Forms

Form Names & Descriptions

• Alternative Work Schedule Request and Agreement
  • Request form regarding flex workplace and flex schedule arrangements.
• Foreign National Information Form
  • For International Employees to document their visa status and activity
• Auraria Campus ID Authorization/Change Form
  • The authorization form for a university issued ID card is available from AHEC.
• I-9 Instructions And Form
  • Documents the employee eligibility and authorization to work in the United States.
• Mid Year Coaching Discussion Worksheet
  • Document to facilitate mid year performance discussion.
• Oath of Allegiance
  • Board requirement for all Administrators and Faculty employees.
• Denver Occupational Tax Withholding Form
  • Denver Occupational Tax Withholding form if an employee who has a secondary employer from whom he receives $500.00 or more per month for the purpose of avoiding over withholding the Occupational Tax.
• Overtime Form
  • Employee form to claim overtime.
• Performance Plan Development Worksheet
  • Document to facilitate Performance Plan Development discussions.
• Salary Reduction Agreement-SRA(403B)
  • Authorizes payroll to withhold money for contribution to the 403(b) plan.
• State of Colorado Application for Announced Vacancy
  • Application for Classified employment, promotion, or transfer.
• W-9 Form
  • Complete this form in accordance with vendor relationships with the university. Required for all 1099 relationships.

• Workers Compensation First Report of Injury

  • Form to be completed in the event of an injury while working.
• Volunteer Agreement and Release
  • Complete this form to volunteer your services.
• Remote Onboarding Best Practices Professional Staff
  • A guide to assist you in remotely onboarding a new employee to your team.

Affiliate Faculty Form Names, Descriptions and Categories

ATTENTION:  Please direct questions by email to the HR Partner’s Sara Dehabreh: [email protected] and Shayna Tillmon: [email protected]. Please DO NOT email any forms. Instead submit your paperwork securely through Liquid Files:  https://secureshare.msudenver.edu/filedrop/affiliatefacultydropbox

NOTE: If you need to update only your Direct deposit or W-4, please submit directly to our payroll department, through the secure link: https://secureshare.msudenver.edu/filedrop/AccountingPDB

On-boarding:

• Reference Pages
  • Includes important and helpful information such as: our required employee trainings, ordering official transcripts, obtain your MSU Denver ID, and how to acknowledge your faculty workload, etc.
• How to Acknowledge Courseload

Pay Information:

• Affiliate Faculty Pay Dates and Pay Rates 2023
  • 2023 Affiliate Pay Dates and Pay Rates for Main-Campus affiliates

Salary Supplement Forms

Denver Occupational Tax Withholding Form

Denver Occupational Tax Withholding form may be submitted to exempt Denver Occupational tax withholding at the University. To qualify, the employee has a primary employer, work location is within the city and county of Denver and receives $500.00 or more per moth in wages from the primary employer.

NOTE: The form must be completed by the primary employer and turned into Payroll Services:

Inter-office CB 098, fax 303.556.5010, drop-off at Student Success Building 320.

MSU Denver offers Affiliate Faculty paid sick leave. Leave is accrued at a rate of 1 hour for every 30 hours worked, not to exceed a maximum of 48 hours in a calendar year.

Affiliate Faculty Sick Leave (Effective January 1st 2021, per SB20-205)

Because Affiliate Faculty members do not complete timesheets, 48 hours of leave will be front loaded for active affiliate faculty members at the start of every calendar year, as long as there has not been a 6 month break in service.

• Employee may use accrued paid sick to be absent for work for the following purposes:
  1. The employee has a mental or physical illness, injury, or health condition; needs a medical diagnosis, care, or treatment related to such illness, injury, or condition; or needs to obtain preventive medical care.
  2. The employee needs to care for a family member who has a mental or physical illness, injury, or health condition; needs a medical diagnosis, care, or treatment related to such illness, injury, or condition; or needs to obtain preventive medical care. An employee may be required to provide documentation of the familial relationship
  3. The employee or family member has been the victim of domestic abuse, sexual assault, or harassment and needs to be absent from work for purposes related to such crime.
  4. A public official has ordered the closure of the school or place of care of the employee’s child or of the employee’s place of business due to a public health emergency, necessitating the employee’s absence from work, not including inclement weather.
• Advance approval should be obtained to the extent possible. Sick leave may not be borrowed from future months. If the need for leave is unforeseeable, employee must provide notice as soon as possible.

