Human Resources Documents and Forms

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401K and 457 Enrollment/Changes

401(K) and 457 Enrollment (RetireReady website)

401(K) and 457 Changes (Empower website)
Annual Security & Fire Safety Report - Sample to respond to informal employment information requests

Annual Security & Fire Safety Report
Annual Security & Fire Safety Report (.doc)
Application for Employment - Paper application for hires that are not processed through eJobs.

Application for Employment
Direct Deposit

Initial Authorization (New Employees, Includes Authorization of Electronic Tax Document Delivery)

Authorization Change (Existing Employees)
eJobs Help

eJobs User Guide
Educational Benefits

All requests for educational benefits for the Spring 2023 semester (Fee Waivers, Tuition Reimbursements, and Spouse/Dependent Discounts) must be submitted via Dynamic Forms:

ETSU Employee Educational Benefits Portal

Requests for the Summer 2023 and Fall 2023 semesters, as well as other upcoming semesters, will be accepted via the above portal at a later date. Please contact the Office of Human Resources at hr@etsu.edu for assistance with requests for educational assistance for the Summer 2022 semester, Fall 2022 semester, Winter 2022/2023 semester, or other prior semesters.

Paper/PDF forms for the Grant-In-Aid Contract and Form are still currently accepted for any semester:
Faculty/Admin/Professional Staff Grant-In-Aid Contract

Faculty/Admin/Professional Staff Grant-In-Aid Form
Employee Separation Checkout

Employee Checkout via Self-Service Portal. For instructions, visit the Employee Separation / Transfer website.
Extra Assignment

Personnel Change Proposal and Approval

This Dynamic Form may be submitted by any member of the department. It will be reviewed initially by the designated Human Resources Business Partner for eligibility purposes regarding the employee to be promoted or transferred. Requests will then be routed through the appropriate approval chain, as determined and setup by the Human Resources Business Partner. Requesters may add a comment regarding suggested workflow approvers, but the number of participants is limited. Submissions will be returned to the Requester for revisions.
Extra Compensation

Personnel Change Proposal and Approval

This Dynamic Form may be submitted by any member of the department and must be used for the following types of personnel change requests for employees: Extra Compensation, Extra Assignment, Promotion, Transfer, FTE Change, Faculty Contract Conversion or Tenure Track, Interim or Acting Appointment, and Salary Increase. It will be reviewed initially by the designated Human Resources Business Partner for eligibility purposes regarding the employee to be promoted or transferred. Requests will then be routed through the appropriate approval chain, as determined and setup by the Human Resources Business Partner. Requesters may add a comment regarding suggested workflow approvers, but the number of participants is limited. Submissions will be returned to the Requester for revisions.
Faculty Appointments - Used for renewals and hires that are not processed through eJobs.

Faculty Appointment (.doc)

Faculty Appointment - Division of Health Affairs (.docx)
Faculty Qualifications Report - SACS compliance form

Faculty Qualifications Report (.docx)
Fiscal Year Salary Allocation

Fiscal Year Salary Allocation Form (.xls)
Flex-Time

Flex-Time Application (.doc)
FMLA Leave Request

FMLA Request Form

See the FMLA Frequently Asked Questions or the Family, Medical and Servicemember Leave policy for more information.
Grant-In-Aid

Faculty/Admin/Professional Staff Grant-In-Aid Contract
Faculty/Admin/Professional Staff Grant-In-Aid Form
Grievance/Complaint Forms

Faculty Complaint Form Faculty Grievance Form
Non-Faculty Grievance/Complaint Form (.doc)
Health Savings Account

HSA Contribution Form
I-9

Form I-9

Verification Documents List for I-9
Label File

Label File Order Form
Moving Expense Allowance Request

Moving Expense Allowance Request Form
Non-Exempt Employee Adjunct Appointments

Non-Exempt Employee Adjunct Pay Calculator (.xlsx)
Non-Exempt Employee Travel Time

Guidelines for Non-Exempt Employee Travel Time
Performance Evaluations (Non-faculty)

Draft only versions. Final must be submitted in the eVals system.
Annual Non-faculty Evaluation Draft Only (.docx)
2020 Probationary Non-faculty Evaluation Draft Only (.docx)
2021 Probationary Non-faculty Evaluation Draft Only (.docx)
Performance Evaluations Information and Training website
Periodic Review of Administrators

Periodic Review of Administrators Survey I (.docx)

Periodic Review of Administrators Survey II (.docx)
Personal Information Changes - Legal name, preferred name, marital status, mailing address, phone number

Personal Information Change Form
(Current ETSU employee/student. Login Required.)

