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Human Resources Forms

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

Completion Instructions



7/13/2010
Additional Pay UM 271 Excel 7/13/2010
Administrative Posts UM 268 .pdf * 6/27/2005

Completion Instructions



6/27/2005
Application For Student Employment UM 52 .pdf * 2/17/2010
Appointment Notification UM 269 .pdf * 2/17/2010

Completion Instructions



1/3/2005
Faculty Pay Option UM 269a .pdf * 8/17/2005
Authorization For Educational Assistance UM 84-1 .pdf* 6/10/2014

Completion Instructions



 
Authorization For Educational Fee Reduction For Spouse and Dependents UM 85 .pdf* 6/10/2014
Biweekly Payroll Time Sheets

Biweekly Payroll Time Record

UM 13A Excel 8/23/2009

Completion Instructions


.pdf * 8/23/2009

Biweekly Payroll Time Record -

Comp Time Version

UM 13A-C Excel 8/23/2009

Completion Instructions


.pdf * 8/23/2009

Biweekly Payroll Time Record -

Non Benefit Eligible

UM 13NB Excel 7/1/2005

Completion Instructions



11/8/2005
Car Mileage Log UM 15  Excel 12/6/2011
Change of Address/Telephone Number UM 282 .pdf * 4/30/2003

Completion Instructions



4/30/2003
Data Form For Retired Staff UM 270R .pdf * 8/2/2005

Completion Instructions



8/2/2005
Direct Deposit UM 32B .pdf * 2/17/2010
Educational Assistance Program for Retired Employees UM 177 Excel * 6/3/2011

Questions and Answers


.pdf * 5/14/2007
Employee Separation Check List UM 325 .doc 9/10/2014

Completion Instructions


.pdf * 5/14/2007
FMLA

Definition of Terms



8/30/2004

Your Rights Under the Family and Medical Leave Act (WHD Publication 1420)


.pdf 4/15/2009

Certification of HealthCare Provider for Employee Serious Health Condition

UM 410 .pdf * 1/10/2013

Eligibility Notice (For Department HR/Management Use Only)


.doc * 8/23/2009

Designation Letter (For Department HR/Management Use Only)


.doc * 4/1/2013

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

Foreign Visitor Tax Assessment Intake Form

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

Completion Instructions



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

Completion Instructions



8/26/2009
PAFs

Personnel Action Form

UM 270 .pdf * 11/24/2009

Completion Instructions



11/24/2009

PAF For Courtesy Appt.

and Volunteers

UM 376 .pdf * 4/30/2009

Completion Instructions



4/30/2009

PAF For Nonresident

Aliens Not Employed

UM 376A .pdf * 2/17/2010

Payroll Correction Form - Hourly Paid

Completion Instructions

UM 30B Excel

6/13/2008

11/11/2008

 




Payroll Correction Form - Salaried Employees

Completion Instructions

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

Completion Instructions


.pdf * 5/14/2007
Personal Data Form UM 272 .pdf * 7/5/2013

Completion Instructions


.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

Completion Instructions



8/30/2004
Staff Volunteer Information Sheet UM 275 Excel 7/1/2011
Student Employees FICA Checklist UM 284 .pdf* 11/2/2006

Completion Instructions



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

E-Verify Exception Process Instructions



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.

E-Verify Poster - English


.pdf* 3/13/2009

E-Verify Poster - Spanish


.pdf* 3/13/2009

E-Verify Right to Work Poster - English


.pdf* 3/13/2009

E-Verify Right to Work Poster - Spanish


.pdf* 3/13/2009
I-9 Employment Eligibility Verification
I-9 .pdf* 3/8/2013

Completion Instructions


.pdf* 5/24/2013

Acceptable Documents


.pdf* 5/24/2013

Handbook for Employers

M-274 .pdf* 5/24/2013

Federal Employee's Withholding Certificate

W-4 .pdf*

1/1/2014

Missouri Employee's Withholding Certificate

MO W-4 .pdf* 1/1/2014
Union Eligible Employees Only
Request and Authorization for Deduction of Organization Dues UM 71 .pdf * 1/24/2013
Withdraw of Authorization for Deduction of Organization Dues UM 70 .pdf * 1/24/2013

Reviewed 2014-09-10.