Payroll Forms
- Direct Deposit
- Leave Without Pay Payroll Adjustment Form
- Pay Dates, Payroll Deadlines, Work Calendars
- 403(b)/457(b) Supplemental Retirement Agreement
- Supplemental Retirement STOP Contribution
- W-4- Electronic copy of the W-4 form can be found here
Employee Benefits Forms
Insurance:
- Health, Dental and Life Insurance Application
- Voluntary Life Insurance Application
- Medical Cigna Claim
- Delta Dental Claim
- Vision Out-Of-Network Claim Reimbursement
- Active Voluntary Application (Vision, Short and Long Term Disability)
- NCPERS Prudential Life Insurance (Additional NCPERS forms)
- MASA Ambulance Election Form
Retirement:
- 403(b)/457(b) Supplemental Retirement Agreement (Participant enrollment and contribution changes. Participants in WRS Deferred Compensation should NOT use this form)
- 457(b) Wyoming Retirement System (WRS) Deferred Compensation Plan (Participant enrollment)
- 457(b) Wyoming Retirement System (WRS) Paycheck Contribution Election (Contribution changes)
- Supplemental Retirement STOP Contribution
- Employees’ Group Insurance Direct Payments Agreement
- Retirement Health Insurance Electronic Funds Transfer Form
- Retirement Plan Option Form
- UW Certification of Retirement
Flexible Spending
- 2025 Flexible Benefits Enrollment
- Flexible Benefits Change Form - midyear only
- Medical & Dependent Care Reimbursement Claim
Other
- ADA Accommodation Request Form
- FMLA Request
- FMLA Fitness for Duty Certification
- Health Savings Account Election Form
- Leave Without Pay Request
- Leave Without Pay Payroll Adjustment Form
- Leave With Pay Request
- Sick Leave Donation
- Sick Leave Donation Request
- Termination Leave Option Form
- Tuition Waiver
- Workers' Compensation Injury Report
Classification/Compensation Forms
Employment Forms
Student Employment
Personnel File Requests
