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HR Forms

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# NAME DESCRIPTION CATEGORY UPDATED
P86 Non-paid Affiliation Appointment (PDF)
ID: P86
Employee Administration
Non-paid affiliation appointment form.
Employee Administration
04/07/26
N/A Counseling Memorandum on Performance (DOC)
ID: N/A
Employee Relations
Sample performance counseling memorandum form
Employee Relations
03/09/26
N/A Counseling Memorandum on Behavior (DOC)
ID: N/A
Employee Relations
Sample behavioral counseling memorandum form.
Employee Relations
03/09/26
N/A Letter Placing an Employee on Leave for Administrative/Civil and Work-Related Leave Pending Internal Investigation (DOC)
ID: N/A
Employee Relations
Sample letter placing an employee on leave for administrative/civil and work-related leave pending internal investigation.
Employee Relations
03/09/26
129-01-004 Written Notice (DOC)
ID: 129-01-004
Employee Relations
Important information concerning issuing a written notice. This link will take the user to the DHRM form.
Employee Relations
04/08/26
N/A Resignation Acceptance Letter (DOC)
ID: N/A
Employee Relations
Resignation acceptance letter for Virginia Tech employees from department/supervisor
Employee Relations
03/09/26
N/A Intent Letter For Due Process (After Investigation) (DOC)
ID: N/A
Employee Relations
Sample intent letter to be used for due process meeting following an investigation
Employee Relations
03/19/26
N/A Intent Letter For Due Process (No Investigation) (DOC)
ID: N/A
Employee Relations
Sample intent letter to be used for due process meeting (no investigation)
Employee Relations
03/19/26
N/A Letter Terminating Wage Employment (DOC)
ID: N/A
Employee Relations
Sample letter terminating wage employment.
Employee Relations
03/09/26
N/A Letter Terminating Probationary Employment (DOC)
ID: N/A
Employee Relations
Sample letter terminating probationary employment.
Employee Relations
03/09/26
N/A Pre-Disciplinary Leave Letter Pending Standards of Conduct Investigation (DOC)
ID: N/A
Employee Relations
Sample letter placing an employee on pre-disciplinary leave pending standards of conduct investigation
Employee Relations
03/09/26
P188 Memorandum of Agreement and Promissory Note For Tuition Credits (PDF)
ID: P188
Benefits
Memorandum of Agreement and Promissory Note for Tuition Credits in Accordance with Policy 4800, Tuition Benefits Program for Salaried Employees.
Benefits
04/08/26
N/A Consent For Prospective Supervisor to Review Personnel File (PDF)
ID: N/A
Employee Administration
Consent form for employee personnel file to be reviewed by authorized person or agency.
Employee Administration
04/07/26
P3A P3A – Staff and Faculty Actions or Change of Status (PDF)
ID: P3A
Employee Administration
Report of staff and faculty actions or change of status. Please submit this document to Human Resources via the P3A form Service Request: https://vthr.teamdynamix.com/TDClient/1820/Portal/Requests/ServiceDet?ID=54927%20
Employee Administration
04/07/26
P4B Request for Employee Leave (PDF)
ID: P4B
Human Resources
Request for employee leave form. Should be submitted as soon as leave decisions are made.
Human Resources
04/07/26
P6A Leave Sharing Donor Form (PDF)
ID: P6A
Leave
Leave sharing donor form.
Leave
04/07/26
P12B Change of Name, Address or Social Security Number (SSN) (PDF)
ID: P12B
Employee Administration
Form used by employees to change name, address or SSN.
Employee Administration
04/07/26
P14A Part Time Temporary Faculty Appointment Authorization For Payment (PDF)
ID: P14A
Employee Administration
Provides wage compensation for part-time temporary faculty-level services in instruction, research, outreach or administration.
Employee Administration
04/07/26
P99 Request for Human Resources Records (PDF)
ID: P99
Employee Administration
Request form to review or receive copies of official personnel records from Human Resources.
