Forms

403(b) 1st Amendment

403(b) 2nd Amendment

403(b) 3rd Amendment

403(b) 4th Amendment

403(b) Plan Document

403(b) Salary Reduction Agreement 2024

Academic Affairs Performance Appraisal

Accidental Death and Dismemberment Enrollment Form

Actual Wage Memorandum

ADA Medical Inquiry Form

AFLAC Accident Advantage Enrollment Form

AFLAC Accident Advantage Rates

Aflac Cancer Indemnity Insurance Application

Aflac Critical Care Insurance Application

Agriculture, Forestry, and Veterinary Medicine Performance Appraisal

American Fidelity Group Disability Application

Annual Employment Letters

Applicant Dispositions and Closing Out PARFs

Applicant Reference Check

Application for Permission to Engage in Employment

Athletics Performance Appraisal

Authorization for release of employee benefits information

Background Screens

Benefits Change of Address Form

Campus Services Performance Appraisal

Cancellation of Insurance Product(s)

Change in Position Information

Classification Checklist

Compensation Classification Review Form

Competencies and Behaviors

Consent for Release of Alcohol and Drug Testing Data

CVS Caremark Drug Claim Form

CVS Caremark Order Form

Davis Vision Enrollment Application

Delta Dental Claim Form

Delta Dental Enrollment-Change Form

Delta Dental Plan Benefit Highlights

Development and Alumni Performance Appraisal

Disability Accommodation Request Form

Division of Agriculture, Forestry, Veterinary Medicine - Faculty and Research/Extension Associate Evaluation Forms

Division of Research - Application for Promotion, Research Engineers, Research Associates and Research Scientists

Division of Research - Progress Toward Promotion, Research Engineers, Research Associates and Research Scientists

Division of Research - Research Engineers, Research Associates, Research Scientists, and Post-Doctoral Evaluation Forms

Division of Research - Research Faculty Evaluation Forms

Division of Research – Progress Toward Promotion, Contract and Grant Specialist

Educational Achievement Request Form

Employee Action Plan

Employee Contract Attachment Form

Employment Action Form (EAF)

Employment Action Form (EAF), for MAC

Exit Survey

Finance Performance Appraisal

FMLA Packet and Procedures

Genworth Long Term Care Application Instructions

H1B Attestation of Actual Wage Determination

H1B Attestation of Labor Condition Application

H1B Comparison of Actual Wage Determination

H1B Direct Pay Attachment

H1B Support Letter 1

H1B Support Letter 2

H1B Visa History

I-9 Instructions and Form

I-9 Instructions and Form

Interim Offer Letter

LDP Application Packets

Marketplace Notice Form

Medical Certification

Minimum Ranges for FY 2023

Mississippi Employee's Withholding Exemption Certificate

Mississippi Workers' Compensation Notice of Coverage

MSU Career Ladder -- Promotion Request Form

NEW Performance Appraisal

Oral Reminder Memorandum

ORP Retirement Forms with Instructions

ORP Retirement Plan Election/Vendor Selection (Form 4E)

ORP Vendor Selection Change (Form 4S)

PageUp User Account Request Form

Performance Appraisal form in pdf format for handwritten drafts

Performance Goals Worksheet

PERS Application with Instructions

PERS Beneficiary Designation (Form 1B)

PERS Change of Information (Form 1C)

PERS Classification Checklist

PERS Forms Library

PERS: 4A Noncovered Employment Acknowledgment

PERS: 4B Certification/Acknowledgment of Reemployment of Retiree

Personal Demographic Data

Position Approval Request Form, PARF

Positive Direction Procedure Matrix

Pre-Tax Benefit Form (Section 125 Acknowledgement)

President Performance Appraisal

Prevailing Wage Information Form

Progress Toward Promotion (For use by Supervisors of Research or Extension Associates)

Rates for State Health (Effective January 1, 2023)

Release of Employee Benefits Information (requires notary witness for completion outside HRM)

Request for Additional Pay (RAP)

Request for Additional Pay (RAP), for MAC, formally Request for Other University Employment Activity

Request for Additional Pay (RAP), formally Request for Other University Employment Activity

Research Performance Appraisal

Retiree Application for Dependent Child Tuition Remission

SABC Careflex & Mediflex Agreement

SABC Flex Card Application

SABC Flex Direct Deposit Form

SABC Reimbursement Request Form for Flexible Spending Account (Careflex/Mediflex)

Sample Non-Selection Letter

Securing and Paying for Consultants and Independent Contractors Policy and Procedure (includes links to Consulting Services Cover Sheet)

Separation from Employment Information

Skilled Craft Performance Appraisal

State and School Employees' Health Insurance Plan Application for Coverage

State Life Insurance Enrollment/Change Form

Statement of Notification

Statement of Working Conditions

Student Affairs Professional Development Plan

Student Affairs Professionals Evaluation Tool

Students and Intermittent (FY 2020)

Summer Appointment Request Form, (SARF)

Summer Appointment Request Form, (SARF), for MAC

Suspension Memorandum

Time Report: Staff - Semi-Monthly Time Report (FY 2024)

Time Report: Staff - Semi-Monthly Time Report (FY 2025)

Time Report: Students and Intermittent-By Overtime Dates (FY 2024)

Time Report: Students and Intermittent-By Pull Time Dates (FY 2024)

Time Report: Non-Exempt Employee Semi-Monthly Time Report

Time Report: Students and Intermittent - One Page Blank Template

Time Report: Students and Intermittent-By Overtime Dates (FY 2025)

Time Report: Students and Intermittent-By Pull Time Dates (FY 2025)

Truescreen Form - Background Screen Authorization

UNUM Change Form

UNUM Long Term Disability Application Form with Instructions

UNUM Term Life Enrollment Form

UNUM Term Life Plan Highlights and Premiums

Veterans Post-Offer Self-Identification Form

Voluntary Self Identification of a Disability

Voluntary Self-Identification of Disability Form

W-4 Form: Employee's Withholding Allowance Certificate

Waiver of optional insurance coverage

Work Record: Exempt Rehired Retiree

Workers' Compensation: First Report of Injury or Illness

Written Reminder Memorandum