Virginia Commonwealth University

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About Human Resources at VCU

Forms

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Benefits

Beneficiary Designation Forms [PDF]

  • For Basic Life Insurance, Optional Life Insurance and VRS Defined Benefit Retirement accounts
  • Participants in the VCU Faculty Optional Retirement Plan (ORP) use this only to designate life insurance beneficiaries

VRS Hybrid Beneficiary Designation

  • For the Defined Benefit and Defined Contribution components of VRS Hybrid

For the VCU Faculty Optional Retirement Plan (ORP), VCU Tax-Deferred Annuity (TDA) and Cash Match accounts, and the Virginia Deferred Compensation Plan (DCP), see the following vendor websites or contact the vendor directly for appropriate beneficiary forms:

Claim Forms

Deferred Compensation Plan (DCP/457) – One-Time Deferral [PDF]

Flexible Spending Account (FSA) – Enrollment Form [PDF]

Health Benefits Enrollment Form [PDF]

Health Insurance Program Appeal Form [PDF]

Optional Life Insurance Enrollment Form [PDF]

Optional Life Insurance Evidence of Insurability Form [PDF]

Optional Group Life Insurance Request for Change [PDF] 

Prescription Drug Prior Authorization Form [PDF]

  • for extended travel

Salary Reduction Agreement (SRA) for VCU Tax-Deferred Annuity (TDA) [PDF]

  • for submitting a change(s)

Tax-Deferred Annuity (TDA): Auto-Enrollment, New-Hire Opt-Out Form [PDF]

  • for new faculty and classified staff

VRS forms

VRS Member Benefit Profile Error Reporting Form [PDF]

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Compensation management

Compensation

Exempt Salaried - Other (EX Employee Class) Personnel Action Form (PAF) Word document 

Overtime Leave Option [PDF]

Personnel Action Form (PAF) Excel document

Pay Action Worksheet (PAW) Word document

Pay Action Worksheet (PAW) and Pay Matrix - Information Technology Word document

Process for hiring hourly decentralized and centralized workers

Timesheet - weekly [PDF]

Timesheet - pay period (2013) Excel document

Timesheet - final Excel document

Wage Position Description (WPD) Word document

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Employee health services

Employee Health Documentation Request Form Word document

  • Former VCU and VCUHS employees

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Employee relations

Grievance Form A: Email request for confidential assistance to VCU Employee Relations

Written Notice Form Word document

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Employment

Apply online

  • For classified, hourly and student openings

Child Support Disclosure Word document

Decentralized Employment Orientation

Designate Employee for Inclement Weather Closings Word document

  • Only if designated to work during authorized closings

Employment Non-Selection Letter (Sample) Word document

Form I-9 - Checklist for Completing pdf icon

Form I-9 - Employment Eligibility Verification pdf icon

  • Use with remote employees after June 25, 2009

Form I-9 - U.S. Citizenship and Immigration Services Handbook for Employers pdf icon

ImageNow

New employee paperwork checklistpdf icon

New employee benefits checklist pdf icon

Offer letter for decentralized hires Word document

Orientation materials

PA/Hiring Manager Resource Card for New Hires and Rehires pdf icon

PA/Hiring Manager Quick Reference for New Hires and Rehires pdf icon

  • These are critical forms required for all new employees

Policy Checklist for New Classified and Decentralized Hires pdf icon

Policy Checklist for New Faculty Hires pdf icon

Reference Check Form pdf icon

Re-Hiring Retirees, Form and Procedures for Word document

Selective Service Form pdf icon 

Telecommuting 

Workers Right-to-Know Statement pdf icon

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Faculty forms

Adjunct Faculty Non-Teaching Position Description Word document (Provost Office)

Continuing Education Instruction Form for Faculty Word document (Provost Office)

Faculty Off-Cycle Bonus Award Word document (Provost Office)

Faculty Off-Cycle Salary Increase Word document (Provost Office)

Faculty Performance Development Form - Administrative and Professional Word document (Provost Office)

Faculty Position Description - Administrative and Professional Word document (Provost Office)

Overload Job Request Form Faculty Employee‌ Word document (Provost Office)

President/Vice President-Approved and School/College Faculty Awards - Award Action Form pdf icon

Tuition waiver form (for full-time faculty and classified staff) Word document

Tuition waiver form (for full-time faculty and classified staff) pdf icon

Tuition waiver form (for adjunct faculty) Word document

Tuition waiver form (for adjunct faculty) pdf icon

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Learning and development

Course Schedule (2013-2014)[PDF]

Educational Leave Form [doc] 

New Employee Onboarding Checklist for Departments

Personnel Administrator Certification (PAC) registration form [doc]