Personal Information Change Form
(Other than current ETSU employees/students. Free account required, See the "Create New Account" Link on the Above Website)

Personal Information Change Form (PDF)
Preferred Name Change Form (online form)
Personnel Change Proposal and Approval

Personnel Change Proposal and Approval

This Dynamic Form may be submitted by any member of the department. It will be reviewed initially by the designated Human Resources Business Partner for eligibility purposes regarding the employee to be promoted or transferred. Requests will then be routed through the appropriate approval chain, as determined and setup by the Human Resources Business Partner. Requesters may add a comment regarding suggested workflow approvers, but the number of participants is limited. Submissions will be returned to the Requester for revisions.
Position Classification Questionnaires

Position Classification Questionnaire

Questionnaire Guide

Modified Position Questionnaire for Grant Development Assistance
Postdoctoral Fellow Appointments

Annual Reappointment and Salary Level for Postdoctoral Fellow (.docx)
Promotion/Transfer

Personnel Change Proposal and Approval

This Dynamic Form may be submitted by any member of the department. It will be reviewed initially by the designated Human Resources Business Partner for eligibility purposes regarding the employee to be promoted or transferred. Requests will then be routed through the appropriate approval chain, as determined and setup by the Human Resources Business Partner. Requesters may add a comment regarding suggested workflow approvers, but the number of participants is limited. Submissions will be returned to the Requester for revisions.
Reasonable Suspicion Drug Testing - Acknowledgment for Child Care Workers

Acknowledgment of Reasonable Suspicion Drug Testing for Child Care Workers
Search Committee Confidentiality

Search Committee Confidentiality Form
Temporary Employment - Non-faculty temporary hires

Temporary Employee Appointment Procedure
Tennessee Lawful Employment Act (TLEA)

Verification Documents List for TLEA
Uncompensated Adjunct Faculty Appointments

Uncompensated Adjunct Faculty Appointment Form
Volunteers

Volunteer Form Return Directly To Human Resources, With President Line Blank
W-4 Forms

Federal W-4
Alabama W-4
North Carolina W-4
South Carolina W-4
Virginia W-4
Workers' Compensation Prescription Form

Workers' Compensation Prescription Form

FMLA Request Form

If you need to request Family Medical Leave, please submit your request via Dynamic Forms:

FMLA Request Form
Changes to Insurance Coverage, ETSU Beneficiary, and/or Personal Information

If you need to update your benefit elections outside of the annual enrollment period, update your ETSU beneficiary, or personal information in the Edison system, please submit your request via Dynamic Forms:

Changes to Insurance Coverage, ETSU Beneficiary, and/or Personal Information
Educational Benefits

All requests for educational benefits for the Spring 2023 semester (Fee Waivers, Tuition Reimbursements, and Spouse/Dependent Discounts) must be submitted via Dynamic Forms:

ETSU Employee Educational Benefits Portal

Requests for the Summer 2023 and Fall 2023 semesters, as well as other upcoming semesters, will be accepted via the above portal at a later date. Please contact the Office of Human Resources at hr@etsu.edu for assistance with requests for educational assistance for the Summer 2022 semester, Fall 2022 semester, Winter 2022/2023 semester, or other prior semesters.

Paper/PDF forms for the Grant-In-Aid Contract and Form are still currently accepted for any semester:
Faculty/Admin/Professional Staff Grant-In-Aid Contract
Faculty/Admin/Professional Staff Grant-In-Aid Form
Personnel Change Proposal and Approval

Personnel Change Proposal and Approval

This Dynamic Form may be submitted by any member of the department and must be used for the following types of personnel change requests for employees: Extra Compensation, Extra Assignment, Promotion, Transfer, FTE Change, Faculty Contract Conversion or Tenure Track, Interim or Acting Appointment, and Salary Increase. It will be reviewed initially by the designated Human Resources Business Partner for eligibility purposes regarding the employee to be promoted or transferred. Requests will then be routed through the appropriate approval chain, as determined and setup by the Human Resources Business Partner. Requesters may add a comment regarding suggested workflow approvers, but the number of participants is limited. Submissions will be returned to the Requester for revisions.
Personal Information Changes

Legal Name, Marital Status, Mailing Address, Phone Number, etc.

Request - Dynamic Form for Current ETSU Employee/Student
(ETSU Account Required)

Request - Dynamic Form for Non-Current ETSU Employee/Student)
(Free Account Required, See the "Create New Account" Link on the Above Website)

Request - PDF for Current or Non-Current ETSU Employee/Student
W-4 Forms

Federal
Alabama
North Carolina
South Carolina
Virginia