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Employment and Human Resources

Forms A to Z for Employees

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A

B

Bi-Weekly Time Sheet (PDF)

C

Change of Primary Funding Source Form for Employee Types (monthly, bi-weekly, student and GA)

Change of Primary Funding Source Form Instructions

Change of Address/Name (PDF)

Change of Address/Name BCBS (PDF)

D

Direct Deposit Form - Current Employee (PDF)

Donate Leave Form (PDF)

E

F

FMLA Certification - Employee (PDF)

FMLA Certification - Family (PDF)

Flexible Medical/Child Care Reimbursement (www)

Faculty Pay 912 (PDF) - Updated 05/21/2018

G

H

I

I-9 Form (PDF) - Note: Fillable form, may need to be downloaded to complete. Form not viewable in some browser preview modes.

I-9 Notary Instructions

Job Description Template (MS Word) Updated - 5/10/2018

K

M

Moving Policy/New Employees (www)

N

New Employee Forms

O

Out-Processing Clearance Record - Hattiesburg (PDF)

Out-Processing Clearance Record - Gulf Coast (PDF)

Overtime Request (PDF)

P

Performance Appraisal (Excel Spreadsheet)

Permission to Engage in Outside Employment (PDF)

Personnel Data Sheet (PDF)

PERS - Forms Library (www)

Preferred Name Request Form

Proxy Time and Attendance Permission Form (PDF)

Q

R

S

Staff Excellence Nomination Form

Salary Reduction Agreement - 403(b) (PDF) - Updated 4/4/2018

T

Taxes - Federal/W4 (PDF)

Taxes - MS State (PDF)

Tuition Waiver - Dependent (PDF) - Updated 4/19

Tuition Waiver - Faculty/Staff (PDF) - Updated 8/19

U

V

Volunteer Data Form (PDF) - Updated 1/2019

W

Workers' Compensation General Information (PDF)

Workers' Compensation Policy (PDF)

Workers' Compensation Claim Form (PDF)

X

Y

Z

Contact Us

Employment and Human Resources
301 McLemore Hall (MCL)
118 College Dr. #5111
Hattiesburg, MS 39406

Hattiesburg Campus

Campus Map

Email
hrFREEMississippi

Phone
601.266.4050