Personnel Administrator Certification (PAC) registration form [PDF]

Personnel Administrator Certification (PAC) training checklist [doc]

Personnel Administrator Certification (PAC) training checklist [PDF]

Professional Development Certificate Program (PDCP) enrollment form [doc]

Professional Development Certificate Program (PDCP) enrollment form [PDF]

Professional Development Certificate Program (PDCP) training transcript [doc]

Professional Development Certificate Program (PDCP) training transcript [PDF]

Study-Research Leave Form [doc]

Training reimbursement/certification form [PDF]

Tuition waiver form (for full-time faculty and classified staff) [doc]

Tuition waiver form (for full-time faculty and classified staff) [PDF]

Tuition waiver form (for adjunct faculty) [doc]

Tuition waiver form (for adjunct faculty) [PDF]

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Leave administration

Accrual Rates: maximum carryover PDF

Classified employee - Traditional Sick Leave Program Word document

Classified employee - Virginia Sickness and Disability Program Word document

Educational Leave Form [doc] 

Family and Medical Leave Act (FMLA) Information and Forms

Leave reporting form for administrative and professional (A&P) or 12-month teaching and research (T&R) faculty in the:

Leave Share Donor Form PDF

Leave Share Recipient Application PDF

Military Leave Worksheet PDF

Nine-Month Teaching and Research Faculty - Traditional Sick Leave Program Word document

Nine-Month Teaching and Research Faculty - Virginia Sickness and Disability Program Word document

Online Leave and Pay Adjustment forms

OT2 Form for Classified Primary Job with Overload Job Word document

Overtime Leave Option [PDF]

Separating employment guidelines:

Study-Research Leave Form Word document

Timesheet - weekly [PDF] (for non-exempt classified employees)

Timesheet - weekly [PDF] (for non-exempt wage employees)

Timesheet - pay period (2014) Excel document

Timesheet - final Excel document

Timekeeping tips PDF

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Payroll services

Awards and Prizes

Direct Deposit Authorization Form‌ Word document

Immigration Documents Needed for Non-U.S. Citizen Employees PDF

OT2 Form for Classified Primary Job with Overload Job Word document

Pay and Leave Adjustment Forms

Payroll Deduction Authorization Form PDF

  • For Virginia Credit Union

Self Service Banner (SSB) - now eServices/VCU Self Service

  • Make online federal tax withholding changes, unless you meet one of the exceptions mentioned on the Tax Authorization Screen

Personnel File Request Form Word document

Timesheet - weekly PDF (for non-exempt classified employees)

Timesheet - weekly PDF (for non-exempt wage employees)

Timesheet - pay period (2014) Excel document

Timesheet - final Excel document

Timekeeping Tips PDF

VA-4 Form - State Income Tax Withholding PDF 

W-2 Request or Inquiry Form Word document

W-4 Form - Federal Income Tax Withholding PDF 

Wireless Exception Form Word document 

Wireless Worksheet and Agreement Word document 

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Performance management

Acknowledgment of Extraordinary Achievement Word document

Employee Suggestion Program (ESP)

Employee Work Profile (EWP)

Interim Evaluation Form Word document

Notice of Improvement Needed Word document

Probationary Period – Manager Overview PDF

Probationary Progress Review Word document

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Reward and recognition

Awards and Prizes

Customer Compass Recognition Form word icon

Dorris Douglas Budd Award 

Employee Suggestion Program (ESP)

Finance and Administration Customer Compass Individual Award Nomination Form word icon

Finance and Administration Customer Compass Fun Award Nomination Form word icon

Monetary and Non-Monetary Award Taxing Guidelines PDF

President/Vice President-Approved and School/College Faculty Awards - Award Action Form PDF

Recognition Award Action Form for Classified Employees (Outstanding and Extraordinary Achievement) word icon

Recognition Award Action Form for Classified Employees (Outstanding and Extraordinary Achievement) PDF

Spot Award Action Form word icon

Spot Award Action Form PDF

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Transaction and records

Criteria for Identifying Other Eligible Veterans PDF

Personal Data Form PDF 

Personnel File Request Form Word document 

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Work/life resources

VCU volunteer cover letter Word document

VCU volunteer data form Word document

VCU volunteer fact sheet Word document

VCU volunteer health form Word document

VCU volunteer injury report form Word document

Virginia Emergency Response Team Participation Request Form Word document

Work/Life Seminar Evaluation PDF

Work/Life Service Request PDF

Work/Life Service Evaluation PDF

Weight Watchers Reimbursement Form PDF To be completed and submitted at the end of the meeting session

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Workers’ compensation

Accident Report Form Word document

Accident Report Form PDF

Physician Selection Form‌ PDF

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