Forms

Forms Received from Academic Personnel

• Faculty Assignment Report
  Used for doing semester Faculty Assignment Report Form.

Forms Received from Administrative Affairs

• Compliance Statement
  Used for new Teams and OPS Employees.
• Degree Confirmation or Attestation
  Use this form to complete a degree verification letter for faculty.
• Emergency Contact Form
  Used to provide emergency contact information for new and existing employees.
• Faculty Clearance Form
  Checklist for employees who are terminating employment. Must be completed and signed by all departments before employee departure. Completed forms should be submitted to Administrative Affairs.
• Gatorlink Instructions for UF Employees
  Instructions for Creating a Gatorlink Account
• Medicaid Outstanding Balance Letter
  Use this for all clinical faculty on new hire checklist.
• Meeting and Conference Leave Request Form for Additional Meeting and Conference Leave
  Used to request additional Meeting and Conference to what was originally allocated.Submit all forms to Administrative Affairs for the Dean's signature.
• New Faculty Onboarding Checklist
  Form used by new hires to ensure that all steps of the onboarding process are completed.
• Personnel Action Form (PAF)
  Used for all Faculty, OPS, PDA, Courtesy and Teams appointment changes (FTE's, titles, supplements, terms, hires etc.) Submit all completed PAFs to paf.request@jax.ufl.edu
• Time Card
  Used for UF OPS employees who do not submit time in MyUFL. Should be completed and submitted to Administrative Affairs each pay period at opstimecards@jax.ufl.edu.

Forms Received from Human Resource Services

• Biographical Information Sheet- Form 270
  Form used to collect biographical information of UF employees. Usually used when hiring.
• Demographic Form
  Form used to process background checks on all new employees. Should be completed and sent to Administrative Affairs for processing.
• Loyalty Oath or 4-in-1 Form
  Loyalty Oath, Intellectual Property Agreement, Veterans Survey and Race and Ethnicity Information.
• Nepotism Form
  Formed used when there is employment of relatives within the same unit.
• Race and Ethnicity Survey
  Used for all new hires
• Veterans Status Survey
  Used for all new hires

Forms Received from the IRS

• W-4 Form
  Used for new employees or name, address, or withholding changes.

Forms Received from the Self-Insurance Program

• Professional Liability Questionnaire
  Used only for Academic Personnel with Clinical Responsibilities.
• Professional Liability Questionnaire for Volunteers
  Used only for Volunteers with Clinical Responsibilities.

Forms Received from the USCIS

• I-9
  Government form required of new employees to identify citizenship status and identity.

Forms Received from the University of Florida

• Application for Leave Request
  Rarely used form for requesting leave. Most faculty will use the on-line leave module
• Florida Retirement System Certification Form
  This form is used for all new hires to obtain information regarding current or former participation in the Florida Retirement System (FRS).
• Forms Received from the UF Compliance Office
  • HIPAA Confidentiality Statement
    Used for all new employees and for existing employees on a yearly basis to ensure HIPAA compliance.
  • HIPAA Training Instructions for New Hires
    Used for all NEW employees to ensure HIPAA compliance - New employees will complete training once they have access to MyUFL (generally within 10 days of hire). All UF employees are then required to complete HIPAA training again every year in MyUFL.
• Forms Received from UF Human Resources
  • OPS Employment Application
    Used to hire OPS employees.
• Forms Received from UF Payroll
  • Direct Deposit Form
    Used to enroll in or make changes to UF employees direct deposit routing.
• Forms Received from the UF Self Insurance Program
  • Community Service Activity Form
    Used to disclose employees Community Service activities. After chair signature, all forms should be sent to Administrative Affairs for processing. New disclosure should be submitted as they occur.
  • Disclosure of Outside Activity Form
    Used to disclose employee activities outside of their University scope of work. All forms should be sent to Administrative Affairs for processing. New disclosure should be submitted as they occur. All other disclosures should be resubmitted annually.
• Forms Received from UF Tax Services
  • Foreign National Tax Information Form
    Required for Windstar form. Used for non-resident aliens to determine tax exemption

Sample Letters

• Courtesy Transmittal Letter
• Request for Change in FTE
• Termination Acceptance Letter