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Forms Directory

A list of HR-related forms.

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Human Resources Forms

Frequently Requested Forms
HR 19-Permission to Take a CoursePolicyRequest Electronic Form
Outside Employment Form (Formerly Form 9) – Permission to Engage in Outside EmploymentPolicyPDF Document

 

Secure Upload (For use after Department Director/Dean/VC (excluding VCAF) signature)

Reasonable Suspicion Record FormPolicy 
Information
Form 13-S Supplement to Electronic Form HR 13Link

 

Benefits-Related Forms (Insurance, Leave, Workers' Compensation, etc.)
Benefits Change of Address Form (Please use myOleMiss to make address changes. This form is to be used only if you do not have access to myOleMiss.)
PDF Document
UNUM Beneficiary Designation FormPDF Document
State Life Insurance Beneficiary DesignationPDF Document
AD&D Beneficiary Designation FormPDF Document
Insurance Claim Form for Delta DentalLink
Insurance Claim Form for Davis VisionPDF Document
Insurance Claim Form for Colonial Life and Accident DeathLink
Claim Form fo Cancer, Dreaded Disease and Intensive CarePDF Document
Request for Reimbursement Form for Flexible Spending Accounts with Southern Administrators & Benefit ConsultantsLink
Change of Information for the Public Employees’ Retirement SystemLink
Public Employees’ Retirement System of MS Beneficiary Designation FormLink
Workers' Compensation First Report of InjuryPDF Document
Workers' Compensation Employee Claimant PacketPDF Document
Medical Certification FormPDF Document
Reasonable Suspicion FormPolicyPDF Document

 

E-Form Administration
E-form program on myOleMissLink
E-form Guides and InformationLink
Request Access to E-formLink

 

Flexible Work Location
Flexible Work Location Request

Policy
Information

PDF Document
Flexible Work Location Arrangement FormPolicyPDF Document
UM Telework IT ChecklistPDF Document

 

Payroll
Timesheet-StudentSubmitting Your TimesheetExcel Document
Timesheet-Non Exempt/HourlySubmitting Your TimesheetExcel Document
Timesheet-Exempt/SalarySubmitting Your TimesheetExcel Document
Timesheet-Rebel ReserveSubmitting Your TimesheetExcel Document
Payroll Time Conversion ChartPDF Document
Off-Cycle Request FormPDF Document

Recruitment

For Recruitment related documents and forms, please use your Ole Miss webID and password to login to connectU (connectu.olemiss.edu). These below documents can be found by selecting the “Click Here for connectU Resources” box.

  • Search Committee Guide
  • Job Requisition Intake Form
  • Sample Interview Questions
  • Sample Reference Check Questions
  • Confidentially Agreement
Separation of Employment
Exit ChecklistSeparation of EmploymentPDF Document
Separation NotificationSeparation of Employment Form
Student Exit ChecklistPDF Document

The following can be accessed at my.olemiss.edu

  • Address Change
  • W-2 Opt-In
  • W-2
  • Pay Stubs
  • Timesheets
  • Office Contact Information
  • Emergency Contact Information
  • Bank Information
  • Travel
  • Benefits Confirmation Statement
  • Open Enrollment