How to view accrued hours: Navigate to the employee self-services tab through the employee services tab menu on the Faculty & Staff Hub. Once in the employee tab, click leave balances. Here employees can view what leave has been accrued and taken with each pay period.

How to report leave: Affiliate faculty members will notify their Department Chair of any sick leave use that is anticipated. If sick leave is used during the month, faculty will complete a Leave Request form with their Chair and submit it to HR. HR will then enter the hours used. Once the payroll has closed, the information will update and the employee will see their current balance.

Please use the following form to report leave: Sick Leave Request Form

• MSU Denver Salary Supplement Agreement

Form Names & Descriptions

• Application For Leave Without Pay
  • Leave without Pay form for Faculty and Chairs.
• Application For Medical Leave Without Pay
  • Medical leave without pay form for Faculty and Chairs.
• Faculty Annual Evaluation Form
  • Annual performance management form for tenured and tenure track faculty.
• Foreign National Information Form
  • For International Employees to document their visa status and activity
• Auraria Campus ID Authorization/Change Form
  • The authorization form for a university issued ID card is available from AHEC.
• I-9 Instructions And Form
  • Documents the employee eligibility and authorization to work in the United States.
• Oath of Allegiance
  • Board requirements for all Administrator and Faculty employees.
• Opt_Td269
  • Denver Occupational Tax Withholding form if an employee who has a secondary employer from whom he receives $500.00 or more per month for the purpose of avoiding over withholding the Occupational Tax.
• Salary Reduction Agreement-SRA(403B)
  • Authorizes payroll to withhold money for contribution to the 403(b) plan.
• State of Colorado Application for Announced Vacancy
  • Application for Classified employment, promotion, or transfer.
• Transitional Retirement Program Application and Agreement
  • Complete this form to request transitional retirement.
• Volunteer Agreement and Release
  • Complete this form to volunteer your services.
• W-9 Form
  • Complete this form in accordance with vendor relationship with the university. Required for all 1099 relationships.

• Workers Compensation First Report of Injury

  • Form to be completed in the event of an injury while working.

Form Names and Descriptions

• Alternative Work Schedule
  • Request form regarding flex workplace and flex schedule arrangements.
• Corrective Action Template
  • Use this template to address corrective performance actions for classified staff.
• Self Evaluation Form – Classified
  • Classified staff performance management self evaluation form.
• Auraria Campus ID Authorization/Change Form
  • The authorization form for a university issued ID card is available from AHEC.
• Consolidated Appeal & Dispute Form
  • Instructions for completing the Consolidated Appeal & Dispute Form
• Foreign National Information Form
  • For International Employees to document their visa status and activity
• Opt_Td269
  • Denver Occupational Tax Withholding form if an employee who has a secondary employer from whom he receives $500.00 or more per month for the purpose of avoiding over withholding the Occupational Tax.
• Overtime Form
  • Classified Employee form to claim overtime.
• Classified Performance Management Program
  • Guidelines for performance-based management of classified staff
• Performance Documentation Template
  • Template for use in documenting performance concerns, goals, and objectives outside of the official performance management document.
• Classified Performance Management Form
  • Classified staff annual performance management document
• Performance Pay System Dispute Resolution Form
  • Dispute request form for classified staff performance review
• Classified Position Description
  • The official job description for Classified employees.
• MSU Denver Salary Supplement Agreement
  • Documents supplemental pay for employees.
• Volunteer Agreement and Release
  • Complete this form to volunteer your services.

• Application For Leave Without Pay
  • Leave without Pay form for Faculty and Chairs.
• Faculty Annual Evaluation Form
  • Annual performance management form for tenured and tenure track faculty.
• Faculty Appointment Recommendation Form
  • Recommendation form to appoint faculty members to announced positions. Must be completed by the Dean, Department Chair or appropriate delegate.
• 2020-2021 Faculty Pay Distribution Options
  • Faculty Pay Option Distribution Form for 12 month pay option.
• Foreign National Information Form
  • For International Employees to document their visa status and activity
• Auraria Campus ID Authorization/Change Form
  • The authorization form for a university issued ID card is available from AHEC.
• I-9 Instructions And Form
  • Documents the employee eligibility and authorization to work in the United States.
• Oath of Allegiance
  • Board requirements for all Administrator and Faculty employees.
• Opt_Td269
  • Denver Occupational Tax Withholding form if an employee who has a secondary employer from whom he receives $500.00 or more per month for the purpose of avoiding over withholding the Occupational Tax.
• Salary Reduction Agreement-SRA(403B)
  • Authorizes payroll to withhold money for contribution to the 403(b) plan.
• Transitional Retirement Program Application and Agreement
  • Complete this form to request transitional retirement.

