For more information:

80 Lower College Road

Kingston, RI 02881

Phone: 401-874-2416

Fax: 401-874-5741

Humanres@etal.uri.edu

• Access to Personnel Information
• ACT Affidavit (for Tuition Waiver)
• Application Form - CS-14
  • employment application to apply to a Classified position
  • completed applications can be faxed to 874-5741
  • Please be sure to write Requisition# on the top of the Application Form
• Authorization for payment of additional compensation (USP-7)

 

• Checklist Procedure for Terminated Employees
• Classified Job Application - CS-14
• Common Law Affidavit

 

• Direct Deposit Form
• Domestic Partner Affidavit
• Domestic Partner Dependency Affidavit
• Drug Free Workplace Policy
• Drug Free Workplace Policy Acknowledgement

 

• Employee ID card, e-Campus Access or Parking Pass Application (USP-18)
• ERSRI Beneficiary Form

 

• Group Supplemental Retirement Annuity for 403 (b) (PF-15)
• Group Supplemental Retirement Annuity Change for 403 (b) (PF-16)

 

• Health Coverage/Change in Status Application

 

• I-9 Employment Eligibility Form
• Independent Contractor Questionnaire
• In-House Payroll Correction Form (Internal and Student employees)
• Internal Payroll Form (IP-1 Form)

 

• Leave Without Pay Accrued Hours Discharge Request (USP-21)
• Lecturer Salary Payment Option (Full Academic Year)
• Legal Application/Cancel Form
• Life Insurance Add/Cancel/Waive Form
• Life Insurance Beneficiary Form

 

• Notification of Temporary/Limited Appointment (USP-4)
• Non-Classified 6 Month Probationary Performance Evaluation
• Non-Classified Final Probationary Performance Evaluation
• Non-Classified Non-union, Annual Merit Performance Evaluation for BOG

 

• Personal Information Update Form (USP-5)
• PF 14
• PF 15
• PF 16

 

• Request for Special Employment (A-64)
• Request for Sick Leave Advance (USP-10)
• Request for Taxpayers Identification Number and Certification (W-9)
• Retirement Annuity Contribution Percentage Form for 403 (b) (PF-14)
• RF-1 3rd Party (For Classified Positions Only)
• RF-1 Unrestricted (For Classified Positions Only)

 

• Savings Bond Application
• Supplemental Retirement Annuity for 403 (b) (PF-15)
• Supplemental Retirement Annuity Change for 403 (b) (PF-16)

 

• TIAA Beneficiary Form
• Transfer Request Form

 

• UnitedHealthcare (UHC) Claim Form
• URI Faculty/Staff Additional Pay Form (APF-3)
• URI Payroll Deduction Authorization Form for Gift Giving
• USP-2/USP-12 Instruction Manual

 

• W-4 Form
• W-9 Form (Request for Taxpayers Identification Number and Certification)
• Waiver or Rescind of Health Coverage
• Withdrawal of Transfer Request
• Workers Compensation 24 Hour Notification form
• Workers Compensation Authorization of Release of Confidential Information
• Workers Compensation Employee Certificate of Dependency Status
• Workers Compensation Sick Leave/Payroll Discharge Form
• Workers Compensation URI Incident/Injury Report Form
  (this is a carbonless form - please call 874-9054 for a supply)

 

• 457 Deferred Compensation Authorization Form for NONCLASSIFIED employees
• 457 Deferred Compensation Authorization Form for CLASSIFIED employees

University of Rhode Island, Kingston, RI 02881 | Phone: 401-874-1000
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URI is an equal opportunity employer committed to the principles of affirmative action.