HR Forms and Documents
Documents
Benefits Forms
- 2022 Open Enrollment Website
- Adoption Assistance Reimbursement Request
- Affiliated Groups Health Election
- Affiliated Groups VGTLI-Dependent Coverage Rates
- Affliated Group Voluntary Group Term Life Insurance Enrollment
- Annual 403(b) and 457(b) Retirement Plan Universal Availability Notice
- Benefits Eligibility Chart
- Certificate of Domestic Partnership
- COTC Scholarship Agreement for Dependents of Ohio State-paid Cost-shared Employees
- Dependent Fee Remission Application
- Employee Fee Reimbursement Application
- Employee Fee Reimbursement Policy Request for Course Enrollment During Work Hours
- Health Equity HRA Directions
- FSA Dependent Care Qualifications
- FSA Flexible Spending Account Enrollment Form
- FSA Flexible Spending Account Eligible Expenses
- FSA Participant Benefits
- Group Term Life Insurance Waiver
- Life Insurance Beneficiary Designation Form
- OPERS Personal History
- Retirement Plan Election
- Supplemental Retirement Account (SRA) Enrollment Form
- Temporary Out of Area Plan Election
Employment-Related Forms
- Acknowledgement of Receipt of Auditor of State Fraud-reporting System Information
- Departmental Sign-out
- Direct Deposit Online Instructions
- Form I-9 employment eligibility verification
- Managers Guide to Onboarding
- Ohio Ethics Law acknowledgement
- Patient Protection and Affordable Care Act notice
- Personal data record
- Request for fitness-for-duty or return-to-work evaluation
- SSA form 1945 statement concerning your employment in a job not covered by Social Security
- Staff external work reporting
- Update your COTC personal & emergency contact data (step-by-step guide)
- W-4 Form: Employee’s Withholding Certificate
Faculty-Only Forms
- 12-month faculty timeoff exchange request
- Faculty off-semester & supplemental instructional hours timecard
- Faculty salary credit
Leave Forms
- Application for Leave | Application for Leave - Instructions
- Family and Medical Leave Act flyer
- Family and Medical Leave certification for serious injury or illness for Military Family Leave
- Family and Medical Leave certification of healthcare provider for employee
- Family and Medical Leave certification of healthcare provider for family member
- Family and Medical Leave certification of qualifying exigency for Military Family Leave
- Family and Medical Leave designation notice
- Family and Medical Leave notice of rights and responsibilities
- Vacation donation donor agreement
- Vacation donation recipient agreement
Other Forms
- Alternative arrangement agreement to comply with Nepotism Policy 2.1.15
- Child Abuse, Sexual Abuse, or Neglect Incident Report
- Discrimination/harassment complaint
- Employee's report of incident and injury
- Employment dispute
- Flexible work arrangement request
- Incident report form for workplace violence
- Injury report-Student and/or visitor
- Internal supplemental compensation approval
- Managing Self-disclosed Criminal Convictions Checklist
- Ohio State Newark and COTC Performance Planning & Appraisal form
- Self-disclosure of Criminal Convictions
- Voluntary experience agreement
- Whistleblower report