Texas A&M AgriLife Admn. Services

  • Alphabetical Listing - All Forms
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FORMS- HUMAN RESOURCES & PAYROLL

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  • GENERAL USE FORMS
  • BENEFIT FORMS
  • CONSULTING/OUTSIDE EMPLOYMENT
  • EMPLOYMENTFORMS
  • INTERNATIONAL EMPLOYEES FORMS
  • LEAVE/FMLA
  • MISCELLANEOUS FORMS
  • NEW EMPLOYEE ORIENTATION FORMS
  • PAYROLL FORMS
  • PERFORMANCE EVALUATION FORMS
  • RETIREMENT FORMS
  • WORKERS COMPENSATION FORMS
 GENERAL USE FORMS

  • Approval of Visiting Scholars - Form 5VS
  • Background Check Disclosure Notice - Authorization Form - AG-473
  • Change of Address, Phone Number, or Name - AG-502
  • Formal Complaint - AG-424
 BENEFIT FORMS

  • Annual Enrollment Form - HR-102
  • Application for Refund (for ORP Participant) TRS-29
  • Beneficiary Designation Form - HR 103
  • Benefit Change Form - HR-105
  • COBRA form - Health/Dental/Vision Coverage Continuation Form
  • Dependent Enrollment Form/Certification - HR 101
  • Life Insurance Enrollment Form - HR 138
  • Long Term Care New Employee Enrollment (scroll to Long Term Care Forms for information)
  • New Employee Benefit Enrollment Form - HR 100
  • Notice of Election to Participate in Optional Retirement Program - TRS-28
  • ORP Information Acknowledgement form - TAMUS HR 12
  • ORP Notification of Change in Employment Status HR-15
  • ORP - Prior Participation Acknowledgement TAMUS HR 11
  • ORP Salary Reduction Acknowledgement/Change of Vendor TAMUS HR-14
  • ORP/TDA Transfer Verification Form - TAMUS HR-16
  • Payflex Claim Form
  • Summary and Acknowledgement of Employee Benefits and Responsibilities  - AG-414
  • Survivor Health/Dental/Vision Continuation Form - HR 112
  • TDA Salary Reduction Agreement/Change of Vendor Form - TAMUS HR 17
 CONSULTING/OUTSIDE EMPLOYMENT FORMS

  • External Employment and Consulting Application and Approval - HR 202A
  • Request for Consulting & Outside Professional Employment for Faculty & Extension Agents - AG-406
  EMPLOYMENT FORMS

  • Alternate Work Location Request - AG-438
  • Alternate Work Location Agreement - AG-439
  • Alternate Work Location - Inventory of Equipment- AG-440
  • Alternate Work Location Safety Checklist - AG-441
  • Approval of Visiting Scholars, Form 5VS
  • Background Check Disclosure Notice - Authorization Form - AG-473
  • Change of Address, Phone Number, or Name - AG-502
  • Employee Termination Checklist - AG-442
  • Faculty Recruiting Plan Checklist - Texas AgriLife Research
  • Flexible Work Schedules - AG-430
  • Interview Report Form - AG-408
  • Inventory of Equipment  - AG-440 (for Alternate Work Location)
  • Reference Check, Telephone - AG-446
  • Request to Employ Student Worker - AG-418
  • Request for Personnel Actions - TAEX - D-773    (Instructions) (To be replaced by Request for Form 500)
  • Form 5G - Research Personnel Request Form
  • Search Committee Identification Form - Texas AgriLife Research
  • Statement of Selective Service - AG-401
  • Telephone Reference Check - AG-446
  • Transitions, A Guide to Leaving Texas A&M AgriLife Employment- AG-449
  • Voluntary Self Identification, EEO Form - AG-425
 INTERNATIONAL EMPLOYEE FORMS
  • Approval of Visiting Scholars, Form 5VS
 LEAVE/FMLA FORMS
  • Faculty Development Leave Application - AG-426
  • Faculty Development Leave - Administrative Head Information Sheet
    PDF | WordPerfect
  • Faculty Development Leave - Instruction Sheet/Checklist
  • Medical Certification Form - HR-36
  • Sick Leave Pool Contribution Form- AG-433
  • Sick Leave Pool Application to Withdraw Hours - AG-434
 MISCELLANEOUS FORMS

  • Employee Termination Checklist - AG-442
  • Intellectual Property Agreement
  • Request for Participation in the Salary Enhancement Program - AG-482
  • Waiver of Liability and Hold Harmless Agreement - AG-481
 NEW EMPLOYEE ORIENTATION FORMS
  • Employee Acknowledgement - AG-415
  • Employee Personal Data Form HR-181
  • Employment Eligibility Verification, Form I-9
  • Hazard Communications Notice to Employees
  • Intellectual Property Agreement - AG-470
  • Minors Release - AG-416
  • New Employee Training Checklist - AG-443
  • New Employee Processing Checklist - AG-421
  • New Employee Worksheet - AG-465
  • Statement of Selective Service Registration - AG-401
  • Statement of Previous State Employment - AG-419
  • Summary and Acknowledgment of Employee Benefits and Responsibilities - AG-414
  • Texas Government Code 556, Political Activity and Texas Government Code 572, Standards of Conduct - AG-417
 PAYROLL FORMS

  • Agreement for Dual Employment of an Employee Resulting in Multiple Payment, AG-509
  • Bi-Weekly Time Sheet AG-505
  • Calculation of Lump Sum Annual Leave Payment - AG-510
  • Certificate of Service for Monthly Employees - AG-483
  • Check request - AG-202 (print on pink paper and include a screen print of FAMIS Screen 168)
    PDF | WordPerfect | Microsoft Word
  • Communication Allowance Procedures
  • Communication Allowances Certification - AG-516
  • Communication Equipment Allowance Enrollment Form- AG-514
  • Communication Plan Allowance Enrollment- Monthly - AG-515
  • Correction Request Form - Payroll (AG-201-PAV)
    PDF | Excel
    Insert for Corrections
  • Direct Deposit Authorization - AG-501
  • Request for Compensation for Contribution to a Continuing Education or Other Extracurricular Activity - AG-519
  • Request for Form 500 - AG-511
  • Request for Temporary ID Number - AG-512
  • Request for Tax Withholding on Non-Salary Compensation Items - AG-517
    - Emolument Codes
  • SSO/Leave Traq/Time Traq & UIN Manager Access Application - AG-513
  • Supplemental Hourly Preparation Report - AG-503  
  • Supplemental Monthly Budget Verification Document - AG-504
    - Supplemental Pay Codes
  • W-2 Authorization Form - AG-506
  • W-4, IRS Form for 2009
 PERFORMANCE EVALUATION FORMS

  • Performance Evaluation Specialists, Program Specialists, Extension Assistants and Associates - AG-478
  • Performance Evaluation for Extension Administrative and Managerial Personnel - AG-479
  • Performance Evaluation - Faculty
    • Annual Plan of Work AG-453
    • Faculty Achievement Report AG-452
    • Documentation of Faculty Evaluation,  Suggested Format AG-454
    • Dossier Cover Sheet (WordPerfect) (If Desired)
 RETIREMENT FORMS

  • Bank Draft Authorization Agreement - AG-437
 WORKERS' COMPENSATION FORMS

  • AG-413 - Workers' Compensation Injury Report Log  
  • Request for Paid Leave - WCI only 
  • DWC-1 - First Report of Injury
  • DWC-3 - Employee Wage Statement for Workers Compensation
  • DWC-6 - Supplemental Report of Injury

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