Employee Forms

The forms below are in PDF file format and are only viewable with Adobe® Acrobat® Reader, unless indicated otherwise. These forms have been converted to Adobe® Acrobat® Reader to perserve the page layout. All forms can be downloaded and printed using this application. If you need Adobe® Acrobat® Reader for your computer, a free download is available on the Adobe web site.

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Address Change Form MRCTC  (You must also go to your Employee Self Service web site to change address )

Basic Coverage Insurance Application

Beneficiary Designation (Life Insurance)

Column Placement Change - page 1, page 2

Dependent Change form - This form is required to make dependent changes for insurance and to notify Blue Cross & Blue Shield and Delta Dental of an address change.

Direct Deposit Authorization Forms and Instructions(NEW! Change your Direct Deposit on your Employee Self-Service web page)

Disability Forms - Short-term, Long-Term, Manager's Income Protection

E-Timesheet

Employee Expense Report

Faculty Sabbatical Packets

Paid Work Experience Verification Form

Employee Statement        First Report of Injury      Agency Claim Form

Foundation Application Form

Holiday Pay Calculation - AFSCME

Holiday Pay Calculation - MAPE

Minimum Qualification Credit Listing by Faculty

MSCF Salary Placement FAQ - Oct 2006

MSCF Column Placement Change

MSCF Salary Placement Instructions

Request for Additional Assigned Fields

Step Placement form

Tuition Waiver form                Tuition Waiver Matrix            Tuition Waiver directions

Vacation Donation Program Form (NEW! Donate without forms using your Employee Self-Service)

W-4 Employee's Withholding Allowance Certificate (NEW! Self-Service allows employees to change your allowances)

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phone: 218 741 3095 | toll free: 800 657 3860
1001 Chestnut Street West | Virginia MN 55792 | fax 218-748-2419
1100 Industrial Drive | PO Box 648 | Eveleth MN 55734 | fax 218-744-7466

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