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HRS Forms On-Line

The following are forms that are available for download from this site. You must have Adobe Acrobat Reader 3.0 in order to use these forms.

To read the documents marked PDF requires "Adobe Acrobat". On campus users can contact #4600 for assistance.

NOTE: These forms are available for PSU Employees only

The forms below are available directly on-line either as an HTML file, or for download into Adobe Acrobat Reader 3.0. 

 

Accident Report Forms

Advanced Leave Agreement (Fillable PDF)

Affordable Care Act (ACA) - New Health Insurance Marketplace Coverage Options & Your Health Coverage

Authorization Form for Release of Medical Information (Fillable PDF)

Background Check Consent Form  link to EEO forms on line

Change Checklist (Changes in Name, Address, Marital Status & Number of Children) 

Clothing Policy Forms

  • Taxability Determination Form (Fillable PDF)
  • Department Business Attire Item Policy - Template (WORD)
  • Department Business Attire Item Policy - Sample (WORD)

Compensatory Time Agreement for Non-Exempt Employees

Conflict Resolution/Grievance Review Request Form (Fillable PDF)

Deferred Compensation Plan Participation Agreement (Fillable PDF)

Direct Deposit (EFT) Authorization Form

Donor Leave Request Form (Fillable PDF)

Employee Information Sheet (Word) (PDF) (Fillable PDF)

Employment Summary (Word)

Extra Duty Compensation Form (Excel) (Fillable PDF)

Fair Labor Standards Act (FLSA) Forms

Family and Medical Leave (FMLA) Forms

Funeral Leave Request Form (KAPE Service & Maintenance Employees ONLY) (Fillable PDF)

Funeral Leave Request Form (Fillable PDF)

Group Health Insurance (GHI) Forms

  • GHI Enrollment Form (PDF)
  • GHI Change Form (PDF)
  • GHI Communication Form (PDF)
  • GHI Dependent Grandchild Affidavit (PDF)
  • GHI Request for Enrollment of Common Law Spouse (PDF)
  • GHI Health Savings Account (HSA) Enrollment & Change Form (PDF)

Holiday Overtime Reporting (Fillable PDF)

I-9 Form (Fillable PDF)

Independent Contractor / Consultant Certification & Request to Pay Worksheet (Word) (PDF)

K-4 - Kansas Income Tax Withholding (Fillable PDF)

KanElect Flexible Spending Forms

  • KanElect Flexible Spending Enrollment/Change form (PDF)

KPERS

Learning Quest Payroll Deduction Forms

Life Insurance Beneficiary Form - Regents Retirement Plan (Fillable PDF)

Nine Pay Twelve Salary Payment Option (Fillable PDF)

Oath of the State of Kansas

Oath of the State of Kansas - Student Employees

Overtime Approval Form (Fillable PDF)

Phased Retirement Sample Agreement (Fillable PDF) (Word)

Performance Management Process

Position Descriptions

PSU Foundation Payroll Deduction Form (PDF)

PSU ID Worksheet (Fillable PDF)

Retirement Plan Investment Agreement - Regents Mandatory Retirement Plan (Fillable PDF)

Retirement Plan Investment Agreement - Voluntary Tax Sheltered Annuity Plan - Pre Tax (Fillable PDF)

Retirement Plan Investment Agreement - Voluntary Tax Sheltered Annuity Plan - After Tax Roth (Fillable PDF)

Shared Leave State of Kansas Program (University Support Staff and Non-KNEA Members)

Shared Leave - KNEA Program

Social Security Exemption Notification

Standard Evaluation Form of Applications

State of Kansas Tax Clearance Program Employee Acknowledgement

Statement of Substantial Interest 2014

Substance Abuse Policy Affirmation Form

Substantial Presence Worksheet - 2014

Temporary University Support Staff Position Acknowledgment

Timesheet (Fillable PDF)

Tuition Assistance Applications

University Support Staff Recruitment Record

Volunteer Agreement and Release (Fillable PDF)

W-4 - Federal Income Tax Withholding (Fillable PDF)

Withdrawals from the Kansas Board of Regents Mandatory Retirement Plan

Withdrawals from the Kansas Board of Regents Voluntary Retirement Plan