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Forms & Documents

Instructions

For those forms which are in Word format (.doc) or Excel format (.xls), you may:

• Left click on a form title,
• Fill out the form,
• Save it to your hard drive, and then
• Email the saved document to HR at nuhr@norwich.edu

Or, if you prefer, you may simply save the document to your hard drive and work from there.

For those forms which are in portable document format (.pdf), you should click on the form title, print out the form, complete it by hand, and send it to the Human Resources Office via intracampus mail.

Contact Information

• Employment Application
• Address/Name Change

Benefit Forms and Information

Claim Forms

• Dependent Care Flexible Spending Account Plan Claim Form
• Health Care Flexible Spending Account Plan Claim Form
• Health Reimbursement Arrangement Claim Form
• Dental Claim Form

Tuition Benefit

• Tuition Scholarship Application

Retirement Plan

• Defined Contribution Retirement and TDA Plans Salary Reduction Agreement

Cafeteria Plan

• Cafeteria Plan Change of Status Request
• Cafeteria Plan Online Enrollment Instructions
• Information and Worksheet Book
• Information and Worksheet Book
• Explanation Book

Leaves of Absence

• Family & Medical Leave Policy
• Application for Leave of Absence
• Certification of Health Care Provider

Health Plan Informational Materials

• Blue Cross Blue Shield Frequently Asked Questions
• Blue Cross Blue Shield 24-Hour Nurse Line Informational Brochure
• Blue Cross Blue Shield 24-Hour Nurse Line Flyer
• Blue Cross Blue Shield Road To Better Health Informational Brochure

Employee Forms and Information

• Nonexempt Employee (Hourly) Time Report
• Human Resources Data Sheet
• Form W-4 VT
• Instructions for Completing form W-4 VT
• Federal W-4 form
• Employment Eligibility Verification
• Equal Employment Opportunity Commission form
• Direct Deposit Authorization Form

Benefit Synopsis and Employment Information

• Human Resources, Payroll, and Benefit Programs Synopsis for employees

Forms for Department Heads and Managers

Faculty Hiring

• Request for Full-Time Faculty Contract
• Request for Part-Time Faculty Contract
• Request for SGS Adjunct Faculty Contract

Staff Hiring

• Authorization for Employment
• Background Check
• Faculty or Staff Position Budget Request (Request for New Position)
• New Employee Orientation
• Personnel/Payroll Employee Action Notice
• Performance Appraisal
• Position Description: Part I
• Position Description: Part II - Summary (PAQ)
• Request for Banner Finance Grants
• Request to Open Position for Hiring

Termination

• Termination Checklist