Frequently Requested Forms

30 Day Change Form

403(b) Salary Reduction Agreement

457(b) Salary Reduction Agreement

AD/D Beneficiary Change Form

AFLAC Forms

Application for Temporary Employment

Clearance Form

COBRA Application

Criminal History Form

Flexible Spending Account Claim Form (Health & Dependent)

Flexible Spending Account Enrollment Form (Health & Dependent)

FMLA Forms

GDCP Application for Refund

Handicapped/Disabled Dependent Determination Form

Hartford Life Beneficiary Change Form

HMO Certification of Dependency

HSA Enrollment Form

I-9 Form

ID Badge Form / Access Card Authorization

Insurance Change Request - Active Employee 

Insurance Change Request - Retiree

Insurance Enrollment Form

ORP Allocation Form

ORP Plan Certificate

Outstanding Wages Beneficiary Designation

Payroll/Tax Forms (Direct Deposit, W-4, G-4)

Personal Data Form

Personnel Action Request (PAR)

TRS Application for Refund of Contributions

TRS Multiple Change Request

Worker's Compensation Forms 

 

 

 

Revised October 8, 2009.   Please send comments, suggestions or questions about this page to Human Resources, hr_g@mcg.edu .