Support staff forms

Benefits

Dental

• Aetna Dentist Nomination Form

FSA

• Dependent Care FSA Worksheet
• Health FSA Worksheet 
• HEART Reimbursement Act Form

Health Care

Life/Accident Insurance

• Beneficiary Designation

Other Eligible Individual (OEI)

• Other Eligible Individual Form
• Affidavit of Termination of OEI Partnership
• Taxation Info   
• 2016 Support Staff Aetna Premium Share
  2017 Support Staff Aetna Premium Share
  (1585, 999, Nurses, EXPA, ASRA (Aetna plan with premium share) and any non-union employee for CDHP)
• 2016 Support Staff Aetna Non-Premium Share
  2017 Support Staff Aetna Non-Premium Share
  (AP, Nurses, EXPA, ASRA, CT 274, FOP, 324 (Aetna no premium share) and all non-union employee for CDHP)
• Taxation Info – Retirees     2016    2017

Retirement

• MSU 403(b) Retirement Plan Loan Application Form

Employment

• Acknowledgment of Receipt of Education Materials on Alcohol and Substance Abuse
• Controlled Substance Test Results Notification
• Drug Testing Procedures
• Reasonable Cause Record

Hiring/Job Postings

• Criminal Background Check Authorization and Consent
• Request for Accommodation RCPD Website
• Parent Consent Form
• Pre-Employment Test Consent
• Conflict of Interest in Employment -  (Request to Employ a Relative)
• Dubai Support Staff Appointment Form

Pay, Rewards & Recognition

• Support Staff Outside Work for Pay Authorization Form

Time Off/Leave Programs

• Request for Time Off (PDF) (Word)