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
- Flexible Reimbursement Account - Reimbursement Form
Deferred Compensation Plan (DCP) Enrollment Form (457) ![]()
Deferred Compensation Plan (DCP) Payroll Authorization Form
Deferred Compensation Plan (DCP) Payroll Authorization - Agency Transfer/Terminated Employee Return to work ![]()
Deferred Compensation Plan (DCP) Payroll Authorization Form - One Time Deferral ![]()
Employee certification form
(Purchase of VRS Service Credit)
Flexible Reimbursement Account – Enrollment Form
(Effective through June 30, 2012)
Flexible Reimbursement Account – Enrollment Form
(Effective July 1, 2012)
Health Benefits Enrollment Form
(Effective through June 30, 2012)
Health Benefits Enrollment Form
(Effective July 1, 2012)
Health Insurance Program Appeal Form ![]()
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
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
Exempt salaried - other (EX Employee Class) Personnel Action Form (PAF) ![]()
Pay Action Worksheet (PAW) and pay matrix - information technology ![]()
Payment methods for employees and non-employees
Process for hiring hourly decentralized and centralized workers
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
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 ![]()
Telecommuting Eligibility Checklist ![]()
Faculty forms
Adjunct Faculty Non-Teaching Position Description ![]()
Continuing Education Instruction Form for Faculty ![]()
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 ![]()
Administrative and Professional or 12-Month Teaching and Research Faculty - Traditional Sick Leave Program ![]()
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
Guidelines for Separating Faculty and Staff ![]()
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
Online Leave and Pay Adjustment Procedure ![]()
Payroll services
Direct Deposit Authorization Form ![]()
Immigration Documents Needed for Non-U.S. Citizen Employees ![]()
Online Leave and Pay Adjustment Procedure ![]()
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)
- 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 Draft Objectives and Competencies ![]()
Employee Work Profile Instructions ![]()
Employee Work Profile 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
Educational opportunities guidelines ![]()
Educational and training opportunities policy ![]()
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



