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Human Resources
University of Mississippi

Forms

Frequently Requested

HR 19-Permission to Take a Course Policy PDF Document
Form 9- Permission to Engage in Outside Employment Policy PDF Document
Form 9 Frequently Asked Questions PDF Document
Reasonable Suspicion Record Form Policy PDF Document
Form 13-S Supplement to Electronic Form HR 13 PDF Document

Benefit Related

(health insurance, leave, worker’s compensation)

Benefits Change of Address Form (Please use myOleMiss to make address changes.  This form is to be used only if you do not have access to myOleMiss.)
PDF Document
UNUM Beneficiary Designation Form PDF Document
State Life Insurance Beneficiary Designation PDF Document
AD&D Beneficiary Designation Form PDF Document
Insurance Claim Form for Delta Dental Link
Insurance Claim Form for Davis Vision PDF Document
Insurance Claim Form for Colonial Life and Accident Link
Insurance Claim Form for American Heritage Cancer and Intensive Care PDF Document
Insurance Claim Form for Medical Claim PDF Document
Mail Order Prescriptions PDF Document
Request for Reimbursement Form for Flexible Spending Accounts with Southern Administrators & Benefit Consultants PDF Document
Dependent Care Receipt Form Link
Change of Information for the Public Employees’ Retirement System PDF Document
Public Employees’ Retirement System of MS Beneficiary Designation Form PDF Document
Workers Compensation Injury Report Packet PDF Document
Medical Certification Form PDF Document
Form 14-Donor Leave Request PDF Document

E-form Administration

E-form program on myOleMiss Link
E-form Guides and Information Link
Request Access to E-form Link

Flexible Work Location (Telework & Remote Work)

Flexible Work Location Request Policy PDF Document
Flexible Work Location Arrangement Form Policy PDF Document
UM Telework IT Checklist PDF Document

Payroll

Timesheet-Student Excel Document
Timesheet-Non Exempt/Hourly Excel Document
Timesheet-Exempt/Salary Excel Document
Timesheet-Rebel Reserve Excel Document
Payroll Time Conversion Chart PDF Document

Recruitment

For Recruitment related documents and forms, please use your Ole Miss webID and password to login to connectU (connectu.olemiss.edu). These below documents can be found by selecting the “Click Here for connectU Resources” box..

  • Search Committee Guide
  • Job Requisition Intake Form
  • Sample Interview Questions
  • Sample Reference Check Questions
  • Confidentially Agreement

Separation of Employment

Exit Checklist Policy PDF Document
E-Form 3/Separation Notification Policy PDF Document
Student Exit Checklist PDF Document

The following  can be accessed at my.olemiss.edu.

  • Address Change
  • W-2 Opt-In
  • W-2
  • Pay Stubs
  • Timesheets
  • Office Contact Information
  • Emergency Contact Information
  • Bank Information
  • Travel
  • Benefits Confirmation Statement
  • Open Enrollment