HUMAN RESOURCES FORMS
ACCESS TO URI SYSTEMS for NON URI EMPLOYEES
BENEFIT FORMS
- Domestic Partnership Affidavit
- 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)
- Disabilities – Reasonable Accommodation for Employees with Disabilities CS-388A
- 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
- Remote Work Arrangement Procedures and Form – Please scroll to page 2 for the form
- Request to Fill Position (RF-1)
- 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
- FALL 2022 ONLY Part Time Faculty & Faculty Overload Hiring Form
- SPRING 2023 ONLY Part Time Faculty & Faculty Overload Hiring 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 (State employees only. In house employees will enter direct deposit information directly within e-Campus)
- 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 – 2023
- W-4 Rhode Island Form 2023
PAYROLL
- Additional Pay Form for URI Faculty/Staff (APF-3)
- Additional Compensation for Staff (USP-7)
- Direct Deposit Form NOTE: This link will bring you to the PayStub RI portal. Log in and that is where the form is located for current State Employees not Internal Payroll Employees
- In-House Payroll Correction Form (Internal and Student employees)
- IP-1 Form – Internal Payroll Form
- Lecturer Salary Payment Option (Full Academic Year)
- Maternity Leave Accrued Hours Discharge Request (USP-21)
- Paycheck Distribution Authorization Form
- Sick Leave Application in Advance of Accrual
- W-4 Federal Form – 2023
- W-4 Rhode Island Form 2023
- Taxpayers Identification Number and Certification Request (W-9)
RETIREMENT
- 403 (b)Group Supplemental Retirement Application TIAA-CREF (GSRA)
- 403 (b) Group Supplemental Retirement Annuity Agreement (PF-15)
- 403 (b) Group Supplemental Retirement Annuity Change for (PF-16)
- 403 (b) Retirement Authorization Form PF 14
- 457 Deferred Compensation Authorization Form for NONCLASSIFIED employees
- 457 Deferred Compensation Authorization Form for CLASSIFIED employees
- ERSRI (Employee Retirement System of RI) Beneficiary Form
- ERSRI Change of Information Form
- Medicare Part B Application
- TIAA Beneficiary Form for 403(b)
- TIAA Beneficiary Form for 401(a)
WORKERS COMPENSATION