Forms

Find complete listing of OHR forms at hr.osu.edu/hrpubs/forms.htm.

HR System/ Payroll Forms

General Information	Type	Description
Payroll Card Application		To have your funds direct deposited to a payroll card print and fill out this form and submit to the Student Affairs Human Resources office.
Savings Programs	Type	Description
Credit Union Payroll Deduction		Authorization to have a selected amount deposited into your Credit Union of Ohio account.

Employment Forms

Background Check Forms	Type	Description
Ohio Homeland Security TEL List		The applicant must review this list while completing the DMA Form.
Ohio Homeland Security DMA Form		All applicants that you submit for background check must complete this Declaration of Material Assistance (DMA) Form while looking at the Terrorist Exclusion List (TEL).
Police Record Disclosure		All Regular Employee applicants must complete this form and submit with 3 other forms needed to start a background check.
SSA-1945 Soc Sec Benefit Awareness Statement		As of Jan 1st, 2005 applicants must complete this form and submit to SAHR with Police Record Disclosure Form, signed employment application, and Ohio Homeland Security DMA Form to start a background check.

Benefit Forms

Staff/Reg Employees	Type	Description
Credit Enrollment During Regularly Work Schedules		Staff members need to receive written permission to take courses during regularly scheduled work hours. Supervisors are encouraged to use flexible work arrangements when an employee's course schedule conflicts with his or her regular work hours.
Returning Retirees	Type	Description
Notice of Re-employment of an OPERS Retiree		Return form to OHR Archer House immediately if a retiree has been rehired; form must be on file w/OPERS within 30 days of hire date

General Info for ALL Employees

General Information	Type	Description
Ohio Ethics Law Acknowledgement Form		The university must provide each faculty and staff member with a copy of this legislation and obtain written acknowledgement of receipt. Please acknowledge receipt by signing the form below.
Taxes and related forms	Type	Description
Form 8233		Exemption from Withholding on Compensation for Independent Personal Services of a Nonresident Alien Individual
W-9		Request for Taxpayer Identification Number and Certification for lawful permanent resident employees.
Savings Programs	Type	Description
Supplemental Retirement Account (SRA)		Call the Benefits/Retirement office at 292-1050 for information on starting an SRA
Staff/Reg Employees	Type	Description
Staff Exit Checklist		This checklist is used for staff leaving the Student Affairs department or the Ohio State University.
Leave Accruals	Type	Description
Biweekly Leave Accrual Rates		Biweekly employee vacation/sick leave accrual schedule for FY 2008: July 2007 - June 2008
Monthly Leave Accrual Rates		Monthly employee vacation/sick leave accrual schedule for FY 2008: July 2007 - June 2008
Calendars (Holidays & Pay Schedules)	Type	Description
FY08 Biweekly Approval and Pay Schedule		Supervisors/Timekeepers please print and post this schedule to know when to approve Biweekly Payroll; all new hire paperwork must arrive in 620 by end of the pay period; explains 2 week delay until the pay issue date.
OSU Holidays		OSU observes 10 Holidays per year.
Staff & Student Address, Name, Emergency Cont Update	Type	Description
Personal Data Change Form		This form is for any student affairs employee that has a change in address, phone, emergency contact or a name change.

Disability and Workers' Compensation Forms

Worker's Compensation	Type	Description
Employee Accident Report		All employees should seek treatment for work related accident/injury at OSU Employee Health Rm 2A Univ Hosp Clinic 456 W 10th Ave within 72 hrs of incident; regional campus employees should seek treatment at local health care provider

Leave Forms & Related Leave Programs

Vacation/Leave and related forms	Type	Description
Application for Leave		Should be completed by employee for any leave taken; Please give to your supervisor as soon as possible; Vacation is approved prior to leave; Ill leave is approved upon return
Vacation Donation Donor Form		Please read program policy carefully and direct questions to SAHR 292-2431
Vacation Donation Recipient Form		Please read program policy carefully at and direct questions to SAHR 292-2431
Family and Medical Leave (FML)	Type	Description
Medical Certification Statement for leave		Provides up to 12 weeks of job-protected leave for "eligible" employees (must have been employed for 1 year and worked 1,040 hrs in previous 12 months) for certain family and medical reasons; call SAHR at 292-2431 for information/assistance.

