Human Resources Forms

The forms listed on the following pages can either be filled out online and then printed or printed and filled out by hand.

Forms are in Microsoft Excel and/or Adobe Acrobat Portable Document Format (.pdf) format. In order to fill out .pdf forms online, you must have Adobe Acrobat or Adobe Reader version 4.0 or higher. If you use Adobe Reader you WILL NOT be able to save your files; you can only fill and print the forms. , click on the Acrobat Reader icon below and following the simple online instructions.

Form	Form Number	Format	Last Update
Additional Pay Completion Instructions .(.pdf*)	UM 271	.pdf *	7/13/2010
Additional Pay	UM 271	Excel	7/13/2010
Additional Pay/Extra Compensation (UMSL only)	UM 273a	.pdf *	8/20/2018
Administrative Posts Completion Instructions (.pdf*)	UM 268	.pdf *	6/27/2005
Application For Student Employment	UM 52	.pdf *	2/17/2010
Appointment Notification Completion Instructions (.pdf*)	UM 269	.pdf *	2/17/2010
Covid-19 Vaccination Request for Medical Exemption Form	UM 19VAC	.pdf*	12/07/2021
Deferred Pay Option: Election Form for Faculty and Graduate Assistantships Completion Instructions (.pdf*)	UM 269a	.pdf *	7/21/2020
Biweekly Payroll Time Sheets
Biweekly Payroll Time Record	UM 13A	Excel	8/23/2009
Completion Instructions (.pdf*)		.pdf *	8/23/2009
Biweekly Payroll Time Record - Comp Time Version Completion Instructions (.pdf*)	UM 13A-C	Excel	8/23/2009
Biweekly Payroll Time Record - Non Benefit Eligible Completion Instructions (.pdf)*	UM 13NB	Excel	7/1/2005
Car Mileage Log	UM 15	Excel	12/6/2011
Change of Address/Telephone Number Completion Instructions (.pdf*)	UM 282	.pdf *	10/1/2021
Direct Deposit	UM 32B	.pdf *	7/16/2020
Employee Separation Check List Completion Instructions (.pdf*)	UM 325	.doc	9/10/2014
Hiring Incentive Payment Agreement	UM 271B	.pdf *	6/20/2023
JED Continuation	UM 270A	.pdf *	7/23/2003
Layoff and Transition Assistance Agreement	UM 276	.pdf*	4/7/2020
Monthly Absence Summary Completion Instructions (.pdf*)	UM 60A	.pdf *	3/13/2010
Moving Allowance Agreement	UM 274A	.pdf *	7/11/2023
Nonresident Alien Honoraria/Business Expense Supporting Statement	UM 378	.pdf *	11/3/2008
Off-Cycle Payment Request Completion Instructions (.pdf*)	UM 140	Excel	1/26/2023
PAFs
Personnel Action Form	UM 270	.pdf *	11/24/2009
Payroll Correction Form - Hourly Paid Completion Instructions (.pdf*)	UM 30B	Excel	6/13/2008 11/11/2008
Payroll Correction Form - Salaried Employees Completion Instruction (.pdf*)
Personal Data Form Completion Instructions (.pdf*)	UM 272	.pdf *	11/8/2014
Request For Extra Compensation	UM 273	.pdf *	5/31/2008
Request For Leave of Absence Completion Instructions (.pdf*)	UM 108	.pdf *	5/4/2020
Information on Leave			3/31/2016
Student Employees FICA Checklist Completion Instructions (.pdf*)	UM 284	.pdf*	11/2/2006
Request For President's Approval For New Appointment	UM 368	.pdf *	11/1/2002
E-Verify, I-9, Voluntary Self-Identification of Disability, Veteran Status and W-4s
E-Verify - The ��Ƭ�� is required by state law to participate in the federal E-Verify program for all new hires. (Contact your campus Human Resources Services for more information.)
E-Verify Exception Request	UM 400	.pdf*	3/13/2009
E-Verify Exception Process Instructions			3/13/2009
Posters should be displayed so that each new hire has the opportunity to view them. If display is not feasible, then you must distribute to each new hire.
(English/Spanish)		.pdf*	3/13/2009
		.pdf*	3/13/2009
		.pdf*	3/13/2009
		.pdf*	1/19/2017
(This version is unfillable and must be printed for completion on paper only.) (.pdf*)		.pdf*	2/13/2017
		.html*	1/19/2017
		.html*	5/24/2013
		.pdf*	11/8/2014

Union Eligible Employees Only
Request and Authorization for Deduction of Organization Dues Local 148	UM 71A	.pdf *	4/8/2025
Request and Authorization for Deduction of Organization Dues Local 955	UM 71L	.pdf *	4/8/2025
Withdraw of Authorization for Deduction of Organization Dues	UM 70	.pdf *	6/3/2021

Reviewed 2025-10-30

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