Forms Directory

A list of HR-related forms.

Human Resources Forms

Frequently Requested Forms

Medical Certification Form

PDF

Workers' Compensation Employee Claimant Packet

PDF

HR 19-Permission to Take a Course

Request Form 19

View Policy

Outside Employment Form (Formerly Form 9)
Permission to Engage in Outside Employment

Submit the request in Workday by using the Request Framework tool. More details with instructions and details can be found in the Request Framework job aid.

View Policy

Reasonable Suspicion Record Form

Policy Information

Form 13-S Supplement to Electronic Form HR 13

PDF

 

Benefits-Related Forms (Insurance, Leave, Workers' Compensation, etc.)

UNUM Beneficiary Designation Form

PDFs

State Life Insurance Beneficiary Designation

PDF

AD&D Beneficiary Designation Form

PDF

Insurance Claim Form for Delta Dental

Delta Dental

Insurance Claim Form for Davis Vision

PDF

Insurance Claim Form for Colonial Life and Accident Death

Colonial Life

Claim Form for Cancer, Dreaded Disease and Intensive Care

PDF

Request for Reimbursement Form for Flexible Spending Accounts with Southern Administrators & Benefit Consultants

Submit a Claim | SABC

Change of Information for the Public Employees' Retirement System

Form 1C | PERS

Public Employees' Retirement System of MS Beneficiary Designation Form

Form 1B | PERS

  

Flexible Work Location

Flexible Work Location Request

Policy Information

Submit the request in Workday by searching "Request Flexible Work
Arrangement" in the search bar. More details can be found in the Flexible Work Arrangement job aid.

Flexible Work Location Arrangement Form

Policy Information

PDF Form

UM Telework IT Checklist

PDF Form

 

Payroll

Timesheet - Student

Submitting Your Timesheet

Excel Form

Timesheet - Non Exempt/Hourly

Submitting Your Timesheet

Excel Form

Timesheet - Exempt/Salary

Submitting Your Timesheet

Excel Form

Timesheet - Rebel Reserve

Submitting Your Timesheet

Excel Form

 

Separation of Employment

The Separation of Employment process is now managed in Workday. The web-based Separation Notification and paper Exit Checklist have been retired. Step-by-step instructions and screenshots are available in the Termination Notifications and Checklists knowledge article in Workday.

 

Recruitment

For Recruitment related documents and forms, please use your Ole Miss webID and password to login to Workday. The below documents can be found by searching "Recruiting Resources" in the Workday search bar.

  • Search Committee Guide
  • Job Requisition Intake Form
  • Sample Interview Questions
  • Sample Reference Check Questions
  • Confidentially Agreement

 

The following can be accessed in Workday

  • Address Change
  • Pay Stubs
  • Timesheets
  • Office Contact Information
  • Emergency Contact Information
  • Bank Information
  • Benefits Confirmation Statement
  • Open Enrollment