Human Resources Forms

For Your Convenience

For your convenience, the Office of Human Resources has made available to you several online documents and forms.  You may type in most of the forms, but you must print them for signature.  Please contact the HR department at (615) 963-5281 if you have questions.  The department's fax number is (615) 963-5207.

 

 

PERSONNEL ACTION REQUEST FORMS (PARFs)

The first section of forms below is to be used with the electronic submission process in the PeopleAdmin system. For step by step instructions on submitting PARFs, please view the following tutorials:

Please monitor this section when submitting actions as existing forms may be updated at any time. New forms will be posted as they become available. Please contact HR at (615) 963-5281 or edriver2@tnstate.edu if you have difficulty with the use of a form or questions about this process.

Account Change
   (for a change in position funding)

Excel

Adjunct Appointment
   (for the hiring or renewal of adjunct faculty) 

PDF

Appointment Recommendation
   (for the hiring of a new permanent employee)

Excel

Degree Incentive
   (Guidelines for Degree or Certification must also be submitted)

PDF

Employee Separation
   (for the processing resignations and retirees)

Excel

Employee Termination
   (for the processing of involuntary separations)

Excel

Extra Service Pay Request
  
(for exempt staff to be paid for duties outside of normal job responsibilities)

PDF

Faculty Overload
  
(for teaching courses over required semester load)

Excel

Graduate Assistant Appointment
  
(for the hiring or renewal of a graduate assistant)

Excel

Leave of Absence
  
(for an employee requesting non-FMLA leave of absence) 

Excel

Kelly Services Order Form (for requesting temporary staff)

PDF

Kelly Services Employment Procedures

PDF

Pay Base Change
   Only used to change fiscal, academic, MODFY status)  

Excel

Promotion/Transfer
  
(for employee promotion or transfer to another position) 

Excel

Reclassification
   (for use after approval of a position classification review)

Excel

Relocation Allowance Processing Form
   (Procedure and Form)

PDF

Status Change Request
   (for changing between full-time and part-time)

Excel

Temporary Employee Appointment
  
(for the hiring or renewal of a temporary employee) 

Excel

Title Change
   (for changing the title of a position)

Excel

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PERSONNEL ACTION CORRECTION FORMS

The forms listed below are to be used to correct previously submitted personnel actions. Because corrections will affect the terms and conditions of the employment relationship, employees will be required to sign a new contract based upon the correction. Please note in the 'Special Conditions' section of the form the reason for the correction. Also, please be prepared to reference the PeopleAdmin action number for the previously approved personnel action.  For assistance with PeopleAdmin, please contact HR at (615) 963-5281 or edriver2@tnstate.edu .

Adjunct Appointment - Correction

Excel

Appointment Recommendation - Correction

Excel

Extra Service Pay Request - Correction

PDF

Faculty Overload - Correction

Excel

Graduate Assistant Appointment - Correction

Excel

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FACULTY CONTRACT AND APPOINTMENT FORMS

The forms listed below are to be used by Faculty and Academic Department Heads for appointments, summer contracts, and research contracts.

Addendum to Department Chair-Coordinator Summer Contract

PDF

Addendum to Faculty Summer Contracts

PDF

Addendum to Summer Research Contracts

PDF

Emergency Employment Approval 

PDF 

Notice of Summer Appointment

Word

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GENERAL HUMAN RESOURCES FORMS

While paper copies of the following documents are still required, please monitor this section when downloading or submitting as existing documents may be updated at any time. Please contact Human Resources at (615) 963-5281 if you have difficulty viewing, downloading or completing a form.  The department's fax number is (615) 963-5027.

Address Change

PDF

Certification of Search Pool

Word

Confidentiality Agreement

PDF

Complaint Form

PDF

Data Collection Worksheet

Excel

Employee ADA Reasonable Accommodation Medical Certification form

PDF

Employee Verification Update Form (Word)

Word

Employee Verification Update Form (Adobe)

PDF

Employment Eligibility Verification - Form I-9

Web

Equity Diversity and Compliance Forms

Web

ESA (Employee Separation Administration) Notification Instructions

Web

FMLA - Family Medical Leave Request Form

  PDF

FMLA - Form - Certification of Health Care Provider for Employee's Serious Health Condition

Web

FMLA - Form - Certification of Health Care Provider for Family Member's Serious Health Condition

  Web

FMLA - Form - Emergency Family Medical Leave Expansion Act (EFMLEA)

PDF

FMLA - Form - Emergency Paid Sick Leave Act (EPSLA)

PDF

FMLA - Form - Military Qualifying Exigency

Web

FMLA - Form - Military Current Service Member Caregiver 

Web

FMLA - Form - Military Veteran Caregiver

Web

FCRA Authorization Release Form

PDF

Grievance Form

PDF

Human Resources Checklist - New Hires & Returning Employees

PDF

Inspection-Duplication of Records Request

PDF

Job Analysis Questionnaire

Word

Leave Request 

PDF

Merit Increase Presentation

PDF  

Merit Increase Form

PDF

Name Change Request

Word

Non-Faculty Sick Leave Bank Enrollment Application

PDF

Non-Faculty Sick Leave Bank Operating Plan

PDF

Outside Employment Form

PDF

Overtime Authorization Form (Paid Overtime)

Excel

Post Retirement Contract

PDF

Request to Fill Position

Word

Request for Work Aid 

PDF 

Supervisor Exit Form

PDF

Volunteer Statement of Understanding for Volunteers

PDF

W-4 Form (tax deduction document for payroll)

Web

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EDUCATIONAL ASSISTANCE FORMS

Guidelines for Educational Assistance (view PDF to right)

NOTE:
If you’re taking more than one class each semester (ie. your one free course…and additional ones that you’ll need reimbursement for), you:

  1. Fill out this form for the one that you get free:
    Request Educational Assistance Form
  2. Fill out this form for the ones you want reimbursement for (and you have to fill out this form before you take the classes):
    Request for Tuition Reimbursement Form

    For the above Tuition Reimbursement Form, get signatures from all designated persons and then submit it at the beginning of your semester. And then, at the end of your semester, submit the same form again along with the payment statement from the university you attended along with a copy of your grades.

All Educational Assistance forms are submitted to Tracey Harris 615-963-1237 in Human Resources.

PDF

Certification and Degree Incentive Guidelines and Request Form

PDF

State Employee Fee Waiver (formerly PC 191) and/or Audit/Non-Credit Program

EMPLOYEES: In order to take a course at the University, follow these steps:

APPLY
First, apply to the university and pay the $25 application fee online.
Note: If you ever miss a semester, you will have to re-apply and pay the $25 again.

REGISTER
Then, register and pay for the course(s) here ...or via myTSU (choose "Banner Services" tab & "Student"). If you find that you have a HOLD on your record, contact the Academic Success office in order for them to remove it.  Be prepared to furnish them your T#.

Then, complete the above Fee Waiver Form, have your manager approve it, and send it to Tracey Harris in Human Resources for approval.

If you are taking the class at TSU, HR will forward the approved form to the TSU Bursar’s Office. If you are taking a class at another institution, you can either pick up the approved form from Tracey Harris or let Tracey/HR know where to fax it.

PDF

Request for Tuition Reimbursement

PDF

Request for Fee Discount for Spouse and/or Dependent

PDF

Request for Work-Aid Services 

PDF  

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