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Forms Directory

A list of HR-related forms.

Human Resources Forms

Frequently Requested Forms

Medical Certification Form

Workers' Compensation Employee Claimant Packet

HR 19-Permission to Take a Course

Request Form 19

Outside Employment Form (Formerly Form 9)
Permission to Engage in Outside Employment

Submit the request in Workday by using the Request Framework tool. More details with instructions and details can be found in the

Reasonable Suspicion Record Form

Policy Information

Form 13-S Supplement to Electronic Form HR 13

 

Benefits-Related Forms (Insurance, Leave, Workers' Compensation, etc.)

UNUM Beneficiary Designation Form

State Life Insurance Beneficiary Designation

AD&D Beneficiary Designation Form

Insurance Claim Form for Delta Dental

Insurance Claim Form for Davis Vision

Insurance Claim Form for Colonial Life and Accident Death

Claim Form for Cancer, Dreaded Disease and Intensive Care

Request for Reimbursement Form for Flexible Spending Accounts with Southern Administrators & Benefit Consultants

Change of Information for the Public Employees' Retirement System

Public Employees' Retirement System of MS Beneficiary Designation Form

  

Flexible Work Location

Flexible Work Location Request

Policy Information

Submit the request in Workday by searching "Request Flexible Work
Arrangement" in the search bar. More details can be found in the

Flexible Work Location Arrangement Form

Policy Information

UM Telework IT Checklist

 

Separation of Employment

The Separation of Employment process is now managed in Workday. The web-based Separation Notification and paper Exit Checklist have been retired. Step-by-step instructions and screenshots are available in the in Workday.

 

Recruitment

For Recruitment related documents and forms, please use your Ole Miss webID and password to login to . The below documents can be found in the in Workday.

  • Search Committee Guide
  • Job Requisition Intake Form
  • Sample Interview Questions
  • Sample Reference Check Questions
  • Confidentially Agreement

 

The following can be accessed in

  • Address Change
  • Payslips
  • Timesheets
  • Office Contact Information
  • Emergency Contact Information
  • Bank Information
  • Benefits Confirmation Statement
  • Open Enrollment