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

Additional PayUM 271Excel7/13/2010
Additional Pay/Extra Compensation (UMSL only)UM 273a.pdf *8/20/2018
Administrative Posts UM 268.pdf *6/27/2005

Completion Instructions

Application For Student EmploymentUM 52.pdf *2/17/2010
Appointment NotificationUM 269.pdf *2/17/2010

Completion Instructions

Faculty Pay OptionUM 269a.pdf *8/17/2005
Authorization For Educational AssistanceUM 84-1.pdf *3/5/2015

Completion Instructions

Tuition Reduction For Spouse and DependentsUM 85.pdf *5/17/2018
Biweekly Payroll Time Sheets

Biweekly Payroll Time Record

UM 13AExcel8/23/2009

Completion Instructions

 .pdf *8/23/2009

Biweekly Payroll Time Record -

Comp Time Version

UM 13A-CExcel8/23/2009

Completion Instructions

 .pdf *8/23/2009

Biweekly Payroll Time Record -

Non Benefit Eligible

UM 13NBExcel7/1/2005

Completion Instructions

Car Mileage LogUM 15 Excel12/6/2011
Change of Address/Telephone NumberUM 282.pdf *4/30/2003

Completion Instructions

Data Form For Retired StaffUM 270R.pdf *8/2/2005

Completion Instructions

Direct DepositUM 32B.pdf *3/15/2016
Educational Assistance Program for Retired EmployeesUM 177Excel *3/5/2015

Questions and Answers

 .pdf *5/14/2007
Employee Separation Check ListUM 325.doc9/10/2014

Completion Instructions

 .pdf *5/14/2007


For information on how to apply for FMLA leave, please contact your campus HR office.

Definition of Terms


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

Information on Leave  3/31/2016

Certification of HealthCare Provider for Employee Serious Health Condition

UM 410.pdf *1/10/2013

Eligibility Notice (For Department HR/Management Use Only)

 .docx *


Designation Letter (For Department HR/Management Use Only)

 .docx *1/08/2019

Certification of HealthCare Provider for Family Member’s Serious Health Condition

UM 411.pdf *7/31/2015

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 *7/31/2015

Foreign Visitor Tax Assessment Intake Form

UM 374.pdf *2/27/2004
Hiring Incentive Payment AgreementUM 271B.pdf *6/27/2019
JED ContinuationUM 270A.pdf *7/23/2003
Layoff and Transition Assistance AgreementUM 276.pdf*1/4/2019
Monthly Absence SummaryUM 60AExcel3/11/2010
Monthly Absence SummaryUM 60A.pdf *3/13/2010

Completion Instructions

 .pdf *3/11/2010
Moving Allowance AgreementUM 274A.pdf *6/27/2019
Nonresident Alien Honoraria/Business Expense Supporting StatementUM 378.pdf *11/3/2008
On-Line Check RequestUM 140Excel8/26/2009

Completion Instructions


Personnel Action Form

UM 270.pdf *11/24/2009

Completion Instructions


PAF For Courtesy Appt.

and Volunteers

UM 376.pdf *4/30/2009

Completion Instructions


PAF For Nonresident

Aliens Not Employed

UM 376A.pdf *2/17/2010

Payroll Correction Form - Hourly Paid

Completion Instructions

UM 30BExcel





Payroll Correction Form - Salaried Employees

Completion Instruction

Personal Data FormUM 272.pdf *11/8/2014

Completion Instructions

 .pdf *6/26/2006
Request For Extra CompensationUM 273.pdf *5/31/2008
Request For Leave of AbsenceUM 108.pdf *1/20/2009

Completion Instructions

Information on Leave  3/31/2016
Staff Volunteer Information SheetUM 275Excel7/1/2011
Student Employees FICA ChecklistUM 284.pdf*11/2/2006

Completion Instructions

Request For President's Approval For New AppointmentUM 368.pdf *11/1/2002
E-Verify, I-9, Voluntary Self-Identification of Disability, Veteran Status 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 RequestUM 400.pdf*3/13/2009

E-Verify Exception Process Instructions


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/Spanish)


E-Verify Right to Work Poster - English


E-Verify Right to Work Poster - Spanish

I-9 Employment Eligibility VerificationI-9.pdf*1/19/2017
Form I-9 Paper Version (This version is unfillable and must be printed for completion on paper only.) .pdf*2/13/2017

Completion Instructions


Form I-9 Acceptable Documents


Handbook for Employers


Voluntary Self-Identification of Disability


Veteran Status (Print and Complete. Not a fillable form)


Federal Employee's Withholding Certificate



Missouri Employee's Withholding Certificate

MO W-4.pdf*4/26/2019
Union Eligible Employees Only
Request and Authorization for Deduction of Organization DuesUM 71.pdf *3/13/2019
Withdraw of Authorization for Deduction of Organization DuesUM 70.pdf *1/2/2019

Reviewed 2019-06-27.