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Forms List
All of the forms listed below are either in PDF or Microsoft Word format unless otherwise noted. The PDF format requires the free Adobe Reader application be installed. The reader can be downloaded and installed from: http://www.adobe.com/products/acrobat/readstep2.html. The Word format requires that Microsoft Word be installed on the local machine.
As an alternative, a list of only Faculty and Academic Staff Forms or Support Staff forms is available for easily selecting a form.
Academic Position Request - Fixed Term Pre-populated Forms System
Academic Position Request - Tenure System / Continuing Pre-populated Forms System
Academic Specialist Suggested Orientation Checklist (link)
Academic Hiring Report - Page 1 PDF
Academic Hiring Report - Page 2 PDF
Academic Hiring Report - Page 3 PDF
Academic Hiring Report - Page 3 (continued) PDF
Academic Hiring Report - Page 4 PDF
Appointment PDF
Conflict of Interest in Employment PDF
Dubai Faculty/Academic Staff PDF Word
Dubai Support Staff PDF Word
Request for Accommodation PDF
Exposure to Health Risks / Physical Demands Form PDF Word
Fixed Term Faculty / Academic Staff Appointment / Reappointment Memorandum PDF
HP Faculty Appointment / Reappointment Memorandum PDF
Immigration and Naturalization Service I-9 Form PDF
Load and Salary Form for Summer School
Memorandum of Understanding PDF
Multiple Appointment Memorandum PDF
New Hiring Form Social Security Directions Word
Pre-Employment Test Consent PDF
Specialist Position Description PDF
Staffing Request / Reclassification Form PDF Word
Benefits
Dental
Aetna Dentist Nomination Form PDF Word
FSA
Meritain Health - Reimbursement Request Instructions PDF Word
Meritain Health - Reimbursement Request Form PDF Word
Meritain Health - Direct Deposit PDF Word
Meritain Health - HCSA Debit Card Substantiation Form PDF Word
Health Care
Affidavit of Dependency PDF Word
Hardship Application PDF Word
Loss of Previous Coverage PDF Word
Life / Accident Insurance
Beneficiary Designation PDF Word
Evidence of Insurability PDF
Long Term Disability
Return to Work Verification PDF Word
MSU - Recognized Same-Sex Domestic Partner
Taxation of Domestic Partership PDF Word
Other Eligible Individual (OEI)
Other Eligible Individual Form PDF
Taxation of Other Eligible Individual PDF Word
Retirement
Application for Retirement for Faculty / Academic Staff PDF
Application for Retirement for University Support Staff PDF Word
Retirement or Deferred Compensation Withdrawal Request (Hardship Withdrawal Form) PDF Word
Student Health Insurance
Application for Supplemental Repatriation / Medical Evacuation Insurance PDF Word
Student Health Insurance Base Plan Enrollment PDF Word
Student Health Insurance Graduate Assistants Dependents Enrollment PDF Word
Student Health Insurance Plan Continuation Enrollment PDF Word
Student Health Insurance Sponsored International Students Dependents Enrollment PDF Word
Student Health Insurance Visiting Scholars Enrollment PDF Word
Tuition Assistance
Educational Assistance Program Application PDF Word
Workers' Compensation
Authorization to Invoice MSU PDF Word
Authorization to Invoice MSU for Employees not in the Lansing Area PDF Word
Injury Absence Report PDF Word
Intent to Treat PDF Word
Medical Travel Reimbursement Request PDF Word
Report of Claimed Occupational Injury or Illness PDF Word
Time off / Leave Programs
Certification of Physician or Practitioner for FMLA PDF Word
Request for Time Off PDF Word
Information for Leave of Absence - other than sabbatical (Faculty / Academic Staff) PDF
Leave of Absence (Faculty/Academic Staff) PDF
Request for Leave of Absence (Support Staff) PDF Word
Sabbatical Leave Information (Faculty / Academic Staff) PDF
Performance Review & Development
Annual Evaluation for Chairpersons / Directors PDF
Employee Self-Review Worksheet PDF Word
Evaluation Guidelines for Academic Administrators PDF
Executive Management Performance Development Program PDF Word
HP-D Health Programs Recommendation for Promotion PDF
HP-C Health Programs Recommendation for Reappointment PDF
Interim Evaluation (APA, APSA) PDF Word
Notice of Non-Academic Disciplinary Action PDF Word
Notice of Suspension Pending Investigation PDF Word
Observed Behavior - Reasonable Cause Record PDF Word
Performance Development Program PDF Word
Performance Development Program II PDF Word
Performance Improvement Plan PDF Word
Probationary Evaluation PDF Word
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 1 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 2 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 3 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 4 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 5 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 6 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 7 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 8 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 9 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 10 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 11 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 12 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 13 PDF
Recommendation for Reappointment, Promotion or Tenure Action (Tenure System Only) - Entire Document PDF Word
Professional Development / Training
Educational Assistance Program Application PDF Word
ETC-CT Application PDF Word
Foundations Application PDF Word
Front Desk Application PDF Word
Leadership from the Inside Application PDF Word
Leading Edge Application PDF Word
Pay, Rewards & Recognition
Additional Payments PDF
Clerical Technical Recognition Award PDF Word
Direct Deposit (link)
Outside Work for Pay / Overload Pay PDF
Special Payment Authorization PDF Word
W-4 Forms (Federal, State, City) (link)
Reappointment, Promotion & Reclassification
HP-D Health Programs Recommendation for Promotion PDF
HP-C Health Programs Recommendation for Reappointment PDF
Recommendation for Reappointment, Promotion or Tenure Action (Tenure System Only) - Entire Document PDF Word
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 1 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 2 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 3 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 4 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 5 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 6 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 7 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 8 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 9 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 10 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 11 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 12 PDF
Academic Specialist Recommendation for Reappointment, Promotion or Award of Continuing Appointment Status - Page 13 PDF
Acknowledgment of Receipt of Educational Materials on Alcohol and Substance Abuse for Operators of Commercial Motor Vehicles PDF Word
Controlled Substances Test Results Notification PDF Word
Drug Testing Procedures Driver Fact Sheet PDF Word
Non-Union Regular Support Staff Grievance Procedure Form PDF Word
Notice of Non-Academic Disciplinary Action Form PDF Word
Notice of Suspension Pending Investigation PDF Word
Observed Behavior - Reasonable Cause Record PDF Word
Pre-Employment Testing Consent PDF
Request for Time Off PDF Word
Retirement, Termination & Separation
Adjunct / Clinical Emeritus Status PDF
Affidavit of Termination of Domestic Partnership PDF Word
Application for Retirement for University Support Staff PDF Word
Retirement, Faculty / Academic Staff PDF Word
Termination / Separation Checklist PDF Word
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