Helpful Forms

Processing Forms

• Personnel Action Sheet

• Remote Work Arrangement Agreement

• Cellular Service Allowance Request Form (Revised 08/2021)

• Disciplinary Action Documentation Form

• MVR - Motor Vehicle Report Authorization Form

• Employee Separation Checklist

• Employee Transfer Checklist

• Retiree Separation Checklist

• Supervisor's Checklist for an Employee who is Transferring

Employee Leave

• FMLA Information and Forms

  • FMLA Request Form

  • FMLA Certification Guidelines for Exigency for Military

  • FMLA Certification Guidelines for Service Member

  • FMLA Certification Guidelines for Employee

  • FMLA Certification Guidelines for Family Member

• Furlough Program

  • Furlough Form

Recruiting, Hiring and On-boarding

• H2H Interviewing Candidates Guide

• Interview Question Guidelines

• Relocation Allowance

• Brief Information for New Employees

Medical and Other Benefit Forms

• UMR Claim Form

• Vision Claim Form 

• Medical Inquiry For in Response to an Accommodation Request

Payroll Forms

Faculty and Staff are encouraged to use the ADP system to make changes to their personal profile, direct deposit and federal and state tax withholding.  Payroll Office staff are available for assisting employees with accessing ADP or providing paper forms as needed.  Visit the Payroll page  for more information.

Tuition Remission/Exchange Forms

• GLCA TRE Application

• Tuition Remission Application for Spouse Form

• Application for DePauw Tuition Remission for Dependent Child

• Application for DePauw Tuition Waiver for Employee

Workman's Compensation

• First Report of Injury Form

• Employee Statement for Accident

• Accident Investigation Report

• Witness Statement for Accident