• Fidelity 403(b) Enrollment (PDF)
• Fidelity 457(b) Enrollment (PDF)
• TIAA 403(b) Enrollment (PDF)
• TIAA 457(b) Enrollment (PDF)

• UVM's Retiree Health Savings Plan Election Form (PDF)

• 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

Please visit the Temporary Employee & Paid Non-Employee Resources webpage for forms.

• Annual Employee Performance Review Form (Word)
• Annual Self-Review Form (Word)
• Performance Improvement Plan Process
• Performance Improvement Plan Form (PDF)