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

Supplemental Retirement 403(b) Plan Loan Application

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) Tier Election Form

Basic Retirement Plan 401(a) Allocation Change Form

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

Dependent Information Request Form

CDL Drug and Alcohol Testing

Leave Requests

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


Alternative Work Arrangement Request Form

New Hire

NU Values Compensation & Evaluation

Recruitment and Offer

Microsoft Word letters of acknowledgement, offer or decline:

Worker's Compensation