Human Resources COVID-19 Updates:
Our Response How to Keep Working & Stay Safe Self-Care

If you have any questions regarding how to complete any of these forms, please call Human Resources at 402-472-3101.

Many of the forms below are in portable document format (PDF). Learn how to fill and sign forms using Acrobat Reader.

Benefits & Retirement

University of Nebraska Employee Benefit Forms (NUFlex, Prescription Drug Program, Vision Care Insurance, Life, Accidental Death & Dismemberment and Dependent Life Insurance, Flexible Spending Account, Retirement Plan, and Other Forms)

Benefits Change Form

Dependent Information Request Form

Record of Prior Service for Basic Retirement Plan 401(a) Application

Basic Retirement Plan 401(a) Tier Election Form

Supplemental Tax Sheltered Annuity 403(b) Program Pretax Salary Reduction / Roth Deduction Agreement

Deferred Compensation Retirement 457(b) Plan Salary Reduction Agreement

Basic Retirement Plan 401(a) Allocation Change Form

Supplemental Retirement 403(b) Plan Loan Application

Leave Requests

You may be eligible to use Crisis Leave in conjunction with Family Medical Leave per policy

Risk Management

Permission to Engage in Outside Activity

Request an Insurance Certificate

Student Field Trip Insurance

New Hire

NU Values Compensation & Evaluation

Recruitment and Offer

In SAPPHIRE: UNL > Payroll and Human Resources > Hiring Resources > Letters to Applicants and New Hires.

  • Letter of acknowledgement
  • Letters of offer & Employee Information Sheet
  • Letters of decline

Worker's Compensation

To be filled out by supervisor

To be filled out by injured employee

To be filled out by Attending Physician