Forms
Note: All Virginia Tech employees with a Virginia Tech (@vt.edu) email address have access to the forms provided by Human Resources. If you are an employee, and receive an error when trying to access/download a form, please make sure you are logged in to google with your Virginia Tech email address.
# | Name | Description | Category |
---|---|---|---|
P111 | Voluntary 403(b) Retirement Contribution Election | Voluntary 403(b) retirement contribution election. Actions: Start, Change or Stop. | Benefits |
Acknowledgement Form (Faculty) | Contains faculty orientation checklist and acknowledgements. | Orientation | |
Acknowledgement Form (Staff) | Contains staff orientation checklist and acknowledgements. | Orientation | |
Consent to Electronic Delivery | Acknowledgement that employee is willing to receive documents electronically. | Orientation | |
P141 | Acknowledgement of Model Performance | Model performance acknowledgement for classified staff employees. | Performance Management |
P142 | Notice of Improvement Needed Unsatisfactory Performance | Employee Notice of Unsatisfactory Performance and Improvement Needed Form. | Employee Relations |
P149 | Manual Check Request Form (Salary, GTA, GRA, GA, P-14) | Request for manual checks. Links to Controller website. | Payroll |
P150 | Manual Check Request Form (Wage) | Wage employee manual check request form. Links to Controller website. | Payroll |
P151 | Panel Physician Selection | Acknowledgement of employee review of panel physicians selection. | General |
P152 | Selective Service Registration Questionnaire | Selective service registration questionnaire (males only) | General |
P86 | Non-paid Affiliation Appointment | Non-paid affiliation appointment form. | Transactions |
P88 | Memorandum of Agreement for Educational Leave | Form for faculty to submit to request educational leave. | Provost |
Counseling Memorandum on Performance | Sample performance counseling memorandum form. | Employee Relations | |
Counseling Memorandum on Behavior | Sample behavioral counseling memorandum form. | Employee Relations | |
Letter Placing an Employee on Leave for Administrative/Civil and Work-Related Leave Pending Internal Investigation | Sample letter placing an employee on leave for administrative/civil and work-related leave pending internal investigation. | Employee Relations | |
129-01-004 | Written Notice | Important information concerning issuing a written notice | Employee Relations |
Resignation Acceptance Letter | Resignation acceptance letter for Virginia Tech employees. | Employee Relations | |
Due Process Letter (After Investigation) | Sample Due Process letter to be used when employee has been on pre-disciplinary leave pending investigation. | Employee Relations | |
Due Process Letter (No Investigation) | Sample Due Process letter to be used when there is no pending investigation. | Employee Relations | |
Letter Terminating Wage Employment | Sample letter terminating wage employment. | Employee Relations | |
Letter Terminating Probationary Employment | Sample letter terminating probationary employment. | Employee Relations | |
Pre-Disciplinary Leave Letter Pending Standards of Conduct Investigation | Sample letter placing an employee on pre-disciplinary leave pending standards of conduct investigation. | Employee Relations | |
P188 | Memorandum of Agreement and Promissory Note For Tuition Credits | Memorandum of Agreement and Promissory Note for Tuition Credits in Accordance with Tuition Assistance and Reimbursement for Salaried Employees. | |
17834 | Consent To Life Insurance - New York Life Optional Life Insurance | Consent to New York Life Insurance Company - Spouse/Domestic Partner/Parent/Grandparent | Benefits |
Consent For Prospective Supervisor to Review Personnel File | Consent form for employee personnel file to be reviewed by authorized person or agency. | Human Resources | |
VRS-2 | Designation of Beneficiary | Designation of beneficiary form through the Virginia Retirement System. | Benefits |
P3A | P3A – Staff and Faculty Actions or Change of Status | Report of staff and faculty actions or change of status. | Human Resources |
P4B | Request for Employee Leave | Request for employee leave form. Should be submitted as soon as leave decisions are made. | Human Resources |
P6A | Leave Sharing Donor Form | Leave sharing donor form. | Human Resources |