Employee Administration
04/07/26
P108 Emergency Hire Extension (PDF)
ID: P108
Employee Administration
Emergency hire form for non-student wage employment.
Employee Administration
04/08/26
P120 Personnel Signature Authorization (PDF)
ID: P120
Employee Administration
Human Resources Signature Authorization from the Dean or Vice President of a specified department.
Employee Administration
04/08/26
P153 Request to Establish Employee Award or Recognition Program (PDF)
ID: P153
Compensation
Request for to establish employee award or recognition programs. Brief description, participating departments, and funding source.
Compensation
04/08/26
P154 Employee Recognition Award Payment and Leave Form (PDF)
ID: P154
Compensation
Employee Recognition Aware Payment and Leave Form (Prior program approval required)
Compensation
04/08/26
N/A Return To Work Release (PDF) New
ID: N/A
Leave
Return to work release form based on evaluation. This form must be completed by the employee's treating physician.
Leave
04/21
N/A Shelter Leave / One Time Deferral 403(b) (PDF) New
ID: N/A
Retirement
Sheltered leave/additional pay defferal form to modify salary as indicated.
Retirement
04/21
SS Summer Session Teaching Appointments (PDF)
ID: SS
Employee Administration
This form is used for summer session 1 and 2 teaching appointments.
Employee Administration
04/08/26
N/A Summer Sessions Research Appointments (PDF)
ID: N/A
Employee Administration
Form used for the summer session research appointments only.
Employee Administration
04/08/26
N/A Volunteer Sample Letter (DOC)
ID: N/A
Policy and Compliance
Volunteer services sample letter including summary of duties and responsibilities. This form will download as an editable Word document.
Policy and Compliance
03/27/26
N/A Paid Parental Leave Eligibility (PDF)
ID: N/A
Leave
Paid Parental Leave Eligibility Application Form
Leave
04/08/26
N/A FMLA Employee Packet-Certification of Health Care for Employee’s Serious Health Condition (PDF)
ID: N/A
Leave
FMLA Employee Packet (PDF)
Leave
04/06/26
N/A FMLA Family Packet-Certification of Health Care for Family Member's Serious Health Condition (PDF)
ID: N/A
Leave
FMLA Family Packet (PDF)
Leave
04/06/26
N/A Conviction Check Request (WEB)
ID: N/A
Policy and Compliance
Request conviction and other pre-employment checks.
Policy and Compliance
04/08/26
P6 Leave Sharing Recipient Form (PDF)
ID: P6
Leave
Leave sharing recipient form - reason for leave, estimated length of absence, and rights.
Leave
04/07/26
P14 Sample Letter for Part-Time Temporary Wage Appointment (P14) (DOC)
ID: P14
Employee Administration
Sample letter for part-time temporary wage appointment (P14). Some information is instructional and you need to put in the appropriate information. This file will open as an editable Word document.
Employee Administration
04/06/26
A10385 State Active Enrollment (PDF)
ID: A10385
Benefits
State health benefits program enrollment form for employees. This link will take user to the Department of Human Resource Management's website.
Benefits
03/17/26
F52833 Securian Enrollment Form (PDF)
ID: F52833
Benefits
Enrollment application for VRS optional group life insurance with Securian Financial. This link will take the user to the Securian site.
Benefits
03/16/26
F53411 Securian Change Form (PDF)
ID: F53411
Benefits
Change form for VRS optional group life insurance with Securian Financial. This link will take the user to the Securian site.
Benefits
03/16/26
F52749 Securian Evidence of Insurability (PDF)
ID: F52749
Benefits
Evidence of insurability form for VRS optional group life insurance with Securian Financial. This link will take the user to the Securian site.
Benefits
03/16/26
P12W Wage Employee Appointment Record (PDF)
ID: P12W
Employee Administration
Wage employee appointment record form.
