System Office Human Resources Forms
Employee Benefit & Insurance Forms
- Application for Basic Coverage
- Application for Long Term Disability Income Benefits (LTD)
- Application for Optional Coverage
- Application for Short Term Disability Income Benefits (STD)
- Beneficiary Designation
- Dependent Change Form
- Employee Disability Claim Process Overview
- Application for Managers Income Protection Plan
- 2008-2009 Classified Employee Benefits
- 2008-2009 Administrator Benefits
- Medical/Dental Expense Account Change Form
- Medical/Dental Expense Account Reimbursement Form
- Minnesota Deferred Compensation Application
- Minnesota Deferred Compensation Beneficiary Form
- Tennessen Warning
Retirement Forms
- Continuation of Health Insurance Change Form
- Guide to Insurance Benefits for Retiring State Employees
- Post-Retirement/Early Retire Benefit Application
- Post-Retirement/Regular Retire Benefit Application
- Post-Retirement/Spouse Benefit Application
- Request for Continuation of Coverage-Special Retirement
- Request for Continuation of Coverage Upon Retirement
- Request to Waive or Apply for Taxable Life Insurance Coverage
- Post Retirement Option Form
Employee Payroll Forms
- 2008 W-4 Form
- 2008 MWR (Reciprocity Form for Residents of WI, ND or MI)
- Direct Deposit Form
- Time Sheet
- Time Sheet (Administrators ONLY)
Performance Review Forms
Position Description
Pre-Tax Benefits
- Pre-Tax Account Forms
- Request to Waive HDPA Mid-Year (Pre-Tax Benefits)
Vacation Donation Program
Worker's Compensation Forms
