Human Resources Forms

For Your Convenience

For your convenience, the Office of Human Resources has provided several online documents and forms.  While most forms can be filled out electronically, they must be printed for your signature.  If you have any questions, please contact the hR Department at (615) 963-5281 if you have questions.  The HR Department's Fax Number is (615) 963-5207.

WHAT FORMS ARE YOU LOOKING FOR?

 

DYNAMIC FORMS HELP

View How-to & Troubleshooting >>

 

 

PERSONNEL ACTION REQUEST FORMS (PARFs)

All PARFs are now located in Dynamic Forms. To submit a PARF, click on the corresponding form link below.

To correct previously submitted personnel actions (PARFs), please note, in the 'Special Conditions' section of the form, the reason for the correction.

For assistance with Dynamic Forms, please contact Elaine Driver at 615-963-5293 / edriver2@tnstate.edu

 

Account Change
   (for a change in position funding)

Form>>

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

Form>>

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

Form>>

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

Form>>

Employee Separation 

NOTE: Two forms must be completed.

Form1>>

Form2>>

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

Form>>

Faculty Overload
  
(for teaching courses over required semester load)

Form>>

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

Form>>

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

Form>>

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

Form>>

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

Form>>

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

Form>>

Relocation Allowance Processing Form
   (Procedure and Form)

PDF

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

Form>>

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

Form>>

Title Change
   (for changing the position title of an employee with includes no salary adjustment)

Form>>

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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 

Research Incentive Form

Form>>

Summer Appointment Form

Form>>

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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

Complaint Form

PDF

Data Collection Worksheet

Excel

Employee ADA Reasonable Accommodation Medical Certification form

PDF

Employee Verification Update Form 

Form>>

Employment Eligibility Verification - Form I-9

Form>>

Equity Diversity and Compliance Forms

Web

ESA (Employee Separation Administration) Notification Instructions

Form>>

FMLA - Leave of Absence Form (must be completed for all employees on FMLA)

 

Form>>

FMLA - Family Medical Leave Request Form

  PDF

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

PDF

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

PDF

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

PDF

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

PDF

FMLA - Form - Military Qualifying Exigency

PDF

FMLA - Form - Military Current Service Member Caregiver 

PDF

FMLA - Form - Military Veteran Caregiver

PDF

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

Life Insurance (Voluntary)

Life Insurance Fax Cover Sheet

PDF

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 

Form>>

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

FAQ:  Processing of Educational Assistance Documents

TBR Guidelines for Educational Assistance (view PDF to right)

Please Note:  If employee plans to enroll in more than one class per semester (i.e., one free course and additional course(s) requiring reimbursement), please follow the below steps:

  1. Complete the Request for Education Assistance form for the free course:
    Request Educational Assistance Form (Audit/Fee Waiver)  1 Course up to 4 credit hours
  2. Complete the Request for Tuition Reimbursement Form for course(s) requestion reimbursement (ensure completion before enrollment).   For the Tuition Reimbursement Form, obtain signatures from designated person(s) and submit to the HR department within 14 calendar days of course semester start date>  (Any late submission applicant must provide justification of late submittal).   Request for Tuition Reimbursement Form  (max 6 credit hours)

Note:  Reimbursement Process for Payment - At the end of the current semester, Submit a Copy of final semester detailed payment Receipt/Statement, and a Copy of  current semester Final Grade(s).

All Educational Assistance forms and support documents must be submitted in PDF Format (No Photo of Documents accepted).  Submit documents via email jmercer@tnstate.edu or contact Jo Mercer Human Resources 615-963-6677.

PDF

PDF

 

 

PDF

 

 

PDF

 

Degree/Certification Incentive Guidelines and Procedures

Degree/Certification Incentive Request Form

PDF

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 Jo Mercer 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 Human Resources.

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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