Employee Administration
04/07/26
P36 Request for Additional/Outside Employment for Classified or University Staff (PDF)
ID: P36
Employee Administration
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.
Employee Administration
04/07/26
P126 Memorandum of Agreement for Educational Aid Reimbursement (PDF)
ID: P126
Benefits
This memorandum of agreement needs to be completed per Policy 4800, Tuition Benefits Program for Salaried Employees
Benefits
04/08/26
N/A Tuition waiver requests (WEB)
ID: N/A
Benefits
Online form used to create tuition waiver requests
Benefits
04/08/26
N/A Recruitment Consultation Request (WEB)
ID: N/A
Recruiting
Complete this form to start recruitment initiation with the HR Recruitment team. Please enter information as thoroughly as possible.
Recruiting
04/08/26
N/A Orientation Scheduler (WEB)
ID: N/A
Orientation
Form for self-scheduling an orientation session
Orientation
04/08/26
VRS65 Faculty Optional Retirement Plan Election Form (PDF) New
ID: VRS65
Benefits
Complete this form if you are a faculty member enrolling in the Optional Retirement Plan (ORP)
Benefits
04/21
N/A Election to Change Optional Retirement Plan Provider (PDF)
ID: N/A
Benefits
Change Retirement Plan Provider
Benefits
04/07/26
N/A Prior Leave Accrual Transfer (PDF)
ID: N/A
Leave
Prior Leave Accrual Transfer form
Leave
04/08/26
N/A HR Representatives (WEB)
ID: N/A
Strategic Initiatives
HR representatives for senior management areas.
Strategic Initiatives
04/08/26
P89 Memorandum of Agreement - Bonus (DOC)
ID: P89
Policy and Compliance
Promissory note to be completed when recruitment or retention bonus is offered. This file will open as an editable Word document.
Policy and Compliance
04/06/26
P146 Request for Extension of Probationary Period (DOC)
ID: P146
Staff Performance
Form to request probationary extension for staff within first year. This form will download as an editable Word document.
Staff Performance
03/26/26
N/A State Health Benefits Program Enrollment Form For Retirees, Survivors and LTD (PDF)
ID: N/A
Benefits
Form that retirees, survivors, and LTD participants would fill out for state health benefits. This link will take user to the Department of Human Resource Management website.
Benefits
03/17/26
N/A Reappointment Letter Template-Research Faculty (DOC)
ID: N/A
Recruitment
Use this letter template for Research Faculty reappointments. This file will open as an editable Word document.
Recruitment
03/16/26
N/A Reappointment Letter Template-T&R and A/P Faculty (DOC)
ID: N/A
Recruitment
Use this letter template for Teaching and Research and Administrative and Professional Faculty reappointments. This file will open as an editable Word document.
Recruitment
03/16/26
N/A Zurich AD&D Beneficiary (PDF) New
ID: N/A
Benefits
Complete your Zurich AD&D Beneficiary Designation
Benefits
04/21
N/A Zurich AD&D Enrollment (PDF)
ID: N/A
Benefits
Complete your Zurich AD&D Enrollment
Benefits
04/06/26
N/A Panel of Physicians - Blacksburg/Roanoke (DOC)
ID: N/A
Benefits
For Workers' Compensation, reference this form for the Panel of Physicians in the Blacksburg and Roanoke areas. The employee must sign this form. This form will open as a Word document.
Benefits
04/02/26
N/A Panel of Physicians - D.C. Area (DOC)
ID: N/A
Benefits
For Workers' Compensation, reference this form for the Panel of Physicians in the Greater Washington, D.C. area. The employee must sign this form. This form will open as a Word document.
Benefits
04/02/26
21131 New York Life Beneficiary Change Form (PDF) New
ID: 21131
Benefits
Use this form to update beneficiary information with New York Life. This link will take you to a fillable PDF form on New York Life's website.
Benefits
04/21

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