Affidavit of Common Law Marriage or Domestic Partnership	Added:  10/2007
Used to certify an employee is in a relationship or partnership other than marriage recognized by the State of Colorado.
Applicant Affirmative Action Information Form	Last Revised: 7/2007
This form should be provided to interviewees during the interview process.
UCAR Beneficiary Change Form	Added: 7/2005
The UCAR Beneficiary Change Form is used to make any changes that affect an employee's beneficiary designations for Life Insurance, Travel AD&D, Basic AD&D, and Optional AD&D. Instructions are included to change TIAA-CREF beneficiaries online.
UCAR Benefit Change Form	Last Revised: 12/2004
The UCAR Benefit Change Form is used to make any changes that affect an employee's health insurance coverage, beneficiary designation(s) and/or changes in flexible spending contributions.
Card Access Form	Last Revised: 1/2004
This is the signed authorization for an employee/visitor's UCAR access control card.
Casual Request Form	Added: 1/2005
Used to request a Casual Pool Administrative Assistant from the Casual Pool Coordinator.
CIGNA Authorization for Use and Disclosure of Private Health Information Form	Last Revised: 4/2003
Used by an employee requesting assistance from Human Resources on specific claims.
CIGNA Choice Fund Health Savings Account  – Automatic Claim Forwarding Election/Change Form	Added:  11/2006
Enrollment in or termination of the automatic claims forwarding program
CIGNA Choice Fund Health Savings Account – JP Morgan Chase Bank Enrollment Form	Updated: 11/2006
Employee authorizes JP Morgan Chase Bank to set up a savings account for depositing pre-tax contributions toward a CIGNA Choice Fund Health Savings Account (HSA)
CIGNA Choice Fund Health Savings Account – [UCAR] Payroll Authorization	Updated: 11/2006
Employee authorizes UCAR to deduct the designated pre-tax contributions toward a CIGNA Choice Fund Health Savings Account (HSA)
CIGNA Dental Claim Form	Last Revised: 6/2003
Used to report expenses incurred during a dental visit.
CIGNA Medical Claim Form	Added: 12/2001
Used to report expenses incurred during a medical visit.
CIGNA Prescription Claim Form	Added: 5/2004
Used to report Prescription Expenses for those employees with CIGNA PPO insurance plan
CIGNA Tel-Drug Mail Order Form	Added: 12/2001
To order a 90-day supply of a maintenance prescription.
Conflict of Interest Form	Added: 3/2008
The Conflict of Interest form is completed upon hire and updated annually by all employees.
Donation of Hours Form	Added: 1/2004
The Donation of Hours Form is used to voluntarily donate accrued PTO or traditional vacation hours to fellow employees who may deplete their own PTO or traditional vacation leave due to unusual medical circumstances.
Donation Request Form	Added: 1/2004
The Donation Request Form is used by employees requesting donated leave hours.
Educational Assistance Program Application Form	Last Revised: 4/2005
The employee completes the Educational Assistance Program application to seek the approval for a degree program or individual courses.
Employee Application For Job Opening	Last Revised: 1/2000
The employee completes the Employee Application For Job Opening application to apply for internal positions. The completed form is forwarded to the Human Resources department.
Employee Evaluation of Supervision	Added: 3/2001
This optional form is a tool which may be used for several purposes.  See the Form Details page.
Employment Application	Last Revised: 4/2005
Mandatory form for all candidates who are being interviewed for UCAR/NCAR/UOP job openings.
Exit Interview	Added: 7/2002
To solicit information from terminating employees on their experience with UCAR.
Five Year Career Planning	Added: 3/2001
Two forms are listed here:  Five Year Career Personal Development form and My Five Year Career Personal Development Plan form.  See details page for more information on using these two forms.
Flexible Spending Accounts Claim Form	Added: 1/2007
Allows reimbursements from Flexible Spending Accounts.
Flexible Spending Direct Deposit Authorization	Added: 1/2007
Allows direct deposit of reimbursements into the employee's designated account.
HIPAA Privacy Rights Forms	Added: 4/2003
This series of forms allows employees to make certain requests pertaining to their Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rights.
Hiring Process Checklist	Last Revised: 5/2007
Provides a checklist of steps a hiring supervisor follows when using the search and selection process.
Hiring Process Documentation	Last Revised: 11/2006
The hiring supervisor completes the Hiring Process Documentation form upon completion of the search and selection process.
Intellectual Property Form	Added: 11/2003
Used to satisfy the requirements of the UCAR Cooperative Agreement with the National Science Foundation.
Joint Appointment Memorandum of Understanding (MOU) Form	Last Revised: 3/2006
This MOU is completed when an employee's time is allocated to two or more entities ...
New Employee Orientation Checklist	Last Revised: 8/2001
Hiring supervisor should review this checklist with a new employee.
