The Office of Human Resources

UVA Health Plans

• Authorization to Disclose Protected Health Information
• Authorization to Disclose Protected Health Information to Family Member or Other Person
• Foreign Country Enrollment Form
• UVA Health Plan Enrollment Form Medical Center Employees
• FSA Status Change Form Medical Center Employees
• HSA Employee Contribution Change Form for Medical Center employees
• UVA Health Plan, Dental Plan, and Davis Vision Enrollment Application
• Employee Spousal Affidavit

VRS Forms

• Election to Participate
• VRS Hybrid Forms Website

Life and AD&D Insurance

• VRS - Minnesota Life Optional Life Enrollment Form
• VRS - Minnesota Life Optional Life Change Form
• VRS - Minnesota Life Beneficiary Change Form
• VRS - Minnesota Life Evidence of Insurability
• VRS - Minnesota Life Conversion Form
• Standard Life Beneficiary Form

ORP, MCRP, TDSP and Cash Match

• Fidelity Enrollment, Fund and Performance Information
• Fidelity 401a Beneficiary form
• Fidelity 401a/403b Combination Beneficiary Form
• TIAA-CREF Enrollment, Fund and Performance Information

Workers’ Compensation Forms

• Accident Report – (Facilities Management Employees: Do not use this form. Please complete your department's online form)
• Workers’ Compensation Panel
• Employee Checklist for Workers’ Compensation

• Selective Service Form
• I-9 Forms - ONLY FOR REMOTE USE
  • I-9
  • Remote Hire I-9 Notice Form
  • Remote Hire Authorized Agent Procedures
  • Offsite New Hire I-9 Procedures
• Immigration Forms
  • Permanent Resident Packet
  • H-1B Packet
  • TN Packet USA
  • TN Visa Packet (Port of Entry processing only)
  • O-1 Non-Immigrant Packet
  • Required Documentation for Travel and Honoraria Payments Checklist
• Employment Confirmation Letter for International Travel – HR contacts may provide this proof of employment letter to a foreign national employee before the employee travels outside of the U.S. Letter is most meaningful when provided by the department on its own letterhead (rather than CIS), because the department has direct knowledge of the duties of the employee’s position.

• Pay Action Request
• Position Action Form
• Position Action Appeal
• Recognition Award Request
• Sign-On Bonus Agreement Form and Policy

• Faculty Salaried Personnel Hire Form
• Faculty Wage/Student Personnel Hire Form
• Knowledge Transfer Template
• Name/Address Change
• Offboarding Checklist

• Emergency & Disaster Leave Form
• Leave Sharing Donor Application
• Leave Sharing Recipient Application
• Request for Overtime Leave Payment
• Family Medical Leave (FMLA) Form

• FICA Release Letter
• Off-Cycle Payroll Request
• Time Management Form
• Time Management Form Shift Work

• Exceptional Performance Form
• Notice of Improvement Needed
• Probationary Progress Review/Extension/Completion Form

• Candidate Reference Check
• Dual Employment Request
• Reassignment Request Form
• Title Summary Tool
• Summary Comparison Tool
• Jobs@ Department User Guide
• EOCR Search Committee Training
• EOCR Recruitment and Hiring Resource Guide
• EOCR Posting and Training Requirements
• Behavioral Interviewing Guide
• Affirmative Action - EOCR
• Hiring and Recruiting Individuals with Disabilities
• Recruitment and Hiring of UVA Staff and Wage Employees policy
• Position Description Degree Requirement Analysis worksheet
• Sample Candidate Reference Check For Guidance
• Virginia Workforce Center Flyer
• Virginia Department of Rehabilitative Services Quick Reference Resources
• Area 6 Piedmont Workforce Network
• Remote Hire Notice Form

• VA Tax Forms
• W-4 Form

• Alternative Work Schedules
• Career Development
• Compensation Program for University Staff Employees
• Managing Short-Term Wage Employment
• Probationary Period for University Staff Employees
• Professional Service and External Consulting for University Staff Employees
• Recruiting and Hiring of University Staff and Wage Employees
• Recruitment and Hiring of University Staff and Wage Employees Hiring Guide
• Telecommuting from Alternative Work Locations
• Terms and Conditions of University Staff Employment
• University Staff Employees Engaged in Teaching
• Telecommuting Plan Sample
• Telecommuting Needs Assessment
• Drafting Telecommuting Plan
• Safety Checklist for Telecommuting