The forms listed on the following pages can either be filled out online and then printed or printed and filled out by hand.
Forms are in Microsoft Excel and/or Adobe Acrobat Portable Document Format (.pdf) format. In order to fill out .pdf forms online, you must have Adobe Acrobat or Adobe Reader version 4.0 or higher. If you use Adobe Reader you WILL NOT be able to save your files; you can only fill and print the forms. To download a free copy of the current version of Adobe Reader, click on the Acrobat Reader icon below and following the simple online instructions.
Form |
Form Number |
Format |
Last Update |
| Additional Pay | UM 271 | .pdf * | 7/13/2010 |
| 7/13/2010 | |||
| Additional Pay | UM 271 | Excel | 7/13/2010 |
| Administrative Posts | UM 268 | .pdf * | 6/27/2005 |
| (6/27/2005) | |||
| Application For Student Employment | UM 52 | .pdf * | 2/17/2010 |
| Appointment Notification | UM 269 | .pdf * | 2/17/2010 |
| 1/3/2005 | |||
| Faculty Pay Option | UM 269a | .pdf * | 8/17/2005 |
| Authorization For Educational Assistance | UM 84-1 | Excel | 6/21/2007 |
| 8/18/2003 | |||
| Authorization For Educational Fee Reduction For Spouse and Dependents | UM 85 | Excel | 11/19/2009 |
| Biweekly Payroll Time Sheets | |||
| UM 13A | Excel | 8/23/2009 | |
| .pdf * | 8/23/2009 | ||
| UM 13A-C | Excel | 8/23/2009 | |
| .pdf * | 8/23/2009 | ||
| UM 13NB | Excel | 7/1/2005 | |
| 11/8/2005 | |||
| Change of Address/Telephone Number | UM 282 | .pdf * | 4/30/2003 |
| 4/30/2003 | |||
| Data Form For Retired Staff | UM 270R | .pdf * | 8/2/2005 |
| 8/2/2005 | |||
| Direct Deposit | UM 32B | .pdf * | 2/17/2010 |
| Educational Assistance Program for Retired Employees | UM 177 | .pdf * | 6/21/2007 |
| .pdf * | 5/14/2007 | ||
| Employee Separation Check List | UM 325 | .pdf * | 5/14/2007 |
| .pdf * | 5/14/2007 | ||
| FMLA | |||
| 8/30/2004 | |||
|
Your Rights Under the Family and Medical Leave Act (WHD Publication 1420) |
4/15/2009 | ||
|
Certification of HealthCare Provider for Employee Serious Health Condition |
UM 410 | .pdf * | 4/15/2009 |
| .doc * | 8/23/2009 | ||
| .doc * | 8/23/2009 | ||
|
Certification of HealthCare Provider for Family Member’s Serious Health Condition |
UM 411 | .pdf * | 4/15/2009 |
|
Certification of Qualifying Exigency for Military Family Leave |
UM 412 | .pdf * | 4/15/2009 |
|
Certification for Serious Injury or Illness of Covered Servicemember–for Military Family Leave |
UM 413 | .pdf * | 4/15/2009 |
| UM 374 | .pdf * | 2/27/2004 | |
| JED Continuation | UM 270A | .pdf * | 7/23/2003 |
| Monthly Absence Summary | UM 60A | Excel | 3/11/2010 |
| Monthly Absence Summary | UM 60A | .pdf * | 3/13/2010 |
| 3/11/2010 | |||
| Nonresident Alien Honoraria/Business Expense Supporting Statement | UM 378 | .pdf * | 11/3/2008 |
| On-Line Check Request | UM 140 | Excel | 8/26/2009 |
| 8/26/2009 | |||
| PAFs | |||
| UM 270 | .pdf * | 11/24/2009 | |
| 11/24/2009 | |||
| UM 376 | .pdf * | 4/30/2009 | |
| 4/30/2009 | |||
| UM 376A | .pdf * | 2/17/2010 | |
| UM 30B | Excel | 6/13/2008 | |
| 11/11/2008 | |||
| UM 30A | Excel | 6/13/2008 | |
| 11/11/2008 | |||
| Performance Review Form | UM 29B | .pdf * | 7/8/2004 |
| Performance Review Form | UM 29B | Excel | 6/22/2009 |
| UM29B Instructions | .pdf * | 5/14/2007 | |
| Personal Data Form | UM 272 | .pdf * | 2/17/2010 |
| .pdf * | 6/26/2006 | ||
| Request For Extra Compensation | UM 273 | .pdf * | 5/31/2008 |
| Request For Leave of Absence | UM 108 | .pdf * | 1/20/2009 |
| 8/30/2004 | |||
| Student Employees FICA Checklist | UM 284 | .pdf* | 11/2/2006 |
| 8/17/2005 | |||
| Request For President's Approval For New Appointment | UM 368 | .pdf * | 11/1/2002 |
| E-Verify, I-9 and W-4s | |||
| E-Verify - The University of Missouri is required by state law to participate in the federal E-Verify program for all new hires. (Contact your campus Human Resources Services for more information.) | |||
| E-Verify Exception Request | UM 400 | .pdf* | 3/13/2009 |
| 3/13/2009 | |||
| Posters should be displayed so that each new hire has the opportunity to view them. If display is not feasible, then you must distribute to each new hire. |
|||
| .pdf* | 3/13/2009 | ||
| .pdf* | 3/13/2009 | ||
| .pdf* | 3/13/2009 | ||
| .pdf* | 3/13/2009 | ||
| I-9 Employment Eligibility Verification |
I-9 | .pdf * | 4/3/2009 |
| 8/15/2003 | |||
| W-4 | .pdf * | 12/28/2009 | |
| MO W-4 | .pdf * | 12/28/2009 | |
| Union Eligible Employees Only | |||
| Request and Authorization for Deduction of Organization Dues | UM 71 | .pdf * | 3/31/2008 |
| Request and Authorization for Deduction of Organization Dues | UM 71 | Excel | 3/31/2008 |
| Withdraw of Authorization for Deduction of Organization Dues | UM 70 | .pdf * | 6/21/2007 |
| Withdraw of Authorization for Deduction of Organization Dues | UM 70 | Excel | 6/21/2007 |
