Personnel & Payroll Forms

These forms are in Adobe Acrobat Reader (PDF) format. The following links should open in a new window.

Annual Safety Report Acknowledgement Form

Arkansas State Withholding Form - State of Arkansas employee's withholding exemption certificate.

Authorization Form - Form to allow specified access to secure areas or data.

Authorization Extension - Form to allow specific access to secure areas extended after employment.

Catastrophic Leave Application - Word

Catastrophic Leave Bank Program Classified and Non-Classified - Word

Catastrophic Leave Donor | OPM 15 - Word

Catastrophic Leave Liability Agreement | OPM 14 - Word

Catastrophic Leave Physician's Certification | OPM 13 - Word

Catastrophic Leave Recipient | OPM 12 - Word

Cell Phone Allowance Authorization Form - Word

Classified Staff Teaching Overtime Compliance Form - Word

Concurrent Employment Definitions

Concurrent Employment Request

Data Info Sheet - Data information sheet change form.

Dependent Verification Form

Direct Deposit Authorization Form - Direct deposit authorization form.

Employment Application - Word

Extra Income Form - Extra income statement of state employees.

Family Medical Leave Notice Acknowledgement

Family Medical Leave Request

Fee Waiver Employee - Employee request for registration fee discount.

Fee Waiver Spouse Dependent - Employee request for dependent/spouse registration fee discount.

Flexible Spending Account - Informational Flyer

Flexible Spending Account - Enrollment Form 

Flexible Spending Account - Step-by-Step Flyer

Flexible Spending Account - Worksheet

Flexible Spending Account - Secondary Card Request

Flexible Spending Account - Claim Form

Flexible Spending Account - Substantiation Form

Flexible Spending Account - Direct Deposit Form

Foundation Fund Payroll Deduction Form - Word

ID Verification Form

Leave Without Pay Request Form

Personnel Action Form - Personnel action form.

Prior Approval Overtime - Prior approval of overtime work.

Provisional Position Request - Institution of Higher Education New and Renewal Provisional Position Request Form.

Request For Leave - Request for leave form.

Request To Initiate Hire - Request to initiate hiring process.

Salary Conversion Form - Word

Summary Fringe - Summary of fringe benefits.

Termination Clearance Form - Word

Time Sheet - Classification - Time sheet for classified and hourly employees.

Time Sheet- Faculty/Non-classified - Time sheet for faculty and non-classified employees.

W4 Withhold Form - Employee federal income tax withholding form.