Employee Forms

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INSURANCES:

DISABILITY

CREDENTIALING (FACULTY)

PAYROLL
RETIREMENT
TUITION WAIVER

APPLY (select your college)

NHED UAF FORM


WORKER COMPENSATION FORMS:

Supervisor Check List
Employee StatementFirst Report of Injury
Information and PrivacyLeave Supplement


Information Packet for those on Worker's Comp

Student worker injury (FWS) must also complete this form: STUDENT WORKER FORM

Send all these forms by email to Carmen: c.bradach@mesabirange.edu 218/749-7743



OTHER FORMS:
ADA Reasonable Accommodation    More information about Reasonable Accommodations

Harrassment, Discrimination, Complaint Form

529 Plan

Complete form, send to TIAA and establish an account. Then add another row with this new deduction in your Direct Deposit deduction
Vacation Donation Program Use self service site! paper form here



Sabbatical Forms:
Application, Plan and Review