Human Resources Directory of Forms
Benefit Forms:
Flexible Spending Account Enrollment Form
Flexible Spending Account Reimbursement Form
Health/Dental/Vision Enrollment Form
Health Savings Account Enrollment Form
Salary Reduction Agreement Form
Vision Hardware Claim Form
General Forms:
Background Check Release
Please call the Office of Human Resources for information about conducting a background check.
Campus Parking and Smoking Maps
Please use this link for information for designated parking and smoking areas.
Catastrophic Leave Donation Form
For Staff wanting to donate vacation leave.
Catastrophic Leave Recipient Request Form
For Staff requesting donated leave.
Deferred Compensation Election Form
For 10-month faculty and staff with less than a 12 month position
HIPAA Forms and Information
Forms relating to your participation rights regarding your Protected Health Information (PHI)
I-9
Form used to verify employment eligibility.
New Hire Information and Forms
Click here for forms needed by new staff and faculty, including I9, W4, etc.
Online Exit Survey
Please complete this online confidential survey if you are leaving Belmont University.
Payroll and Accounting
Please use this link to view important Payroll and Accounting forms and information.
Payroll Action Form - Graduate Assistant
To submit payroll information for graduate assistants and graduate teaching assistants.
Payroll Action Form - Staff
To submit shift changes and pay increases for a current staff employee.
Performance Management Program Forms
Supervisors use these forms for annual performance management reviews.
Recruiting Resources
Please use this link for information and forms for recruiting new staff & faculty.
Request for Family or Medical Leave
Salary Reduction Form
Use this form to make a change in your 403B annuity contribution.
Staff Handbook Acknowledgement
Termination Form
Form for Supervisors showing transfers or terminations of staff employees.
Tuition Reduction Form (Employee Undergraduate)
Tuition Reduction Form (Employee Graduate)
Tuition Reduction Form (Spouse and Dependent)
W-4
Workers' Compensation First Report of Injury Form
Workers' Compensation Panel of Physicians