P10 | Change or Extend Funding | Retroactive Funding Actions, Current/Future Funding Actions, and Organizational Transfers form | Controller |
P12B | Change of Name, Address or Social Security Number (SSN) | Form used by employees to change name, address or SSN. | Human Resources |
P14A | Part Time Temporary Faculty Appointment Authorization For Payment | Provides wage compensation for part-time temporary faculty-level services in instruction, research, outreach or administration. | |
P94 | Restricted Staff Apointment Acknowledgement | Appointment to a restricted position (classified staff or university staff) | Human Resources |
P99 | Request for Human Resources Records | Request form to review or receive copies of official personnel records from Human Resources. | Human Resources |
P108 | Emergency Hire Extension | Emergency hire form for non-student wage employment. | Human Resources |
P112 | Technical Correction Form | Request to change an employee work profile P112 technical correction. Internal use only. | |
P120 | Personnel Signature Authorization | Human Resources Signature Authorization from the Dean or Vice President of a specified department. | Human Resources |
P125 | Probationary Progress Review | Employee Probationary Progress Review Form | |
P146 | Request For Extension of Probationary Period | Request form for an extension of probationary period, not exceeded 18 months. | Employee Relations |
P153 | Request to Establish Employee Award or Recognition Program | Request for to establish employee award or recognition programs. Brief description, participating departments, and funding source. | |
P154 | Employee Recognition Award Payment and Leave Form | Employee Recognition Aware Payment and Leave Form (Prior program approval required) | Benefits |
Return To Work Release | Return to work release form based on evaluation. | ||
Shelter Leave / One Time Deferral 403(b) | Sheltered leave/additional pay defferal form to modify salary as indicated. | ||
SS | Summer Session Teaching Appointments | This form is used for summer session 1 and 2 teaching appointments. | |
Summer Sessions Research Appointments | Form used for the summer session research appointments only. | ||
VRS39 | Optional Life Insurance - Minnesota Life Application | Enrollment application for VRS optional group life insurance with Minnesota Life Insurance Company | |
Staff Checklist | New staff hiring checklist | Human Resources | |
23830 | Mobile Communication Device Procedure | The purpose of this document is to provide guidance and procedures for the effective implementation of the Allowance Payment Option, Option #2 in Policy 3960. | Controller |
Mobile Communication Device Request Form | Employee mobile communication device request form | Controller | |
Statement of Faculty Qualifications for Teaching | Instructors of record must have teaching credentials verified by the department head/chair from which the course(s) originates before being allowed to teach. | Provost | |
P12F | Fellowship Information Supplement | Fellowship information supplement necessary to disburse fellowship payment. | Undergraduate Research |
SU | Undergraduate Fellowship Form | Undergraduate fellowship payment record form. | Undergraduate Research |
Volunteer Sample Letter | Volunteer services sample letter including summary of duties and responsibilities. | ||
Paid Parental Leave Eligibility | Paid Parental Leave Eligibility Application Form | Leave | |
VT Retiree's Association Membership | Virginia Tech Retirees Association 2019-2020 Membership form | Human Resources | |
FMLA - Certification of Health Care for Employee’s Serious Health Condition | |||
FMLA - Certification of Health Care for Family Member's Serious Health Condition | Family and Medical Leave Act of 1993 - Employee Packet | Human Resources | |
Conviction Check Request | Request conviction and other pre-employment checks. | Human Resources | |
P6 | Leave Sharing Recipient Form | Leave sharing recipient form - reason for leave, estimated length of absence, and rights. | Human Resources |
P160 | Offer Letter for Part-Time Temporary Wage Appointment | Sample letter for part-time temporary wage appointment. Some information is instructional and you need to put in the appropriate information. | |
A10385 | State Active Enrollment | State health benefits program enrollment form for employees. | Benefits |
