• Benefits
• Compensation
• Criminal Background Check
• Day O.N.E. @ UTSA
• Employment
• Employment Packets
• Employee Reading Documents
• Family Status Changes
• FMLA - Family and Medical Leave

• Mail Codes / Building Codes
• Performance & Evaluation
• Position Management
• Records Services
• Retirement Programs
• Selective Service
• Separation / Termination
• Training and Development

Benefits

• Assurant Dental Claim Form

• Delta Dental Plan Claim Form

• Medical Claim Form

• Prescription Drug Reimbursement Form

• Superior Vision Plan Claim Form

• UT FLEX Claim Form

• EOI Form - Life, Short and Long Term Disability

• (CNA) Evidence of Insurability Long-Term Care, Short form application

• Accidental Death & Dismemberment Certificate

• Dearborn National Forms

• Group Term Life Certificate

• Benefits Dependent Form

• Direct Transfer Form

• Incapacitated Child Form

• Insurance Enrollment Form

• Insurance Enrollment Form (Retiree)

• Faculty Salary Election

• Family Status Changes

• Master Orientation Log

• Purchase Agreement: Unused Annual Leave Payment to 457 (b)

• Zip Code Exception Form

• PayFlex Direct Deposit Authorization Form

• PayFlex Letter of Medical Necessity Form

• Coordination of Benefits

Retirement Programs

• Purchase/Change Agreement
  Use to change provider(s) for future retirement contributions

• Authorization for Reduction for Employee Contribution
  Use for initial ORP election

• Authorization for Reduction for Employee Contribution for Employees Returning to ORP
  Use for ORP election for vested participants returning to employment

• ORP Acknowledgement Form
  Must be signed by all employees who are newly-eligible for ORP

• Tax-Sheltered Annuity Disclosure
  This must be signed before your enrollment into a TSA is effective

• ORP Plan

• Overview of TRS and ORP

• Transfer Verification Form
  Use to transfer balances from one provider to another

• TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program
  The TRS 28 must be completed by all participants making their initial ORP election.

• TRS Form 29 (Application for Refund)
  Use only if you have an account balance with TRS

• UT Vesting/Termination Status Form

Teacher Retirement System:

• TRS Website - Forms page

• UTSaver TSA Plan

• Loan, Hardship and Unforseeable Emergency Procedures

• Transfer Verification Form
  Use to transfer balances from one provider to another

• Purchase Agreement for Annual Leave Deferral

• UTSaver DCP Policy

• Loan, Hardship and Unforseeable Emergency Procedures

• Transfer Verification Form - Use to transfer balances from one provider to another.

• Special Catch-Up Provision Disclosure - This must be signed if utilizing the Special Catch-Up Provision and must be accompanied by a calculation sheet.

Compensation

• Faculty Salary Pay Election Agreement

• Request for Salary Supplementation

• Termination Payroll Voucher

Day O.N.E. @ UTSA

• I-9 Form

Exp:
08-31-12

• W-4 Form

• Direct Deposit

• Political Aid, Legislative Influence and Standards of Conduct

• Staff Employee Acknowledgment Form

• New Employee Information Request Form

• I-9 Form

Exp:
08-31-12

• W-4 Form

• Direct Deposit

• Political Aid, Legislative Influence and Standards of Conduct

• Faculty Employee Acknowledgment Form

• New Employee Information Request Form

Employment

• Acknowledgement of Service without Salary   
  (Previously Volunteer form)

• Conflicts of Interest Policy Acknowledgement Form

• Criminal Background Check

• Direct Deposit Form

• Employee Acknowledgement Form Non-Benefits Eligible

• Form I-9

• Questions and Answers

• I-9 Handbook

• I-9 Directions and Examples

• New Employee Information Request Form

• New Employee "On-the-Job" Orientation Checklist 

• Political Aid, Legislative Influence and Standards of Conduct

• Promotion / Transfer Policy

• Request for Prior Approval of Outside Employment

• Selective Service Registration Requirement

• W-4 Form

• Conditional Employment Offer Letter

• Employment Offer Letter

• Interview Questions

• Reference Check Questions

Employment Packets

• Non-Benefits Eligible Employment

• Non-Tenure/Track Adjunct Faculty

• Occasional Employment Packet

• Part-Time / Temporary Employment Packet

• Work Study Employment Packet

• Volunteer Processing
  Acknowledgement of Service without Salery

• Required Reading Documents

FMLA

• ADA - Employee Accommodation form

• Family Medical Leave Request form

• Parental Leave Request form

• Physician Certification form

• EEOC GINA Poster

• GINA FAQs

• GINA Fact Sheet
  Download this form with DOL forms below

• WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition

• WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition

• WH-384 Certification of Qualifying Exigency For Military Family Leave

• WH-385 Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave

Performance and Evaluation

• Performance Evaluation Review form - Staff Positions

• Rating Tool

• 30 Day

• 90 Day

• 160 Day

Position Management

• Position Description Form

• Position Justification Form

• Position Justification Form for Replacements

Records Services

• Personnel Action Form

• Request for Transfer of Records

Separation / Termination

• Acceptance of Resignation Letter (Template)

• Employee Separation Process

• Employee Separation Form

• Separation Processing Checklist

• Purchase Agreement: Unused Annual Leave Payment to 457 (b)]

UTSA Bldg Codes / Mail Codes

• Building Codes

• Mail Codes sorted by Department

• Mail Codes sorted by Mail Code

Return to top of page