Forms
The forms below are organized by category. If you know the name of the form you are looking for, you may also search for it in the A to Z list of forms. Template letters and other documents may also be found in the Manager's Toolkit.
Benefits
Health & Welfare
Claim Forms
- Maroon Plan Claim Form
- MetLife Dental PPO Plan Claim Form
- MetLife Dental Copay Plan Claim Form
- Health Care and/or Dependent Care FSA Claim Form
- Retiree Medical Claim Form
- Long-Term Disability Claim Form
- Group Life Insurance Claim Form
- Personal Accident Insurance Claim Form
Primary Care Physician
Health Care and/or Dependent Care FSA
- Dependent Care Reimbursement Account - Request for Change in Status
- Health Care Reimbursement Account - Request for Change in Status
Long-Term Disability, Group Life Insurance and Personal Accident Insurance
Retirement Plans
ERIP
- Enrollment Form for TIAA CREF Group Retirement Annuity Certificates with Delayed Vesting
- ERIP Vendor Selection Form
- Retirement Plans Change of Contribution Allocation Form
- Vanguard
CRP
- CRP Vendor Selection Form
- Enrollment Form for TIAA CREF Group Retirement Annuity Certificates with Delayed Vesting
- Retirement Plans Change of Contribution Allocation Form
- Vanguard
SRP
- Enrollment Form for TIAA CREF Group Retirement Annuity Certificates with Delayed Vesting
- Retirement Plans Change of Contribution Allocation Form
- Salary Reduction Agreement
- Vanguard
Retiree Medical
Domestic Partnership
Leaves of Absence & Workers' Compensation
- Accrual Use Option (Workers' Compensation)
- Certification of Employee Health Care Provider (FMLA)
- Certification of Family Health Care Provider (FMLA)
- Faculty and Academic Leave of Absence Benefit Information Form
- Family and Medical Leave of Absence Request Form
- Personal Leave of Absence Request Form
- Release of Medical Information (Workers' Compensation)
- Request for Short-Term Disability Leave
- Request for Treatment Form 100 (Workers' Compensation)
- Supervisor's First Report - Workers' Compensation Claim of Injury/Illness (MS WORD) (PDF)
- WH 384 Certification for Qualifying Exigency (Military FMLA)
- WH 385 Certification for Servicemember Injury or Illness (Military FMLA)
- Workers' Compensation Rights and Responsibilities (MS WORD) (PDF)
- Workers' Compensation - Employee Statement of Injury/Illness
Tuition Assistance
Staffing & Recruitment
Recruitment
Selection
Onboarding
- Argonne Joint Staff Employment Form
- Employee Acknowledgment Form: 9-month or 10-month Assignment Agreement (TSSS) - Local 743 Employees (MS WORD) (PDF)
- Employment Eligibility Verification (I-9 Form)
- Employment Survey (MS WORD) (PDF)
- Flex-Time Overtime Waiver Form - Local 743 Employees
- Moving Reimbursement Form
- New Hire Checklist
- New Hire Paperwork Process
- Post-Doctoral Scholar Employment Form
- Student Employment Form
- Student Employment Form (Teaching Assistant/Research Assistant)
- Temporary Employment Form (Court Theatre)
- Temporary Employment Form (Graham School)
- Temporary Employment Form (HR Managers only)(MS WORD) (PDF)
- UChicago Time Multiple Action Form
- Vehicle Use Acknowledgment (MS WORD) (PDF)
- W-4 Federal Employee's Withholding Form
- W-4 Illinois Employee's Withholding Form
Talent Management
Performance Management
- Performance Appraisal Form
- Self-Review Form
- Job Performance Criteria Levels
- Quarterly Progress Report
- Notice of Corrective Action (MS WORD)(PDF)
- Notice of Termination/Layoff
- Pay Confirmation
- Temporary Pool Employee Evaluation Form (MS WORD)(PDF)
- Bonus Request Form - Local 743 Employees (MS WORD)(PDF)