F52833 | Securian Enrollment Form | Enrollment application for VRS optional group life insurance with Securian Financial. | Benefits |
PageUp User Access Request | Form to request access to applicant tracking system, PageUp. | HRIS | |
Emeritus or Emerita Status Nomination Form | Form to use to nominate a Virginia Tech faculty member for emeritus/emerita status. | Provost | |
Grievance Form: Administrative and Professional Faculty | Form to submit administrative and professional faculty grievances. | Provost | |
Grievance: Agreement to Extend Deadline for Response | This form is filed when an agreement is reached to extend the grievance response deadline. | Provost | |
Grievance Form: Instructional Faculty | Form to submit instructional faculty grievances. | Provost | |
Grievance: Research Faculty | Form to submit research faculty grievances. | Provost | |
Modified Duties Request (Provost Office) | This form is filed by tenured and tenured-track faculty with the Provost Office when requesting modified duties. | Provost | |
Request to Extend Probationary Period (Tenure/Continued Appointment) | One-year probationary period extension request form for care of a child or other non-professional circumstance. | Provost | |
Application for Voluntary Transitional Retirement Program for Tenured Faculty | Form for tenured faculty to apply for the voluntary transitional retirement program. | Provost | |
P88 | Memorandum of Agreement for Research Leave or Special Leave with Pay | Form to request research leave or special leave with pay. | Provost |
F53411 | Securian Change Form | ||
F52749 | Securian Evidence of Insurability | ||
F52729 | VRS Certificate of Life Insurance | Benefits | |
P12W | Wage Employee Appointment Record | Wage employee appointment record form. | Human Resources |
Reappointment Administrative Professional FT Academic Year Regular | Re-appointment terms for AP faculty in full-time academic year regular roles. | Recruiting | |
Reappointment Administrative Professional FT Academic Year Restricted | Re-appointment terms for AP faculty in full-time academic year restricted roles. | Recruiting | |
Reappointment Administrative Professional FT Calendar Year Regular | Re-appointment terms for AP faculty in full-time calendar year regular roles. | Recruiting | |
Reappointment Administrative Professional FT Calendar Year Restricted | Re-appointment terms for AP faculty in full-time calendar year restricted roles. | Recruiting | |
Reappointment Administrative Professional PT Calendar Year Regular | Re-appointment terms for AP faculty in part-time calendar year regular roles. | Recruiting | |
Reappointment Administrative Professional PT Calendar Year Restricted | Re-appointment terms for AP faculty in part-time calendar year restricted roles. | Recruiting | |
Reappointment Research FT Academic Year Restricted | Re-appointment terms for research faculty in full-time academic year restricted roles. | Recruiting | |
Reappointment Research FT Calendar Year Restricted | Re-appointment terms for research faculty in full-time calendar year restricted roles. | Recruiting | |
Reappointment Research PT Academic Year Restricted | Re-appointment terms for research faculty in part-time academic year restricted roles. | Recruiting | |
Reappointment Research PT Calendar Year Restricted | Re-appointment terms for research faculty in part-time calendar year restricted roles. | Recruiting | |
Reappointment Teaching & Research FT Academic Year Regular One Year | Re-appointment terms for one year for teaching and research faculty in full-time academic year regular roles. | Recruiting | |
Reappointment Teaching & Research FT Calendar Year Regular One Year | Re-appointment terms for one year for teaching and research faculty in full-time calendar year regular roles. | Recruiting | |
Reappointment Teaching & Research FT Academic Year Restricted | Re-appointment terms for teaching and research faculty in full-time academic year restricted roles. | Recruiting | |
Reappointment Teaching & Research FT Calendar Year Restricted | Re-appointment terms for teaching and research faculty in full-time calendar year restricted roles. | Recruiting | |
Reappointment Teaching & Research PT Academic Year Restricted | Re-appointment terms for teaching and research faculty in part-time academic year restricted roles. | Recruiting | |
