Forms
The following are links to frequently requested HR forms. Please read:
- the descriptions of the form to determine appropriate use
- the instructions on each page of a DocuSign online form
Employment
| FORM | SAMPLE DOCUMENT |
| Athletic Contract/Hiring Form | NA |
| Confidential Information Form for college VOLUNTEERS | SAMPLE |
| Departmental Hiring
|
SAMPLE
|
| Departmental Hiring for Proxy Completion
When a manager designates another individual to complete the form. The form will still be routed to the manager for signature/approval only. |
SAMPLE |
| Departmental Termination
When a manager or supervisor is the individual completing the form. |
SAMPLE
|
| Departmental Termination for Proxy
When a manager designates another individual to complete the form; will still be routed to the manager for signature/approval only. |
SAMPLE
|
| Name/Address Change | SAMPLE |
| New Employee Orientation Checklist for Supervisors/Managers | NA |
| Personnel Change Form
To change rates of pay, supervisors, employment status, etc. |
SAMPLE
|
| Request to fill a budgeted position | |
| Temporary Position Authorization
To appoint temporary, casual staff. A search has not typically been conducted when using this form. |
SAMPLE
|
| Temporary Position Authorization for Proxy
When a manager designates another individual to complete the form; will still route to the manager for signature/approval only. |
SAMPLE
|
| Termination Procedure Checklist for Supervisors/Managers | NA |
Payroll
- Foreign National
- Payment Request Form for Staff/Faculty (non-faculty contract duties) SAMPLE Paying a current staff member (or faculty member completing non-faculty contract duties) for one time/occasional payment for additional duties outside of their regular position description. Examples are stipends for research, special events, etc. This is not for regular, ongoing duties such as a second position.
- Staff Direct Deposit (due to recent scams related to direct deposit, direct deposit forms must be returned to HR in person. )
- Support Bates-Payroll Deduction Form
- Time Sheet
- W-4 (Federal Income Tax Withholding) via Docusign
- W-4ME (State of Maine Income Tax Withholding) via DocuSign
Benefits
- Injury/ Incident Report
- Medical Claim – Aetna
- Dental Claim – Aetna
- Vision Claim – Aetna
- Affidavits for Domestic Partners
- Computer Purchase Agreement
- Bates Affiliate ID Card
- Educational Assistance
- Health Savings Account (HSA) Payroll Deduction Form
- Life Insurance Beneficiary Designation
- Limited Purpose Flexible Spending Account Claim Form
- Medical and Childcare Reimbursement Claim Form
- TIAA – Salary Reduction 2017
Privacy of Medical Information
- Authorization to Release (Aetna)
- Authorization to Release (Benefit Advocate)
- Authorization to Release Information (Cigna)
- Authorization to Release (Group Dynamic)
- Benefit Advocate Flier
- HIPAA Privacy Notice