| Human Resources

Rollins.eduHuman ResourcesHR Forms

See our available forms below. Select a category to view forms by category, or browse the complete listing of forms under all categories below.

 

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• Benefits Forms
• Employment Forms
• General Forms
• Kronos Forms
• Leave Forms
• Payroll Forms
• Tax & IRS Forms

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[A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L] [M] [N] [O] [P] [Q] [R] [S] [T] [U] [V] [W] [X] [Y] [Z] 

A

• Authorization for Release of Health Information with BCBS (for current health plans) (PDF)
• Authorization for Release of Health Information with HR (for current vision and old health plans) (PDF)

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B

• Benefits Enrollment/Change Form (for Mid Year Changes April 2012 - March 2013)
• Benefits Enrollment/Change Form (for New Hires April 2012-March 2013)

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C

• Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (Family and Medical Leave Act) (PDF)
• Certification of Health Care Provider for Employee’s Serious Health Condition (Family and Medical Leave Act) (PDF)
• Certification of Health Care Provider for Family Member’s Serious Health Condition (Family and Medical Leave Act) (PDF)
• Certification of Health Care Provider Form (CHCP) (PDF)
• Certification of Qualifying Exigency For Military Family Leave (Family and Medical Leave Act) (PDF)
• Change of Name or Address Form (PDF)
• COBRA Notice to Employer of 2nd Qualifying Event (for COBRA participants) (PDF)
• COBRA Notice to Employer of SSA Disability (for COBRA participants) (PDF)
• COBRA Notice to ICUBA Group Plan of Qualifying Event (for health plan notification of divorce, legal separation or child losing eligibility) (PDF)
• Conflict of Interest Disclosure Form (PDF)

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D

• Direct Deposit Authorization
• Domestic Partner Affidavit (HTML)
• Domestic Partner Tax Declaration (HTML)

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E

• Employee's Worker Compensation Acknowledgement Form (PDF)
• Employment Application (MS Word)

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F

• Faculty/Staff Employment Request Form (MS Word)
• Faculty/Staff Employment Request Form (PDF)

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I

• I-9 Form - Employment Eligibility Verification
• I-9 Form - Handbook for Employers, Guidance for Completing

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K

• Kronos Workforce Guide for Managers

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L

• Leave Request / Notification Form (PDF)

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N

• New Employee Forms Packet

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P

• Performance Competencies - Addendum A
• Performance Review Form - Staff
• Performance Self-Review Form - Staff
• Personal Information Form (DOC)
• Personnel Action Form (PDF)

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R

• Request for Leave Form (PDF)
• Retirement 403(b) Maximizing Form 2013
• Retirement 403(b) Non-Maximizing Form 2013
• Retirement Plan - Enrollment Instructions for New Account- Fidelity (PDF)
• Retirement Plan - Enrollment Instructions for New Account- TIAA-CREF (PDF)
• Rollins College COMPLAINT FORM (For Sexual Harassment and Discrimination Cases) (MS Word)
• Rollins College COMPLAINT FORM (For Sexual Harassment and Discrimination Cases) (PDF)

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S

• Statement of User's Responsibilities for Rollins Computer Systems and Networks (PDF)
• Student Employment Application (MS Word)
• Student Employment Application (PDF)
• Student Insurance Forms (HTML)
• Student Personnel Action Form (PDF)
• Student Worker Forms

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T

• Termination/Resignation Form (MS Word)
• Tuition Assistance Program (ETAP) Application (for staff only) (MS Word)
• Tuition Assistance Program (ETAP) Reimbursement Request Form (MS Word)
• Tuition Grant Application (for dependent children tuition) (MS Word)

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W

• W2 Notice to Employee
• W2 Request Form
• W4 (2013)

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