Reappointment Teaching & Research PT Calendar Year Restricted | Re-appointment terms for teaching and research faculty in part-time calendar year restricted roles. | Recruiting | |
P36 | Request for Additional/Outside Employment for Classified or University Staff | This form should be used by classified and university staff members to seek advance approval for additional employment outside of Virginia Tech in accordance with Policy 4070. | Payroll |
P126 | Memorandum of Agreement for Educational Aid Reimbursement | This memorandum of agreement needs to be completed per University Policy 4800: Tuition Assistance and Reimbursement Program for Salaried Employees | Benefits |
N/A | Request for Research - Extended Appointment | This form should be used to request conversion of an academic year (AY) appointment to a 10-, 11-, or 12-month contract. | Provost |
N/A | Request for Extension of a Research Extended Appointment | This form should be used to request an extension of an academic year (AY) faculty, who is already appointed to a 10-, 11-, or 12-month contract. | Provost |
Telework/Alternate work schedule agreements and Tuition waiver requests | Online form used to apply for telework or alternative work schedule agreements and to create tuition waiver requests | Benefits | |
Recruitment Consultation Request | Complete this form to start recruitment initiation with the HR Recruitment team. Please enter information as thoroughly as possible. | Recruiting | |
Orientation Scheduler | Form for self-scheduling an orientation session | Orientation | |
Business Conduct Standards acknowledgement form | Form that employees complete during new hire orientation acknowledging Virginia Tech's Business Conduct Standards. | Orientation | |
Employee Telework/Remote Work Self-Assessment Questionnaire | Employees should complete this form to determine if their role is suitable for telework/remote work. | Benefits | |
Manager Telework/Remote Work Suitability Questionnaire | Managers should complete this form to determine if a role and an employee are suitable for telework/remote work. | Benefits | |
VRS65 | Faculty Election of Retirement Plan | orientation | |
Pool Certification Template | This form should be used to certify a faculty pool for a position prior to moving to an job offer. | Recruiting | |
Knowledge Transfer Template | This form should be completed by an employee who is transferring to another role or department at Virginia Tech. | Human Resources | |
Election to Change Optional Retirement Plan Provider | Change Retirement Plan Provider | Benefits | |
N/A | Supervisor Transfer Checklist | Form to be completed by supervisor when employee transfers to another university role. | Human Resources |
N/A | Supervisor Offboarding Checklist | Form to be completed by supervisor when employee separates from the university. | Human Resources |
N/A | Employee Transfer Checklist | Form to be completed by employee when they transfer to another role at the university. | Human Resources |
N/A | Employee Offboarding Checklist | Form to be completed by employee when they separate from the university. | Human Resources |
139 | Physical Capabilities Form | Benefits | |
N/A | Offer Letter Example - Regular Staff | Example offer letter for regular staff hire. | Recruiting |
N/A | Offer Letter Example - Restricted Staff | Example offer letter for restricted staff hire. | Recruiting |
N/A | Offer Letter Example - A/P Faculty | Example offer letter for A/P faculty hire. | Recruiting |
N/A | Offer Letter Example - Non-tenure track faculty | Example offer letter for non-tenure track faculty. | Recruiting |
N/A | Offer Letter Example - Tenured faculty | Example offer letter for tenured faculty hire. | Recruiting |
N/A | Offer Letter Example - Tenure track faculty | Example offer letter for tenure track faculty hire. | Recruiting |
N/A | Offer Letter Example - Research Faculty | Example offer letter for research faculty hire. | Recruiting |
Prior Leave Accrual Transfer | Prior Leave Accrual Transfer form | Leave | |
N/A | HR Contacts | HR representatives and recruiting contacts for senior management areas. | Strategic Initiatives |
N/A | Classified to University Staff Conversion Form | This form needs to be completed by the employee and HR rep when an employee converts from classified to university staff. | Employee Administration |
Supervisor Bulk ePAF Update | Bulk supervisor update form | Banner |