Northeastern State University

403(b) Program

• · 403(b) Contract Exchange Request (pdf)
• · Proposed Investment Choices (pdf)
• · Core LIneup Investment Options (pdf)
• · New Salary Reduction Agreement Form (pdf)

Hiring Process Forms:

• · Request to Fill Vacant Position (pdf)
• · Recruitment Report, Applicant Selection/Non-Selection (pdf)

PAFs:

• · Hire/Termination (Excel document)
• · Change of Status (Excel document)

New Hire Packet:

• · Drug Free Workplace Policy Statement (Word Document)
• · I-9 (pdf)
• · W-4
• · Loyalty Oath (pdf)
• · Statement of Employment (pdf)
• · Automatic Deposit Transmittal Form (pdf)
• · Computing and Telecommunications Action Form (pdf)
• · Timekeeping/Leave System Set-Up Request (pdf)

Miscellaneous Forms:

• · New/Change Position Request (pdf)
• · Job Description Format (Word document)
• · Enrollment in University Courses (pdf)
• · Change of Address (pdf)

Leave Forms:

• · Absence Report (For Use by Grant-Funded Employees ONLY) (Word document)
• · nfocus Leave Adjustment Request (pdf)
• · Medical Leave Notification (pdf)
• · Leave Sharing Recipient (pdf)
• · Leave Sharing Donor (pdf)
• · FMLA Request (pdf)

Workers' Compensation Forms:

• · What To Do When An Injury Occurs (pdf)
• · Report of Occupational Injury or Illness (pdf)
• · Witness/Co-Workers Statement (pdf)
• · Medical Care Authorization - Tahlequah (pdf)
• · Medical Care Authorization - Muskogee (pdf)
• · Medical Care Authorization - Broken Arrow (pdf)
• · Authorization for Disclosure of Protected Health Information (pdf)
• · Authorization for Disclosure of Protected Health Information - Spanish (pdf)
• · Workers' Compensation-Sick Leave/Annual Accrued Leave Election (pdf)

Supervisory Forms

• · Grievance Review Form (pdf)
• · Log of Events (Excel document)
• · Performance Appraisal Form (pdf)
• · Disciplinary Report Form (pdf)