URI Homepage
HUMAN RESOURCES FORMS
ACCESS TO URI SYSTEMS for NON URI EMPLOYEES
BENEFIT FORMS
Please note that some of the forms may require to be downloaded prior to opening. If the following Adobe message appears “Please wait….”, follow the instructions below.
In order to access a form you MUST:
- Right-click or use Shift + F10 keys/context menu key (Windows) and then choose the “Save link as”
- Save the file on your computer
- Open the file saved on your computer
- Edit the file
- FMLA Rights and Responsibilities (explanatory poster)
- WH-381 Notice of Eligibility and Rights & Responsibilities
- WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition
- WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Cond.
- WH-382 Designation Notice
- WH-384 Certification of Qualifying Exigency for Military Family Leave
- WH-385 Certification for Serious Injury or Illness of Covered Service member – Military
- Long Term Disability Coverage Letter from Prior Employer
- Tuition Waiver Dependency Affidavit
- Tuition Waiver Information FERPA Release
EMPLOYEE ACTION FORM DOCUMENTATION
- Create New Hire
- Change Employee Job Data
- Change Salary Distribution only
- Employee Transfer
- Extend Limited Appointment
- Interim Appointment Extension
- Termination/Retirement
- Leave Request
- Leave Extension Request
- Leave Return Request
- How to Run the State Employee Position Report
GENERAL HUMAN RESOURCE FORMS
- Access and Compliance – URI e-Campus Data Confidentiality Statement
- Affiliate Application Form (USP-18)
- Application for Employment / State of RI CS14A
- Classified Vacancy Worksheet
- Classification Questionnaire – Classified Service Desk Audit Request Form
- Criminal Record Supplemental Questionnaire/State of RI CS14B
- Certification of Municipal Service (CS-377)
- Drug Free Workplace Policy
- Drug Free Workplace Policy Acknowledgement
- Employee Certification Of Necessary Absence Form
- I-9 Employment Eligibility Form I-9 Employment Eligibility Form Instructions
- Incentive Credit Request CS-365
- Independent Contractor Questionnaire
- Personal Information Update Form (USP-5) (name, address, marital or veteran status)
- Personnel File Access Request
- Probationary Performance Evaluation for Non-Classified 6 Month
- Probationary Performance Evaluation for Non-Classified Final
- PS HRA e-Campus Security Access Form
- Request to Fill Position (RF-1)
- Remote Work Agreement – Scroll to page 4 for the form
- Reasonable Accommodation Request Form
- Sick Leave Advance Request (USP-10)
- Special Employment Request (A-64)
- Summer Recontracting/Research Form (SR-1)
- Terminated Employees Checklist Procedure for Supervisors
- Vendor/Contractor Application for URI ID
- Work Out of Classification Authorization (USP-6)
IN HOUSE PAYROLL
- Internal Payroll Form (IP-1)
- HireRight Background Request form
- SPRING 2025 PTF submission form
- COVID-19 Vaccination Requirements (Faculty, Nonclassified Staff and Internal Payroll employees)
- Brightspace Sexual Violence Prevention Training for Internal Payroll Employees
- Internal Payroll Employee I-9 and supporting documentation Submission Link
- Graduate Assistant Payroll I-9 and supporting documentation Submission Link
- Student Employee Payroll I-9 and supporting documentation Submission Link
NEW EMPLOYEES (State and In House Employees)
- Direct Deposit Form (New State employees only)
- Drug Free Work Place Acknowledgement
- Drug Free Work Place Policy
- Bar of Claims (CS-386)
- I-9 Employment Eligibility Form I-9 Employment Eligibility Form Instructions
- Request for Veteran Information
- W-4 Federal Form – 2024
- W-4 Rhode Island Form 2024
- Salary Payment Option (Full Academic Year)
PAYROLL
- Additional Pay Form for URI Faculty/Staff (APF-3)
- Additional Compensation for Staff (USP-7)
- Direct Deposit Form – New State Employee
- Direct Deposit Change Form – Please Note: State Employees must use this form and bring it in person to the Office of Human Resources to change to their current Direct Deposit information
- In-House Payroll Correction Form (Internal and Student employees)
- IP-1 Form – Internal Payroll Form
- Maternity Leave Accrued Hours Discharge Request (USP-21)
- Paycheck Distribution Authorization Form
- Salary Payment Option (Full Academic Year)
- Sick Leave Application in Advance of Accrual
- W-4 Federal Form – 2024
- W-4 Rhode Island Form 2024
- Taxpayers Identification Number and Certification Request (W-9)
RETIREMENT
- 403(b) RC & RCP (PF-14) -Authorization Form for Non-Classified to Start and Change 403b Contributions – enrolled in Mandatory 5% contribution
- 403(b) RCP (PF-15) -Authorization Form to Start Retirement Choice Plus Elective Deferral 403b – Not enrolled in mandatory contribution
- 403(b) RCP (PF-16) -Authorization Form to Change/Cancel Retirement Choice Plus Elective Deferral 403b – Not enrolled in mandatory contribution
- 457 Deferred Compensation Authorization Form for NONCLASSIFIED employees
- 457 Deferred Compensation Authorization for State Rhode to Retirement Plan
- ERSRI – Classified Employees
- ERSRI (Employee Retirement System of RI) Beneficiary Form
- ERSRI Change of Information Form
- Medicare Part B Application
- Log in to TIAA to change Beneficiary Information for 403(b)
- Log in to TIAA to change Beneficiary Information for 401(a)
WORKERS COMPENSATION
