HR Forms

Check out the new HR Resource Library

Benefits and Well-Being

Insurance - General Forms

• Active Employee Notice of Election
• Retiree Notice of Election
• COBRA Notice of Election
• Certification Regarding Tobacco Use
• IRS Form 1095-C

Health Insurance Claims

• Health Expenses Claim Form
• BlueCard Worldwide Claim Form (for services outside the U.S.)

Prescription Coverage Claims

• Prescription Drug Claim Form
• Prescription Drug Mail Order Form

Dental Insurance Claims

• Dental Claim Form

Vision Claims

• Out of Network Vision Services Claim Form
• Medically Necessary Contact Lens Claim Form
• Medically Necessary Contact Lens Claim Form – Out-of-Network

Tax-Free Savings Accounts

• MoneyPlus Enrollment Form (MSA & DCSA Enrollment and HSA Enrollment/Change)
• MoneyPlus Claim Form 2018 (Medical Spending and Dependent Care)
• MoneyPlus Claim Form (2019)
• MoneyPlus Worksheet (Determining Annual Contribution Amount)
• Active Notice of Election Form

Life Insurance

• MetLife - Statement of Health

Long-Term Disability Insurance

• Medical History Statement (Request for Enrollment)
• Conversion Request (Due to Separation from Employment)

Family Medical Leave Act (FMLA)

• Employee Packet - Form and Instructions
• Supervisor Training

Special Leave Requests

• Request an Extended Leave of Absence Form and Instructions
• Request Annual Leave Over 30-Day Maximum Form and Instructions
• Leave Pool Request Form and Instructions
• Leave Pool Donation Secured Web Link
• Sabbatical Leave Request Form

Retirement - General Forms

• Enrollment Form (All Systems)
• Election of Non-Membership

Beneficiary Designations

• SCRS/PORS - Beneficiary of Account and Incidental Death Benefit
• ORP – Beneficiary of Incidental Death Benefit
• Retired Member Change of Beneficiary

Account Refund

• SCRS/PORS Account Refund Request (Due to Separation from Employment)

Service Purchase (For SCRS/PORS Members)

• Request for Service Purchase
• Service Purchase Salary Verification
• Public/Education Service Verification
• State ORP Service Verification

Retiring from Clemson

• Notice of Resignation or Retirement

Classification & Compensation

• Personnel Action Request
• Bonus & Award Form
• Bonus & Award Form-Multiple Listing
• Establish a New Award
• Life Sciences Act Bonus Submission Form
• Multiple Bonus Payment Spreadsheet
• Multiple Performance Increase Spreadsheet
• Salary Increase Request for Student Employees
• Salary Reduction Form
• Position Description Form
• Quick Reference Writing a PD
• Dual Employment Request Form
• Dual Employment Revised Schedule Request
• Multiple Dual Employment List

Data Center & Records

• Change of Address Links
• I - 9 Form
• FUND 20 Project Guide to Forms 
• Change Hire Form
• Non-Paid Worker Hire Worksheet
• Data Entry Change Form (Changes Not Requiring Approvals)
• Earnings Distribution Form 
• Employment Hire Form 
• Multiple Earnings Distribution Form 
• Multiple Supervisor Change Form 
• Quick Glance Form Guide 
• Completing an I-9 Form Quick Reference

Staff and Faculty Relations

• Performance Improvement Plan
• Verbal Reprimand/Counseling
• Workplace Discrimination, Harassment and/or Retaliation Incident Reporting Form

Employment Action Request Package

• Employment Action Request
• Employment Action Request Additional Sheet
• Employment Action Justification Additional Sheet

2017-2018 EPMS Form

- For best user experience, you should download the PDF form locally and then fill out the form.

International Employment

• Employment Verification Letter for F-1 Visa
• Employment Verification Letter for J-1 Visa
• International Employment Forms Packet
• Social Security Card Application

Payroll

• Closed Bank Account - Reissue Paycheck Form
• Employee Working Outside South Carolina Form
• Timesheet Instructions
• Employee Time Sheet Jan-June 2020 (Excel)
• Employee Time Sheet Jan-June 2020 (Handwritten)
• Kronos Additional Access Request
• Lost Check - Reissue Paycheck Form
• Request for Off-Cycle Payroll Process
• SC State Credit Union Form
• Special Pay
• Travel
• W-2 Request Form
• W-4 Link and Instructions
• Faculty 9 month pay over 12 months (Available Annually in August)

Overpayment process: call Payroll at 864-656-5580

Recruitment

• Background Request Form
• Release of Information (CDL, Safety Sensitive, High Risk / Security Sensitive)
• Hire Form
• Staff Hiring Flowchart
• Faculty Hiring Flowchart

Misc. / Other

• Temporary Grant and Time Limited Employee Agreement