HR Forms

Benefit Forms

• Health Benefits Election Form (SF 2809) 
• Federal Employees Group Life Insurance (FEGLI) Form 
• FEGLI Beneficiary Form
• Standard Long-Term Disability Election Form (DOCX)
• Federal Employees Retirement System (FERS) Beneficiary Form 
• Civil Service Retirement System (CSRS) Beneficiary Form 
• TSP Election Form 
• TSP Catch-Up Election Form 
• TSP Beneficiary Form 
• Domestic Partner Affidavit (DOC)
• Health Insurance Options while in a Non-pay Status (LWOP) (DOC)
• Flexible Premium Plan (PDF)
• SmartBenefits SmarTrip (PDF)

Evaluations

• Non-Exempt Performance Evaluation (DOCX)
• Exempt Performance Evaluation (DOCX)

Leave Forms

• FMLA - Employee 
• FMLA - Family Member 
• Leave Correction (PDF)
• Staff Leave Request (DOC)
• Clerc Center Teacher Leave Request (DOC)

Pay Schedules

• PAF & Payroll Schedule
• Staff Pay Schedule (PDF)
• Clerc Center Teacher Pay Schedule (PDF)
• University Faculty Pay Schedule (PDF)

Payroll Forms

• Temporary Timecard (DOC)
• Deferred Compensation Election Form - Faculty (PDF)
• Direct Deposit (DOC)

Personnel Actions

• Regular PAF (PDF)
• Separation PAF (PDF)
• Special Pay PAF (DOC)
• Adjunct Faculty Special Pay PAF (PDF)
• Employee Data Sheet Form (DOC)
• Employment Eligibility Verification (I-9 Form) 
• Change of Address Form
• Change of Name

Requisition Forms

• Position Justification (DOCX)
• Staff (DOCX)
• Laurent Clerc National Deaf Education Center Teachers (DOC)
• University Faculty (DOC)

Tax Forms

• Form W-4 (Federal) 
• Form D-4 (District of Columbia) 
• Form MW 507 (Maryland) 
• Form VA-4 (Virginia) 

Annual Compliance Forms

• Conflict of Interest
• Confidentiality Agreement

Important Links

• Instruction for ADP Workforce Now Statements
• Federal Forms (OPM site)

Miscellaneous

• Staff Holiday Schedule (PDF)
• Customer Satisfaction Survey
• 2017 UBS Price Book (42MB)