About Human Resources at VCU
Forms
Search forms by service area
- Benefits
- Compensation management
- Employee health services
- Employee relations
- Employment
- Faculty forms
- Leave administration
- Payroll services
- Performance management
- Reward and recognition
- Training and development
- Transaction and records
- Workers’ compensation
- Work/life resources
Benefits
- For Basic Life Insurance, Optional Life Insurance and VRS Retirement
- Participants in the VCU Faculty Optional Retirement Plan (ORP) use this only to designate life insurance beneficiaries
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
- Fidelity Investments (for ORP, TDA and Cash Match)
- TIAA-CREF (for ORP, TDA and Cash Match)
- ING (for DCP only)
Claim Forms
- Anthem Claim form
- Blue Card Worldwide International Claim Form (for COVA Care international claims)
- Blue View Vision Out-of-Network Claim form
- Delta Dental Claim form
- Dependent Care Reimbursement form
- Medical Reimbursement form
Deferred Compensation Plan (DCP) Enrollment Form (457)
Deferred Compensation Plan (DCP) Payroll Authorization Form
Deferred Compensation Plan (DCP) Payroll Authorization Form - One Time Deferral
- for purchase of VRS service credit
Flexible Reimbursement Account (FRA) – Enrollment Form 
(effective through June 30, 2013)
Flexible Reimbursement Account (FRA) – Enrollment Form (effective beginning July 1, 2013)
Health Benefits Enrollment Form (effective through June 30, 2013)
Health Benefits Enrollment Form (effective beginning July 1, 2013)
Health Insurance Program Appeal Form
Open Enrollment Checklist (for health benefits and flexible spending changes effective July 1, 2013)
Optional Life Insurance Enrollment Form
Optional Life Insurance Evidence of Insurability Form
Optional Group Life Insurance Request for Change
Prescription Drug Prior Authorization Form
- for extended travel
Salary Reduction Agreement (SRA) for VCU Tax-Deferred Annuity (TDA)
- for submitting a change(s)
Tax-Deferred Annuity (TDA): Auto-Enrollment, New-Hire Opt-Out Form
- for new faculty and classified staff
- VRS new member enrollment form (faculty only)
VRS Member Benefit Profile Error Reporting Form
Compensation management
Compensation
Exempt Salaried - Other (EX Employee Class) Personnel Action Form (PAF) 
Pay Action Worksheet (PAW) and Pay Matrix - Information Technology 
Process for hiring hourly decentralized and centralized workers
Wage Position Description (WPD)
Employee health services
Employee Health Documentation Request Form
- Former VCU and VCUHS employees
Employee relations
Grievance Form A: Email request for confidential assistance to VCU Employee Relations
Employment
- For classified, hourly and student openings
Decentralized Employment Orientation
Designate Employee for Inclement Weather Closings
- Only if designated to work during authorized closings
Employment Non-Selection Letter (Sample)
Form I-9 - Checklist for Completing
Form I-9 - Employment Eligibility Verification
- Use with remote employees after June 25, 2009
Form I-9 - U.S. Citizenship and Immigration Services Handbook for Employers
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Offer letter for decentralized hires
PA/Hiring Manager New Hire/Rehire Resource Card
PA/Hiring Manager Quick Reference for New Hires and Rehires
- These are critical forms required for all new employees
Policy Checklist for New Hires
Retirees - Procedures and Form for Part-Time Employment
- For ongoing telecommuting
Telecommuting Eligibility Checklist
Faculty forms
Adjunct Faculty Non-Teaching Position Description
Continuing Education Instruction Form for Faculty
- Faculty Off-Cycle Bonus Award Instructions (Provost Office)
- Faculty Bonus Award Policy (Provost Office)
Faculty Off-Cycle Salary Increase
Faculty Performance Development Form - Administrative and Professional
Faculty Position Description - Administrative and Professional
Overload Job Request Form - Faculty Employee
- Formerly called Faculty Second Job Approval Memo
Tuition waiver form (for full-time faculty and classified staff)
Tuition waiver form (for full-time faculty and classified staff)
Tuition waiver form (for adjunct faculty)
Tuition waiver form (for adjunct faculty)
Leave administration
Accrual Rates: maximum carryover
Certification of Health Care Provider
Classified employee - Traditional Sick Leave Program
Classified employee - Virginia Sickness and Disability Program
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:
Certification of Health Care Provider
Leave Share Recipient Application
Nine-Month Teaching and Research Faculty - Traditional Sick Leave Program
Nine-Month Teaching and Research Faculty - Virginia Sickness and Disability Program
Online Leave and Pay Adjustment forms
OT2 Form for Classified Primary Job with Overload Job
Payroll services
Direct Deposit Authorization Form
Immigration Documents Needed for Non-U.S. Citizen Employees
OT2 Form for Classified Primary Job with Overload Job
Pay and Leave Adjustment Forms
Payroll Deduction Authorization Form
- 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
VA-4 Form - State Income Tax Withholding
W-4 Form - Federal Income Tax Withholding
Wireless Worksheet and Agreement
Performance management
Acknowledgment of Extraordinary Achievement
Employee Suggestion Program (ESP)
Employee Work Profile (EWP)
- Employee Work Profile (EWP) - this is a sample. EWPs are stored in Banner; to revise or update your EWP, see your Personnel Administrator or supervisor; see also eGuide to eJobs for PAs and Hiring Managers
- Employee Work Profile (EWP) Instructions
- Employee Work Profile (EWP) Draft Objectives and Competencies
- Employee Work Profile (EWP) Performance Evaluation
Probationary Period – Manager Overview
Reward and recognition
Customer Compass Recognition Form
Employee Suggestion Program (ESP)
Finance and Administration Customer Compass Individual Award Nomination Form
Finance and Administration Customer Compass Fun Award Nomination Form
Monetary and Non-Monetary Award Taxing Guidelines
President/Vice President-Approved and School/College Faculty Awards - Award Action Form
Recognition Award Action Form for Classified Employees (Outstanding and Extraordinary Achievement)
Recognition Award Action Form for Classified Employees (Outstanding and Extraordinary Achievement)
Training and development
Personnel Administrator Certification (PAC) registration form
Personnel Administrator Certification (PAC) registration form
Personnel Administrator Certification (PAC) training checklist
Personnel Administrator Certification (PAC) training checklist
Professional Development Certificate Program (PDCP) enrollment form
Professional Development Certificate Program (PDCP) enrollment form
Professional Development Certificate Program (PDCP) training transcript
Professional Development Certificate Program (PDCP) training transcript
Training reimbursement/certification form
Tuition waiver form (for full-time faculty and classified staff)
Tuition waiver form (for full-time faculty and classified staff)
Tuition waiver form (for adjunct faculty)
Tuition waiver form (for adjunct faculty)
Transaction and records
Criteria for Identifying Other Eligible Veterans
- For use with Personal Data Form
Workers’ compensation
Work/life resources
VCU volunteer injury report form
Virginia Emergency Response Team Participation Request Form
Weight Watchers Reimbursement Form To be completed and submitted at the end of the meeting session
