Employee Forms
Some forms need Adobe® Acrobat® Reader for your computer, a free download is available on the Adobe web site. Download Adobe® Acrobat® Reader For Free Address Change Form Change on Employee Self Service web site Telephone and marital status changes: contact Jalayne Smith at 262-7249 INSURANCES: Basic Coverage Optional Coverages Life Beneficiary Business Expense forms - Employee Expense Report Affidavit of No Receipt Out-of-State-Travel NEW ! Excel Business Expense form Column Placement Change Dependent Change form This form is required to make dependent changes on insurances. Direct Deposit Authorization Forms and Instructions (NEW! Change your Direct Deposit on your Employee Self-Service) Disability Insurance Forms Exit form (Supervisors) Holiday Pay Calculation - AFSCME ........... AFSCME Holiday Pay Chart Holiday Pay Calculation - MAPE ........... MAPE Holiday Pay Chart MSCF Salary and Credentialing System Paid Work Experience Verification Form Parking Deduction Form <..........Parking Policy..............Parking Waiver Phased Retirement Form Sabbatical Forms: Application Plan Review Guidelines Criteria Report Tuition Waiver (select your Campus): Hibbing Itasca Mesabi Range Rainy River Vermilion NESU Tuition Waiver Matrix Tuition Waiver directions Vacation Donation Program Form (NEW! Staff must donate using their self-service - check stub site) W-4 Employee's Withholding Allowance Certificate (NEW! Self-Service allows employees to change your allowances) Worker's Compensation Forms: Employee Statement First Report of Injury Agency Claim Form Information and Privacy Send all these forms by email to Carmen Bradach 218/749-7743 c.bradach@mr.mnscu.edu _{This document is available in alternate formats to individuals with disabilities by calling 1-800-657-3860 or through the Relay Service at 7-1-1 or 1-800-627-3529} _{NHED is an affirmative action, equal opportunity employer and educator}	HR Home Tuition Waiver Seniority Rosters New Employee Check Stubs/Self Service NEOGOV Committee Employment Benefits / Resources E Timesheets Employee Forms Employee Guidebook Affirmative Action Orientation / Policies Supervisor Tool Kit

Employee Forms

Some forms need Adobe® Acrobat® Reader for your computer, a free download is available on the Adobe web site.

Download Adobe® Acrobat® Reader For Free

Address Change Form Change on Employee Self Service web site

Telephone and marital status changes: contact Jalayne Smith at 262-7249

INSURANCES:

Basic Coverage Optional Coverages Life

Beneficiary

Business Expense forms - Employee Expense Report Affidavit of No Receipt
Out-of-State-Travel

NEW ! Excel Business Expense form

Column Placement Change

Dependent Change form
This form is required to make dependent changes on insurances.

Direct Deposit Authorization Forms and Instructions
(NEW! Change your Direct Deposit on your Employee Self-Service)

Disability Insurance Forms

Exit form (Supervisors)

Holiday Pay Calculation - AFSCME ........... AFSCME Holiday Pay Chart

Holiday Pay Calculation - MAPE ........... MAPE Holiday Pay Chart

MSCF Salary and Credentialing System

Paid Work Experience Verification Form

Parking Deduction Form

<..........Parking Policy..............Parking Waiver

Phased Retirement Form

Sabbatical Forms: Application

Plan Review Guidelines Criteria Report

Tuition Waiver (select your Campus):

Vacation Donation Program Form
(NEW! Staff must donate using their self-service - check stub site)

W-4 Employee's Withholding Allowance Certificate
(NEW! Self-Service allows employees to change your allowances)

Worker's Compensation Forms:

Employee Statement First Report of Injury Agency Claim Form
Information and Privacy
Send all these forms by email to Carmen Bradach 218/749-7743

c.bradach@mr.mnscu.edu

_{This document is available in alternate formats to individuals with disabilities by calling 1-800-657-3860 or through the Relay Service at 7-1-1 or 1-800-627-3529}

_{NHED is an affirmative action, equal opportunity employer and educator}