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HR Forms
Form Form Type Contact

2024 403(b) Salary Reduction Agreement

403b/Supplemental Retirement Accounts Benefits Services

2025 403(b) Salary Reduction Agreement

403b/Supplemental Retirement Accounts Benefits Services
Enrollment Form - FSA Flexible Spending Accounts Benefits Services
Degree Attainment Bonus Application Personnel Action Request Consulting Services
Reimbursement Form Flexible Spending Accounts Benefits Services
Health Insurance Enrollment/Waiver Form Health Insurance Benefits Services
CoVA Care - Anthem Blue View Vision Claim Form Health Insurance Benefits Services
CoVA Care - Anthem Medical Claim Form Health Insurance Benefits Services
CoVA HealthAware - Aetna Claim Forms Health Insurance Benefits Services
Drug Prior Authorization Request Health Insurance Benefits Services
Prescription Drug Reimbursement Health Insurance Benefits Services
FMLA Certification of Health Care Provider for Employee FMLA Benefits Services
FMLA Certification of Health Care Provider for Family Member FMLA Benefits Services
First Fill Card (Passphrase 23219) Workers' Compensation Benefits Services
FMLA Return to Work Release FMLA Benefits Services
Leave Sharing Donor Form Leave Leave Specialist
Leave Sharing Recipient Application Leave Leave Specialist
Organ Donor Medical Form (for leave request) Leave Leave Specialist
Parental Leave Request Leave Leave Specialist
Record of Compensatory Time Earned Leave Leave Specialist
Record of Overtime Leave Earned Leave Leave Specialist
Record of Overtime Pay Compensation Payroll Services
Employee Request for Accommodation ADA Benefits Services
Medical Professional Documentation of Disability ADA Benefits Services
Accommodation Evaluation Form ADA Benefits Services
Time and Attendance Record for Non-exempt Employees 2024-2025 Time Reporting Leave Specialist
Time and Attendance Record for Non-exempt Employees 2023-2024 Time Reporting Leave Specialist
Group Life Insurance and Beneficiary Forms Life Insurance Benefits Services
Off- Campus Tuition Reimbursement Tuition Waiver/Reimbursement Accounts Payable
Tuition Waiver Tuition Waiver/Reimbursement Benefits Assistant
Administrative Notification Form Employee Correction/Discipline Consulting Services
Behavior Incident Documentation Form Employee Correction/Discipline Consulting Services
Employee Recogntion Nomination Form Employee Recognition Program Consulting Services
Administrative & Professional Faculty Contract Faculty Contracts Consulting Services
Fixed Term Appointment - Non-tenure Track Faculty Contracts Consulting Services
Instructional Faculty Member - Tenure Track Faculty Contracts Consulting Services
Instructional Faculty Member - Tenured Faculty Contracts Consulting Services
Renewable Term Appointment Faculty Contracts Consulting Services
Temporary Non-Teaching Employee (TNT) Memo of Understanding (MOU) Consulting Services
Recurring Non-Teaching Employee (RNT) Memo of Understanding (MOU) Consulting Services
Part-Time Salaried Non-Teaching Employee (PTS) Memo of Understanding (MOU) Consulting Services
Affiliate Form Miscellaneous Consulting Services
Annual Campus Crime Report Compliance Public Safety
Bulk Email Requests for Employees Shared Process Information Technology
Nepotism Review Form Position and Performance Management Consulting Services
Query Request Form Miscellaneous Business Services
Virginia Emergency Response Team (VERT) Participation Request Form Miscellaneous Consulting Services
Employee Information Form Personal Information HR Administration
Address Change Personal Information HR Administration
A&P Faculty Salary Adjustment Request Form Personnel Action Request Consulting Services
Cell Phone and Internet Stipends Personnel Action Request Business Services
PAR Form Personnel Action Request Business Services
Pay Action Worksheet (PAW) Personnel Action Request Business Services
Less Than 12-Month Appointment Agreement Personnel Action Request Consulting Services
Administrative & Professional Faculty Performance Evaluation Position and Performance Management Consulting Services
Performance Evaluation Form for Non-Probationary Classified Employee Position and Performance Management Consulting Services
Classified Performance Evaluation Process Position and Performance Management Consulting Services
Position Description (Sample) Position and Performance Management Consulting Services
Extraordinary Contribution Form Position and Performance Management Consulting Services
Grievance Forms Position and Performance Management Consulting Services
Grievance Procedure Manual Position and Performance Management Consulting Services
Notice of Improvement Needed (NIN) Position and Performance Management Consulting Services
Interim Evaluation Form Position and Performance Management Consulting Services
Probationary Progress Review Form Position and Performance Management Consulting Services
Telework - Standard Telework Agreement Position and Performance Management Consulting Services
Written Notice Position and Performance Management Consulting Services
Emergency Hire Form Recruitment Services Recruitment & Employment Services
Hiring Justification Form Recruitment Services Recruitment & Employment Services
Multiple Hire Spreadsheet Recruitment Services Recruitment & Employment Services
Onboard Form Recruitment Services Recruitment & Employment Services
Telephone Reference Check Recruitment Services Recruitment & Employment Services
Panel of Physicians Workers Compensation Benefits Services
Report of Accident Workers Compensation Benefits Services
Transitional Duty Plan Workers Compensation Benefits Services
Records Destruction  Records Management Compliance
Recommendation for Emeritus Status Miscellaneous HR Administration
Name and Gender Change Timeline Name Change HR Administration
Name Change Documentation Name Change HR Administration
Roth IRA Payroll Deduction Roth IRA Benefits Services
Self-Evaluation Form for Non-Probationary Classified Employee Position and Performance Management Consulting Services
Nepotism Review Form (Adobe Sign) Position and Performance Management Consulting Services
Less Than 12-Month Appointment Agreement (Adobe Sign) Personnel Action Request Consulting Services
Degree Attainmenet Bonus Application (Adobe Sign) Personnel Action Request Consulting Services

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