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University of Minnesota

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Form Format
9-Over-12 Payroll Adjustment Worksheet - FY 2009 Excel  

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Form Format
Absence Card (UM 506) PDF  
Application Supplement for Driving Positions, Student (UM 1521) PDF Word
Appraisals of Probationary Academic Professionals (UM 26) PDF Word
Appraisals of Probationary Faculty (UM 12) PDF Word
Appraisals of Probationary Faculty (UEA) (UM 25) PDF Word

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Form Format
Contract Faculty Template Request (UM 1538) PDF Word
Creating a PS ID for J1 Visiting Scholars/J2 Dependents (UM 1565) PDF Word

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Form Format
Deferred Compensation Plan (457), Retirement Savings Agreement (UM 1617) PDF Word
Dependent Status, Certification of PDF Word
Domestic Partnership, Declaration of (UM 1503) PDF Word
Domestic Partnership, Termination of (UM 1505) PDF Word
Duplicate W2, Request for PDF Online
Direct Deposit Authorization PDF  

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Form Format
Exit Interview (UM 1553) PDF Word
Extension of Maximum Period of Probationary Service for Continuous Track Academic Professionals - Stopping the Clock (UM 1627) PDF Word
Extension of Maximum Period of Probationary Service for Tenure Track Faculty - Stopping the Clock (UM 1626) PDF Word

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Form Format
Faculty Sabbatical (UM 6) PDF Word
Faculty Single Semester Leave (UM 21) PDF Word
Financial Disclosure for Senior University Officials (UM 1514) PDF Word
First Report of Injury (UM 1536) PDF  
Flexible Spending Account Dependent Care Claim (UM 1507) PDF Word
Flexible Spending Account Health Care Claim (UM 1506) PDF Word
FMLA: Certification of Health Care Provider
for Employee’s Serious Health Condition (UM 1515)
PDF Word
FMLA: Certification for Birth/Care of Newborn (UM 1602) PDF Word
FMLA: Certification of Adoption or Foster Care Placement (UM 1603) PDF Word
FMLA: Certification of Health Care Provider for Family Member's
Serious Health Condition (UM 1701)
PDF Word
FMLA: Certification for Serious Injury or Illness of Covered
Servicemember for Military Family Leave (UM 1702)
PDF Word
FMLA: Certification of Qualifying Exigency for Military Family
Leave (UM 1703)
PDF Word
FMLA: Designation Notice (UM 1700) PDF Word
FMLA: Notice of Eligibility and Rights & Responsibilities (UM 1516) PDF Word
FMLA: Notice to Employees of Rights under FMLA (UM 1699) PDF Word

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Form Format
Graduate Fellowship Income Tax Withholding Request (UM 1541) PDF Word

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Form Format
HRMS Data Correction (UM 1545) PDF Word
Human Resource Information Form (UM 616) PDF  

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Form Format
Job Evaluation Questionnaire (JEQ) (UM 802) PDF Word
Job Evaluation Questionnaire (JEQ) Answer Sheet (UM 803) PDF Word
Job Review Questionnaire, Student (UM 1540) PDF Word
Job Review Questionnaire (JRQ) (UM 1528) PDF Word

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Form Format
Medical Premium Reimbursement Claim (UM 1504) PDF Word
Medical Premium Reimbursement Claim for Same-sex Domestic Partners PDF  
MN Dept. of Revenue Certificate of Exemption (BA 1358) PDF  
MN New Hire Reporting Employer Information (BA 1457) PDF  
Minnesota State Retirement System (MSRS) Employee Information (MSRS 33) PDF  
Moving Expense Reimbursement (BA 1357)   Word

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Form Format
Off Cycle Payment Request (UM 1546) PDF Word
Oral Warning Disciplinary Action (UM 1542) PDF Word
Optional Retirement Plan, Salary Reduction Agreement: (UM 1508) PDF Word
Overpayment Notification (UM 1554) PDF Word

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Form Format
Payroll Stop Payment (UM 1563) PDF Word
Paysheet Update/Change Request (UM 1543) PDF Word
Performance Appraisal Form (UM 941) PDF Word
Performance Appraisals, Administrative Summary of (UM 942) PDF Word
Performance and/or Probationary Appraisal, Employee (UM 439) PDF Word
Performance, Employee Input Form for Evaluating (UM 943) PDF Word
Performance Evaluation, Student Employee (UM 1544) PDF Word
Performance, General Input Form for Evaluating Employee (UM 944) PDF Word
Personnel Action Worksheet Instructions PDF Word
Personnel Action Worksheet PDF  
Pillsbury Court Application PDF Word

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Form Format
Quick Hire (UM 1522)   Word

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Form Format
Reference Request and Employee Authorization Online  
Reference Request and Student Authorization Online  
Regents Scholarship, Request for (UM 1454) PDF Word
Relocation Assistance Program - Request Relocation Packet Online  
Report to Employer PDF  
Resident Tuition, Verification of Appointment for (UM 1502) PDF Word

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Form Format
Salary Payment Schedule for 9 over 12 PDF Word
Stop Payment (UM 1563) PDF Word
Student Quick Hire (UM 1522)   Word

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Form Format
Tax Treaty Affidavits Online  
Time Sheet, Biweekly Payroll (UM 680) PDF Word

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Form Format
University Distinguished Fellow (9750), Request to Use (UM 1614) PDF Word

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Form Format
Vacation Donation Program: Application for Use of (UM 1549) PDF Word
Vacation Donation Program: Donor/Recipient Worksheet (UM 1548) PDF Word
Vacation Donation Program: Physician's Statement (UM 1550) PDF Word
Vacation Donation Program: Vacation Contribution (UM 1551) PDF Word
Vacation Record, Academic Employee (UM 1154) PDF Word
Vacation Reporting, Academic Employee (UM 1704) PDF Word

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Form Format
W2, Request for Duplicate PDF Online
Waiver to Hire a Non-Student, Request for (UM 1524) PDF Word
Work-Study Earnings Monitoring Worksheet (UM 1525) PDF Word

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