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NOTE: Some of these form links will take you to a site away from the MUW website.

 

Background Check Release Authorization

[PDF]

Banner Access Request

[PDF]

Banner Access Termination / Transfer

[Word]

BENEFIT Forms:

 
  • Benefits Election Form (all benefits EXCEPT State & School Employees' Health/Life)
 [PDF]
  • Claim Forms
  1. Dental (Guardian)
  2. Vision (Davis)
  3. Disability (call HR Generalist x7222)
  4. Term Life (call HR Generalist x7222
  • Guardian - Dental, Vision (Davis), Term Life, Accident
  1. Guardian PDF
  • Kemper - Cancer, Criticial Illness
  1. Cancer PDF
  2. Critical Illness PDF
  • Reliance Standard - Disability, Term Life
  1. Disability PDF
  2. Term Life PDF
  • State and School Employees' Health and Life Insurance
  1. Health PDF
  2. Life PDF
  • State and School Employees' Life Insurance Beneficiary Designation (Minnesota Life/Securian)

Click here for instructions to change your beneficiary desgination on-line. Or, complete the [PDF] form and submit to Human Resources. (Links take you off-site.)

Change of Address

Call Human Resources x7222

Confidentiality Agreement

[PDF]

Deferred Pay Form (Faculty)

[Word]

Employee Biographical Form

[Word]

Employee Certification and Authorization Form

[Word]

Employee Transfer Checklist - Current Department

[Word]

Employee Transfer Checklist - Receiving Department

[Word]

Employee Time Log (For all Benefits-Eligible Biweekly Employees)

Email This email address is being protected from spambots. You need JavaScript enabled to view it. for a copy of the time log.

Employee vs Independent Contractor Checklist

[Word]

Ethnicity/Race Form (NCES)

[Word]

Flex Time Approval Form

[Excel]

Guardian Application for Dental, Life, and Vision Insurance

[PDF]

Job Evalution Packet

[Word]

Justification and Approval for Adjunct Teaching or Additional Duties (Staff)

[Word]

Leave - Application for Leave

[PDF]

Leave - Instructions for Entering & Approving Leave in Banner Self-Service

[PDF]

Leave Form - Biweekly Non-exempt Employee Attendance/Leave Record
(Biweekly Non-exempt Employee Leave Information)

[Excel]

[PDF]

Leave Correction/Late Forms:

 
  • Exempt Employee Form
[Excel]
  • Less Than 12 Month Faculty Form
[Excel
  • Non-Exempt Employee Form
[Excel]

Leave Donation Eligibility Form

[PDF]

Leave Donation Form (Staff)

[PDF]

Leave Donation Form (Faculty)

[PDF]

Leave Guidelines

[PDF]

Meal Plan Form

[PDF]

Medical Certification Form (Employee)

[PDF]

Medical Certification Form (Family Member)

[PDF]

Notice of Intention to Return from Medical Related Leave

[Word]

Onboarding Checklist for Supervisors

[Word]

Paycheck Authorization Form

Call Human Resources

Personnel Action Form (PAF)

[PDF | Word (fill-in format)]

Reasonable Accommodations Request Form

[Word]

Request for Outside Employment - Consultation and Research (Faculty)

[Word]

Request for Outside Employment (Staff)

[Word]

Sponsored Programs Personnel Action Form

[ PDF | Word]

Student Worker Time Log (Time Entry Time Sheet - Use as Excel Document - Do Not Handwrite)

[Excel]

Summer Flex Program Guidelines, Examples, and FAQs

[PDF]

Summer Flex Schedule Request Form

[Excel]

Tax Deferred Annuity Form (for new TDA or change)

[PDF]

Tax Form - Form W-4 Employee's Withholding Allowance Certificate

Link takes you to an off-site link.

Form W-4 2023

Tax Form - Mississippi Withholding Exemption Certificate

Link takes you to an off-site link.

MS Tax Withholding Form

Teleworking - Job Analysis

[Word]

Teleworking - Temporary Agreement

[Word]

Tuition Remission Form (Employee/Retiree)

Form is available on the Financial Aid website under Forms.

Financial Aid Forms

Tuition Remission Form (Dependent Child)

Form is available on the Financial Aid website under Forms.

Financial Aid Forms

Tuition Remission Form (Spouse)

Form is available on the Financial Aid website under Forms.

Financial Aid Forms

Veteran's Self-Identification Form

[Word]

Voluntary Self-Identification of Disability Form

Link takes you to an off-site link.

DOL Voluntary Self-ID Form

Workers' Comp Form - First Report of Injury (Form & Instructions) NOTE: DO NOT USE "SUBMIT TO AMFED" BUTTON. FORMS SHOULD BE PROCESSED THROUGH THE HUMAN RESOURCES OFFICE.

[PDF]

Workers' Comp Form - Investigation Report (Workers' Comp)

[PDF]

Notes:

- PDF format is PRINT ONLY which requires free Acrobat Reader
- Right click on "Excel or Word file" and save the file to a local directory
- For Word Fill-in Forms - Save form to your computer, in Word, on the "Forms" toolbar, click the "lock" or "protect form" once document is open.

The W: Human Resources

Human Resources

Laura Quinn
Director

Shattuck Hall

Mailing: 1100 College Street
MUW-1609
Columbus, MS 39701
Phone: (662) 329-7222
Fax: (662) 241-7616

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.