Human Resources Forms

• Bi-Weekly Timesheet
  
• Bi-Weekly Timesheet Instructions
• Student Timesheet
• Student Timesheet Instructions
• Timesheet Schedule
• Application for Employment at Stephens College
• ASI Flex Claim Form
  Form to request reimbursement for medical and dependent care expenses, refer to www.asiflex.com with any questions.

• Cancellation Form
• Change of Address Form
  (for Stephens employees and applicants)
• Constructive Counseling Notice
• Direct Deposit Form
• Employee Referral Form
  (Available only on the Stephens campus)
• Employee Report of Injury Form
• Equal Employment Opportunity Questionnaire
  (Submittal of this questionnaire is voluntary)
  
• Gift Deduction Form
  Form to elect a payroll deduction to give a financial gift to Stephens College.
• New Hire-Rehire-Additional Comp-Change
• Personnel Requisition Form
• Report of Leave
• S125 Enrollment/Election Form
  Form to enroll in a Flex Spending Account and elect to have health/dental premiums deducted from pay pre-tax.
• Salary Reduction Agreement Form
  Form to elect to participate or make changes to the voluntary supplemental retirement plan.
• Separation Form
• UHC Medical Claim Form
  Submit completed claim for to:  Medical Claims Office, PO Box 30555, Salt Lake City, UT  84130-0555
• UHC Prescription Mail Order Form
  

Tax Forms


• Federal W-4 Withholding Form(PDF)
  
• State W-4 Withholding Form(PDF)
• State W-4 Withholding Form (Fillable)