Forms

Advance Payment of Earned Wages

This is a Check Request Form of an advance of wages already earned. Please note that the form must be filled out entirely and have appropriate signatures in order to be processed.

Request for Accomodation

Florida Institue of Technology will resonably accomodate qualified individuals with disability. HR Form ADA4 - " Accomodation Request".

Applicant Selection Form

This is an Applicant Selection form for all candidates being interviewed.

Banner Access Form

Form to access Human Resources areas of Banner.

Change / Update Form

Change / Update Form - Use to change name, address, or phone number.

Dependent Care Reimbursement Form

Reimbursement Request

Direct Deposit Form

Enrollment Form for direct deposit of your paycheck into your bank account.

Disclosure of Conflict Form

Complete form and return to department dean or administrative unit head.

Employee Emergency Contact Form

Complete and return form to the Office of Human Resources. This is used by the university in order to contact someone in the event that you are involved in an accident or emergency.

Employment Application Forms

Employment Application with Voluntary Self ID (EEO Form) and Background Check
Please complete the on-line application and Self ID Form (Voluntary), print and sign it, and mail it to the listed address.

Flexible Spending Account (FSA)

Reimbursement Form

Health Care Spending Account (HCSA)

Health Care Spending Account (HCSA): (Formerly Medical Expense Reimbursement Program - MERP- and now administered by Outsource One.)
HCSA Reimbursement Request Form
FSA Direct Deposit Form

Health Reimbursement Account (HRA)

Reimbursement Form

Human Resources Action Form

This form replaces ALL previously used HR Action forms
HR Action Form (Revised) (PDF)
HR Action Form (Revised) (DOC)
Directions for coding splits (PDF)

I-9 Form

Job Analysis Questionnaire (JAQ)

Complete this JAQ Form if you feel that the responsibilities for your position have changed substantially.
Complete a New JAQ for a position that you have just created.

Leave of Absence Forms - See "Leave of Absence" section on the Benefits Page.

Notice of Resignation

Complete a Notice of Resignation if you are resigning your position with the university.

Performance Evaluation

Personnel Requisition

Complete a Personnel Requisition in order to recruit for a position you have available.

Separation Report and Checkout Form

Complete an HR Action Form (Revised) and enter information under the Separation section of form and submit to Human Resources immediately to prevent overpayment of earnings.
Send completed Employee Checkout Form to HR on last day of employment.

Summer Faculty

Summer Faculty Personnel Authorization

Summer Faculty Revision

Summer Faculty Revision Form

Time Sheets

Tuition Remission Forms

These forms must be completed for each semester benefits are requested. Indicate the semester and fiscal year for which benefits are being requested. All sections must be completed in full. They may be completed on-line and printed. Please obtain appropriate signatures prior to submission to Human Resources.
Tuition Remission Form for Employees
Tuition Remission Form for Dependents of Employees
Tuition Remission Form for Adjunct Faculty or ROTC
Tuition Remission Form for Dependents of Adjunct Faculty or ROTC
Tuition Remission Form for University Alliance

Volunteer Agreement Form

Form used for voluntary services to the university.

W-4 form

Make changes at any time during the year to the number of exemptions you are claiming, your marital status, or any extra monies you want withheld. Forward to Human Resources after completion. Download W-4 Form

W-5 form

Earned income credit application.

Worker's Compensation

Workers Comp Accident Report

Employee Withholding Forms

Florida Institute of Technology

Forms