Student Employment Forms

Student Information	Type	Description
General Student Employment Application		You may use this general student employment application or you may create your own to meet your unit's needs for information- the SAHR office does not need a copy of the application/nor do we keep any on file- you should keep your own student application file.
Student Personal Data Record		Upon hire students must complete a PDR; to update your local/campus address, phone # and emergency contact info
Taxes and related forms	Type	Description
Form W-4		Employee's Withholding Allowance Certificate for Federal, State and City taxes.
Student Retirement Options	Type	Description
SSA-1945 Soc Sec Benefit Awareness Statement		This is the Student version of the SSA-1945/Soc Security Benefit Awareness Statement-OSU employees do not pay into Social Security.
Stu OPERS Retirement Election Form		Please read about student employee retirement options. All new hires must designate their OPERS choice on this form then follow the instructions on which of the other 2 OPERS forms to complete - 2 OPERS forms always get returned to 620 Lincoln SAHR Office
Stu OPERS Retirement Exemption Request		Students should read the entire retirement handbook. Students enrolled at OSU for at least 6 credit hours may choose the optional exemption from membership in OPERS and may complete this form
Stu OPERS Retirement Personal History Record		Establishes membership in OPERS; for students not enrolled in at least 6 credit hours at OSU at time of hire, this form should be completed; please review retirement options here.
Stu Retirement Handbook-4 forms together		If you need all 4 forms (Election, Exemption, History Record and Soc Sec Benefit Awareness) all are in this handbook.
For Minors (Under 18)	Type	Description
Minor Wage Agreement		Manager completes all spaces except for having the minor sign it. Send to 620 Lincoln Tower with either the minor's parent consent form or work permit.
Parent/Gaurdian Consent form		Manager prints form- Minor's parent must complete. Send form and Minor Wage Agreement to 620 Lincoln Tower.
Staff & Student Work Eligibility	Type	Description
I-9 Employment Eligibility Verification		Upon hire ALL OSU employees must complete an I-9 by their 1st working day; please review the list of acceptable documents on the back of the I-9 form

HR System Processing Forms

Processing	Type	Description
Biweekly Employee Timesheet		Office of Human Resources standard timesheet (Departments may have their own versions of this form) May be used if time clock access is unavailable
Convert Overtime to Comp Time Request Form		Make form available to employees; they complete and must turn in to Timekeeper/Supervisor by NOON on a biweekly approval deadline day. Supervisor MUST enter the conversion based on the form in Web-TK.
Sick Leave Conversion Sign Up		CWA Service, Skilled Trades and Maintenance bargaining unit employees are eligible to participate in the CWA Sick Leave Conversion Program. Program allows conversion of sick leave to vacation provided they meet specific requirements.
Performance Review	Type	Description
CDS Student Promotion Form		Use for CDS students that are being promoted.
Staff Performance Appraisal Short Form		Use for regular staff performance review; front and back pages
Student Job Eval/Merit Raise Form 1 front		Manager must complete and return this form to your HR Contact at SAHR via fax 7-8010 or hand delivery BEFORE the end of the pay period in which you're asking it become effective. There will be NO RETRO raises for late forms. Call your HR contact for details!
Student Job Eval/Merit Raise Form 2 back		p2 back of student job eval form is for managers to keep for their own records. SAHR does not need it.
Regular Employee Forms	Type	Description
Regular Employee PDR		REG Personal Data Record to be completed by REGULAR Staff employees (Not Students)

Last modified on: Thursday, March 27, 2008 1:03:50 PM

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