DePauw Home - Site Index -

Forms

Alphabetical Listing of Forms

 

• Application for Employment 

• Application Review and Action Form

• Brief Information for New Employees

• Cell Phone Request Form
  
  
• Change of Personal Information Form

• Conflict of Interest Disclosure

• Dental Claim Form, Cigna

• Direct Payables Deposit (Authorization Agreement for Automatic Deposit)

• Direct Payroll Deposit (Authorization Agreement for Automatic Deposit)

• Employment Application

• First Report of Injury

• FSA Dependent Care Expense Reimbursement Claim Form (Prior to July 1, 2009)

• FSA Dependent Care Expense Reimbursement Claim Form (After July 1, 2009)

• FSA Medical Claim Form (Prior to July 1, 2009)

• FSA Medical Claim Form (After July 1, 2009)

• Group Life Insurance Beneficiary Form

• HRA Medical Claim Form, Cigna

• Insurance/FSA Enrollment or Change Form

• OAP Medical Claim Form, Cigna

• Performance Appraisal Form: Hourly Employees
  
  
• Performance Appraisal Form: Salaried Employees

• Personal Information Form

• Personnel Action Sheet

• Request to Fill a Position

• Retirement Program Salary Reduction/Deduction Agreement (for use after 01-Jul-08)

• Tel-Drug: Prescription Home Delivery Form

• Tuition Remission Application for Dependent attending DePauw University

• Tuition Remission Application for GLCA - Tuition Remission Exchange Program (TRE) - Policy can be found in Employee Guide TRE Application can be found on the GLCA web site, www.glca.org

• Tuition Remission Application for Spouse

• Tuition Waiver for Employees

• Vision Claim Form, Cigna

• Workers Compensation Program Instructions and Forms
  • Workers Compensation Procedures
  • First Report of Injury Form
  • Workers Compensation Option Form
  • Workplace Accident/Incident Investigation Procedures
  • Accident/Incident Statement by Employee Form
  • Accident/Incident Statement by Witness Form
  • Accident/Incident Investigation Report Form

Send completed forms to the Office of Human Resources, 313 South Locust Street, Greencastle, Indiana, 46135.