Nonresident Alien Statement of Reduced Withholding Form	Last Revised: 2/2000
This form must be completed by anyone on J or F visa who is eligible to claim tax exemption.
Payroll Encumbrance and Timecard Account Key Allocation Form	Added: 10/2005
This form is usesd to make any changes that affect an employee's account keys and percent allocations.
Performance Appraisal Form	Last Revised: 11/2007
Formal performance appraisals occur annually according to a prescribe schedule of review dates. Each supervisor annually prepares a written evaluation of the performance of each employee reporting to him or her. Evaluations should include a discussion of the strengths and weaknesses of the employee's performance and steps by which the employee's performance can be improved.
Performance Appraisal Form / Scientists	Added: 2/2002
Annual performance appraisals for scientific staff.
Personnel Profile Change Form	Last Revised: 3/2006
The Personnel Profile Change Form is used to make any changes that affect an employee's position, program allocations, or profile information.
Position Description (PD)	Last Revised: 8/2007
The PD is completed by the supervisor and asks for the signed concurrence of the employee. Instructions for completing the PD are attached to the questionnaire. The duties section is particularly important for reclassification requests. It should describe current job duties. A "Y" should be placed in the last column if the duty is new to the job since the last job description of record.
Reclassification Action Form	Last Revised: 4/95
The Reclassification Form, completed by the supervisor, requests information about the employee's current job classification, rationale for change, and appropriate Division/Program approvals. Please note that reclassification requests cannot be reviewed without the Division/Program Director's approval.
Recovery of Corporate Property Form	Last Revised: 8/2005
The Recovery of Corporate Property Form, completed by the employee (or the supervisor under some circumstances), is used to identify and return all equipment, property and/or monies or other UCAR items assigned to employees or visitors.
Request for Staff Form	Last Revised: 10/2006
To begin the search and selection process, the hiring supervisor must complete the Request for Staff form (including all appropriate signatures) and submit it to Human Resources. The form contains information about an open position within the Division/Program. The hiring supervisor provides information such as job title, appointment code, pay FTE, relocation options, work schedule, length of term, etc.
Résumé Review Form	Last Revised: 10/2001
This form provides the rationale behind the decision concerning which applicants will be interviewed for a position.
Return of Mistaken Distribution from Health Savings Account	Added: 9/2007
To return funds to the Health Savings Account that were removed in error.
Separation Notice Form	Last Revised: 4/98
Required document to notify UCAR Human Resources of an employee's departure.
[2007] Smart Choices Open Enrollment Form	Updated: 11/2006
Enrollment form for annual Open Enrollment for those UCAR employees without Connect access.
SRSH Export Template	Updated: 3/2008
Used by staff responsible for processing salary increases through the Connect Salary Plan application.
Telephone Reference Check Form	Added: 4/2003
This form is to serve as a guide for checking, via telephone, an applicant's references before making a job offer.
TIAA/CREF Beneficiary Change Form	Added: 2/2005
The TIAA/CREF Beneficiary Change Form is used to change the employee's beneficiary(ies) listed on their TIAA/CREF Retirement plan.
TIAA/CREF Election Change Form	Last Revised: 2/2008
The TIAA/CREF Election Change Form is used to increase or decrease the amount of additional contribution to the employee's TIAA/CREF Retirement plan.
Transportation Claim for Reimbursement Form – FOR USE BY NON-COLORADO EMPLOYEES ONLY	Added:  12/2006
Allows reimbursement from the Transportation Benefit Program
Transportation Enrollment Form - FOR USE BY NON-COLORADO EMPLOYEES ONLY	Last Revised: 9/2007
Allows enrollment in the Transportation Benefit Program
Trial Period Reporting Form	Last Revised: 8/96
The hiring supervisor fills out this form upon completion of a new hire’s 6 month trial period.
Visa Information: H-1B Visa	Last Revised: 4/2008
The Temporary Worker (H-1B) visa is usually granted for an initial period of up to three years, may be extended to up to a total of six years, and may be changed to a different type of visa at any time. Recipients are not subject to a requirement of foreign residency before applying for another type of visa to this country. This visa may take several months to obtain.
Visa Information: J-1 Visa	Last Revised: 4/2008
The Exchange Visitor (J-1) visa may be granted for up to three years. Exchange Visitors are subject to a two-year residence requirement in their country of nationality or last foreign residence before applying for another type of U.S. visa, unless the requirement is waived by the Immigration and Naturalization Service. Normally, the J-1 visa may be obtained in a few days, but it may take considerably longer in certain countries.
Visitor Forms	Last Revised:  4/2008
The appropriate form must be completed for all new appointees, and revisions or extensions of current appointees.
W-4 Form	Last Revised: 1/2008
This form is required so that UCAR can withhold the correct Federal income tax from your pay.

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