• Workers Compensation First Report of Injury

  • Form to be completed in the event of an injury while working.

Sick Leave for Fee For Service Employees:

Since Fee for Service Employees do not complete a timesheet, sick leave will be accrued using the estimated completion hours in the Fee for Service Agreement. This agreement summarizes the project to be performed, estimated time of completion, compensation and approvals.

How to view accrued hours:

• Navigate to the employee self-services tab through the employee services tab menu on the Faculty & Staff Hub. Once in the employee tab, click Leave Balances. Here employees can view what leave has been accrued and taken with each pay period.

How to report leave:

• Fee for Service employees will notify their supervisor of any sick leave use that is anticipated. If sick leave is used during the month, the employee will also need to complete a Leave Request form with their supervisor and submit it to HR. HR will then enter the hours used. Once the payroll has closed, the information will update and the employee will see their current balance.

Please use the following form to report leave: Sick Leave Request Form

MSU Denver Salary Supplement Agreement

Please visit Employment Forms on the Student Employment Portal for employment packets and other forms specific to student employees.

Please visit Sick Leave on the Student Employment Portal for more details.

On-boarding Checklists

• Supervisor Temporary Hourly Checklist – New Employee
• Temporary Hourly Checklist – New Employee
• Supervisor Temporary Hourly Checklist – Returning Employee
• Temporary Hourly Checklist – Returning Employee

Employment Support Documents

• Foreign National Information Form — For International Employees to document their visa status and activity.
• Temporary Hourly Separation Form

Other Forms

• Auraria Campus ID Authorization/Change Form
• Name and Address Change Form
• Opt_Td269 — Denver Occupational Tax withholding form if an employee who has a secondary employer from whom he receives $500.00 or more per month for the purpose of avoiding over withholding the Occupational Tax.
• MSU Denver Salary Supplement Agreement
• Volunteer Agreement and Release

Sick Leave for Temporary Hourly Employees (Effective January 1st 2021, per SB20-205)

MSU Denver offers temporary, non-benefit eligible employees sick leave. The sick leave is accrued at a rate of 1 hour for every 30 hours worked, not to exceed a maximum of 48 hours in a calendar year.

Employee may use accrued paid sick to be absent for work for the following purposes:

1. The employee has a mental or physical illness, injury, or health condition; needs a medical diagnosis, care, or treatment related to such illness, injury, or condition; or needs to obtain preventive medical care.
2. The employee needs to care for a family member who has a mental or physical illness, injury, or health condition; needs a medical diagnosis, care, or treatment related to such illness, injury, or condition; or needs to obtain preventive medical care. An employee may be required to provide documentation of the familial relationship
3. The employee or family member has been the victim of domestic abuse, sexual assault, or harassment and needs to be absent from work for purposes related to such crime.
4. A public official has ordered the closure of the school or place of care of the employee’s child or of the employee’s place of business due to a public health emergency, necessitating the employee’s absence from work, not including inclement weather.

Advance approval should be obtained to the extent possible. Sick leave may not be borrowed from future months. If the need for leave is unforeseeable, employee must provide notice as soon as possible to their supervisor before the start of their scheduled shift.

How to view accrued hours:

• Temporary Employees will need to go to the Employee Self-services Tab. Employees may navigate to the tab through the Employee Services Menu link on the Faculty & Staff Hub. Once you are on the employee tab, click on Leave Balances. Here employees can view what leave has been accrued and taken after each pay period is closed.

How to report leave:

• On their WebTime Entry online timesheet, the sick leave earnings code will be show under their regular earnings code and they will be able enter hours taken on the appropriate days. Once the payroll has closed, the information will update and current balances will be available under Leave Balances.

Supervisor Responsibilities:

1. Respond to an employee’s time off request as soon as possible.
2. Employee does not need to find a replacement worker to cover the hours during which they are using paid sick time off.