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Human Resource Services 

Middle Tennessee State University 
2269 Middle Tennessee Boulevard 
204 Sam H. Ingram Building 
Murfreesboro, TN  37132-0001

Human Resource Services Forms

Payroll Forms
Direct Deposit Form   [PDF]
I-9 Form   [PDF]
I-9 Remote Hire Instructions/Agent Authorization Form   [PDF]
Personnel Appointment Form (PAF)   [PDF]
Personnel Event Form (PEF)   [PDF]
W-4 [HTML]  
W-5 [HTML]  
Retirement Forms
Optional Retirement Program (ORP) Part-Time Reemployment Certification/Waiver Form   [PDF]
TCRS Member Information Change Form   [PDF]
401(k) and 457 Forms   [PDF]
403(b) Payroll Deduction Form   [PDF]
Education Forms
Employee Audit/Non-Credit Program   [PDF]
Faculty/Admin/Professional Grant-In-Aid Contract   [PDF]
Faculty/Admin/Professional Grant-In-Aid Form   [PDF]
Faculty and Staff Tuition Reimbursement Program   [PDF]
Fee Waiver   [PDF]
Fee Waiver Instructions   [PDF]
Request for Fee Discount for Spouse and/or Dependent   [PDF]
Insurance Forms
State of TN Group Insurance Program Enrollment/Change Form   [PDF]
Designation of Beneficiary Form   [PDF]
Sick Leave Bank Forms
Sick Leave Bank Application - Faculty   [PDF]
Sick Leave Bank Application -
Sick Leave Bank Membership Form - Faculty   [PDF]
Sick Leave Bank Membership Form - Non-Faculty   [PDF]
Sick Leave Donation Agreement Form   [PDF]
Administrative Graduate Assistant Timesheet   [PDF]
Alternate Work Arrangement Agreement   [PDF]
Background Check Release Form   [PDF]
BANNER HR Account Request Form   [PDF]
Change of Address Form   [PDF]
Designation of Beneficiary-Accrued Wages and Leave   [PDF]
Employee Recognition Nomination Form   [PDF]
FMLA Forms click here    
Foreign National Information Form (FNIF)   [PDF]
Hours Verification Form   [PDF]
Immigration Expense Allowance Agreement   [PDF]
Moving Allowance Agreement   [PDF]
Pre-Tax Parking Waiver Form   [PDF]
Proxy Authorization Form-Request for Leave/Time Reporting   [PDF]
Redistribution Request Form   [PDF]
Request for Leave Without Pay Form   [PDF]
Time Log - Student/Hourly Employees   [PDF]
Temporary Employment Form   [PDF]
Volunteer Form   [PDF]
Replacement W-2   [PDF]

2016, Middle Tennessee State University, a Tennessee Board of Regents institution, 1301 East Main Street, Murfreesboro, TN 37132-0001 USA +1-615-898-2300

Middle Tennessee State University, in its educational programs and activities involving students and employees, does not discriminate on the basis of race, color, religion, creed, ethnic or national origin, sex, sexual orientation, gender identity/expression, disability, age (as applicable), status as a covered veteran or genetic information. For more information see Middle Tennessee State University. |  Nondiscrimination Policy