Human Resources Forms
- Bi-Weekly Timesheet
- Bi-Weekly Timesheet Instructions
- Student Timesheet
- Student Timesheet Instructions
- Timesheet Schedule
- Application for Employment at Stephens College
- ASIflex Enrollment Agreement
- ASI Flex Claim Form
Form to request reimbursement for medical and dependent care expenses, refer to www.asiflex.com with any questions.
- Cancellation Form
- Change
of Address Form
(for Stephens employees and applicants) - Conflict of Interest Form
- Constructive Counseling Notice
- Direct Deposit Form
- Employee
Referral Form
(Available only on the Stephens campus) - Gift
Deduction Form
Form to elect a payroll deduction to give a financial gift to Stephens College. - New Hire-Rehire-Additional Comp-Change
- Personnel Requisition Form
- Report of Leave
- Salary Reduction
Agreement Form
Form to elect to participate or make changes to the voluntary supplemental retirement plan. - Separation Form
- UHC Medical Claim Form
Submit completed claim for to: Medical Claims Office, PO Box 30555, Salt Lake City, UT 84130-0555 - UHC Prescription Mail Order Form
- Worker's
Comp - Employee Report of Injury Form
- Federal
W-4 Withholding Form(PDF)
- State W-4 Withholding Form(Fillable)
