Skip to Search Skip to Global Navigation Skip to Local Navigation Skip to Content

Forms and References

Select a Category


Adobe Acrobat Download Icon Download Now | FREE | Adobe Reader ®

Some documents on this page are provided in Portable Document Format [PDF]. To view and print these files, you will need to have Adobe ® Reader ® installed on your computer. The current version of the FREE Adobe ® Reader ® application, as well as installation and usage information, is available from Adobe's Web site.
Select the "Get Adobe ® Reader ®" icon to download now.

 

 

ADA Disability Accommodation

Revised Type Source
05-2014 Microsoft Word Document HR-ER

Benefits

Revised Type Source
  Internet Linked Form UTSystem
Claim Forms
10-2011 PDF Form Delta
- PDF Form BCBS
- PDF Form Medco
- PDF Form Superior
04-2011 PDF Form UTFlex
EOI - Evidence of Insurability:
10-2011 PDF Form UTSystem
06-2007 PDF Form CNA
Life & Accidental Death and Dismemberment (AD&D)
08-2010 PDF Form Dearborn
- Internet Linked Form Dearborn
08-2010 PDF Form Dearborn
Miscellaneous Forms
07-2014 PDF Form HR Benefits
07-2012 PDF Form UTSystem
04-2011 Microsoft Word Document HR Benefits
07-2009 PDF Form UTSystem
07-2013 PDF Form UTSystem
05-2014 PDF Form UTSA
03-2011 Internet Linked Form HR Benefits
03-2011 Excel Spreadsheet HR Benefits
03-2008 PDF Form UTSystem
07-2014 Microsoft Word Document HR Benefits
05-2000 PDF Form UTSystem
UTFLEX:      
- PDF Form UTFlex
07-2008 PDF Form UTFlex
UT Select BCBS:      
- PDF Form BCBS

Retirement Programs

Revised Type Source
Investment Policy Statement 03-2010 PDF Form UTSystem
Download the forms below if you do not wish to use UTRetirement Manager
If you are making an initial ORP election, you must also complete the TRS 28 form listed above.
11-2006 PDF Form UTSystem
12-2004 PDF Form UTSystem
12-2004 PDF Form UTSystem
12-2005 PDF Form UTSystem
01-2005 PDF Form UTSystem
Optional Retirement Program
05-2009 PDF Form UTSystem
12-2008 PDF Form UTSystem
08-2011 PDF Form UTSystem
- PDF Form UTSystem
02-2013 Internet Linked Form TRS
- PDF Form UTSystem

Teacher Retirement System:

- Internet Linked Form TRS
UTSaver Tax-Sheltered Annuity Program
12-2008 PDF Form UTSystem
- PDF Form UTSystem
- PDF Form UTSystem
UTSaver Deferred Compensation Plan
03-2008 PDF Form UTSystem
08-2006 PDF Form UTSystem
- PDF Form UTSystem
- PDF Form UTSystem
11-2004 PDF Form UTSystem

Return to top of page | Return to Retirement webpage

Compensation

Revised Type Source

Interim Process Forms

Interim Add a New Position 05-2014 PDF Form HR-Comp
Interim Modify a Position 05-2014 PDF Form HR-Comp
Interim Pay Rate Change Request 05-2014 PDF Form HR-Comp

Position Management

05-2014 Microsoft Word Document HR-Comp
10-2011 Microsoft Word Document HR-Comp
05-2014 Microsoft Word Document HR-Comp

Performance and Evaluation

Annual Employee Performance Evaluation
05-2014 Microsoft Word Document HR-Comp
  Excel Spreadsheet HR-Comp
Probationary Employee Evaluation
These online fillable forms require the macros to be Enabled in Word
05-2014 Microsoft Word Document HR-Comp
05-2014 Microsoft Word Document HR-Comp
05-2014 Microsoft Word Document HR-Comp

Miscellaneous Forms

05-2014 PDF Form Payroll
05-2014 Microsoft Word Document HR-Comp

Return to top of page | Return to Compensation webpage

Day O.N.E. @ UTSA

Revised Type Source
Staff Forms
- PDF Form  
05-2014 Microsoft Word Document HR
04-2013 PDF Form WCI
05-2014 PDF Form HR
04-2013 PDF Form WCI

Return to top of page | Return to Day ONE Employee | Return to DayONE Administrator

Employment

Revised Type Source
07-14
  HR
  Microsoft Word Document UTSA
Legal Affairs
03-2011 Internet Linked Form  
05-2014 Microsoft Word Document HR
05-2014 PDF Form HR
05-2014 Microsoft Word Document HR
05-2014 PDF Form HR
Templates / Sample Documents
- Microsoft Word Document HR-Empl
- Microsoft Word Document HR-Empl
07-2011
PDF Form HR-Empl
05-2006
PDF Form HR-Empl

Leave Administration

Revised Type Source
Medical
05-2011
Microsoft Word Document HR-Leave
- PDF Form DOL
05-2014 Microsoft Word Document HR-Leave
05-2011
Microsoft Word Document HR-Leave
06-2014 PDF Form HR-Leave
05-2014 Microsoft Word Document HR-Leave
05-2014 Microsoft Word Document HR-Leave
GINA - Genetic Information Nondiscrimination Act of 2008 (GINA)
- PDF Form DOL
08-2010 PDF Form DOL
09-2009 PDF Form DOL
DOL - Forms and Resources
- PDF Form DOL
- PDF Form DOL
- PDF Form DOL
- - -

The Patient Protection and Affordable Care Act (“Affordable Care Act”) amended section 7 of the Fair Labor Standards Act (“FLSA”) to require employers to provide “reasonable break time for an employee to express breast milk for her nursing child for one year after the child’s birth each time such employee has need to express the milk.”

As such, UTSA supports moms in the efforts to both work and continue breastfeeding by providing a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used to express breast milk. See the attached link for more information. http://www.dol.gov/whd/nursingmothers/

For assistance in making arrangements, please contact Sandy Covarrubias Wornat at 458-4662 or Annette Rabago at 458-4031.

Miscellaneous Forms and Resources
  Internet Linked Form UTSA
  Internet Linked Form UTSystem

Records Services

Revised Type Source
10-2008 Microsoft Word Document HR-Records

Return to top of page | Return to Records webpage

Separation / Termination

Revised Type Source
03-2011 Microsoft Word Document HR-ER
05-2014 Internet Linked Form HR-ER
05-2014 PDF Form HR-ER
05-2014 PDF Form HR-ER
03-2008 PDF Form UTSystem

Return to top of page | Return to Separation / Termination webpage

Training and Development

Revised Type Source
12-2013
PDF Form
HR-TD
05-2014
PDF Form
HR-TD
02-2011
PDF Form
HR-TD
07-2009
PDF Form
HR-TD

Return to top of page | Return to Training and Development website

UTSA Bldg Codes / Mail Codes

Revised Type Source
05-2014 Internet Linked Form UTSA
05-2014 Internet Linked Form HR-Records
05-2014 Internet Linked Form HR-Records

Return to top of page

Updated: August 6, 2014