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Accident and Safety Forms

• Accident Report for workplace injury or illness
• Safety E-Forms

Address/Name Change Forms

• ÀÏ˾»ú¸£ÀûÉç Address/Name Change Form
• (only needs to be submitted if employee has ABP, DCRP, or SACT)
• (must be completed for all name changes)

Alternate Benefits Program (ABP)

Additional Contributions Tax Shelter Program (ACTS)

• 403b Salary Reduction Agreement

Deferred Compensation

Public Employees' Retirement System (PERS)

• All plan changes must be made online through the  Member Benefits Online System (MBOS)
• MBOS:
• MBOS log-in for return users:

Police and Firemen's Retirement System (PFRS)

• All plan changes must be made online through the  Member Benefits Online System (MBOS)
• MBOS: 
• MBOS log-in for return users: 

Vision Care

• Vision Care Reimbursement Form

Applications

• All applications submitted via PageUp -

Nomination/Reappointment Forms

• Background Statement
• Other Personnel Actions Summary

Reclassification Forms

• Application for Reclassification for AFT Professionals submit completed form and paperwork to reclassification@stockton.edu
• for classified staff submit completed form to reclassification@stockton.edu

• Employee ID Card Replacement
• New Employee ID Card Request - Contact HR

• Lactation Room Access Request Form

Donated Leave

• Donated Leave Transfer Form
• Donated Leave Recipient Affidavit

Furlough

• Voluntary Furlough Request

Leave Forms

• Parking Permits
• Handicap Parking Request Form

• Faculty 12-month Payment Application
• Payroll Recap Form
• Request to Print Pay Stub

Please log into the and click on the Employee tab to access the following forms:

• Direct Deposit
• Dual Assignment Form
• Void/Reissue Request

Reimbursement Forms

• Bicycle Commuter Reimbursement Request
• Vision Care Reimbursement Form
• Meal Reimbursement Request

*Note Banner Workflow can only be accessed when on-campus

• Reasonable Accommodation Request Form
• Medical Provider Authorization Release Form

• Remote Work Agreement

• Retired Employee ID Request Form
• Retired Employee Email Distribution List Form

Departments considering paying a supplemental should contact the following individuals regarding the process:

• Academic Affairs:  Nikita Lively
• All other divisions:  Shilon Sowell

PLEASE NOTE:  Approval process needs to be completed BEFORE work is completed or offer of pay is made

• Payroll Recap Form
• See also Leaves of Absence

Tuition Assistance

Tuition Exchange