Human Resources/Payroll Forms

Overview:

These are internal forms for the Human Resources/Payroll Department. Many Human Resources and Payroll forms are routed through Adobe Sign for processing. This allows employees to complete, sign, and submit forms electronically. Click the form’s name below to initiate the Adobe Sign process. In order to submit the completed form after it has been signed, you must verify your identity by clicking on the link sent to your email address.
 
Form Name Form Description What to do with form
ADA Medical Inquiry Form   Have your medical provider complete the form and submit to EEO@MATSUK12.US .
ADA Request for Accommodations Complete this form to request accommodations under the American Disability Act (ADA). Complete the form and electronically sign through Adobe Sign.
Additional Time Worked  Additional time worked by CEA employees that was not entered in Time & Attendance by the Payroll deadline should be submitted using this form.  Submit the completed form to the Payroll Department.
Adult Worker Applicatiion    
Adult Worker Pay Calculation  This form should be completed when paying adult workers with student activity funds. Submit the completed form to the Human Resources Department.
Amended Absences  Absences entered in Absence Management that were not entered/corrected by the Payroll deadline should be submitted using this form. Submit the completed form to the Payroll Department.
Appreciation Payment    
Building Substitute Form*    
Cell Phone Allowance    
Cell Phone Request    
Certified Adult Worker Application    
Co-Curricular Application    
Co-Curricular Reactivation    
Co-Curricular Stipend Request    
Community Feedback Survey*    
Dependent Day Care Reimbursment American Fidelity Dependent Day Care reimbursement request.  Submit the completed form to American Fidelity
Employee Submitted Expense Adjustment This form is for notifying the Payroll Department that an expense claim was incorrectly submitted. Submit the completed form to the Payroll Department
Family First Coronavirus Response Act Leave Request    
FMLA-Employee Serious Health Condition HR-55*    
FMLA-Family Member HR-55b *    
Health Insurance Address Change Form * This form should be completed to update a employees' address with the Public Education Health Trust. Complete the form and electronically sign through Adobe Sign.
Health Insurance Claim Form This form can be used for medical, dental, vision and prescription claims if a health provider is not submitting a claim. Mail or fax the completed form to EBMS.
Health Insurance Dependent Update/Name Change  This form should be used to add or remove dependents from an employees' health insurance plan Complete the form and electronically sign through Adobe Sign.
Health Insurance Pre-Tax Election  You can elect or waive the option to have health insurance premiums withheld on a pre-tax basis by completing this form. Complete the form and electronically sign through Adobe Sign.
I-9*    
IT Intern Application*    
Long Term Certified Substitute*    
MSBSD UA College Savings Plan Payroll Deduction * Use this MSBSD form to initiate or modify payroll deduction contributions to the University of Alaska College Savings Plan. Submit the completed form to the Payroll Department.
Pay Option Form * X X
Physical Exam Form *    
PTO Leave Cash In Form MSEA, MSPA, MLMA, and EXEC employees should use this form to request to cash-in paid time off leave. Complete the form and electronically sign through Adobe Sign.
Request for Advancement on Salary Scale *   Complete the form and electronically sign through Adobe Sign.
Return to Work Authorization    
Section 125 Flexible Benefit Plan Expense Reimbursement Voucher * X X
Sick Leave Bank - Certified Application * This is the sick leave bank application for MSEA and MSPA employees that are members of the bank. Submit the completed application to the Sick Leave Bank Chairperson
Sick Leave Bank - Certified Special Collections Application * This is the special collections sick leave bank application for MSEA and MSPA employees that are members of the bank Submit the completed application to the Sick Leave Bank Chairperson.
Sick Leave Bank - Classified Application This is the sick leave bank application for CEA employees that are members of the bank. Submit the completed application to the Sick Leave Bank at matsuceaslb@gmail.com
Sick Leave Bank - Classified Special Collections Applications * This is the special collections sick leave bank application for CEA employees that are members of the bank Submit the completed application to the Sick Leave Bank at matsuceaslb@gmail.com
Sick Leave Bank Notification - Certified * MSEA and MSPA employees can elect to opt in or opt out of the Sick Leave Bank using this form Submit the completed form to the Payroll Department.
Sick Leave Bank Notification - Classified * CEA employees can elect to have money held back on each paycheck and paid in one lump sum on their last paycheck Submit the completed form to the Payroll Department
Site Exclusion Form*    
Special Pay Form    
Student Worker Application   Complete the form and electronically sign through Adobe Sign.
Student Worker Pay Calculation This form should be completed when paying student workers with student activity funds. Submit the completed form to the Human Resources Department
Substitute New Hire Paperwork*    
Substitute Reactivation*    
Substitute-Temporary Worker Time Sheet  This is an optional timesheet that schools and departments may utilize for internally reporting substitute/temporary worker time worked Submit the completed form to the Payroll Department.
Substitute Update*    
Summer Pay Election Form CEA employees can elect to have money held back on each paycheck and paid in one lump sum on their last paycheck. Submit the completed form to the Payroll Department.
UA College Savings Plan Employee Payroll Deduction * Use this form to initiate or change existing allocations of payroll deduction contributions to the University of Alaska College Savings Plan. Submit the completed form to the Payroll Department
Verification of Service    
W4    

Details

Article ID: 84054
Created
Tue 7/30/19 4:11 PM
Modified
Wed 8/12/20 4:21 PM