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 & RetirementUniversity 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

Basic Retirement 401(a) Plan Loan Application  PDF

Supplemental Retirement 403(b) Plan Loan Application PDF

Leave Requests
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.

Worker's CompensationTo be filled out by supervisor

To be filled out by injured employee

To be filled out by Attending Physician