University of Hawai'i Campus Services

Administrative Forms


These forms have been converted to PDF format and placed on the web for the convenience of University of Hawai'i faculty and staff in the Campus Services departments.

Click here to go to the Student Employment Office website

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Employee Forms
Form 1 Application for Leave of Absence
  Individual Daily Time Record
Form D55 State of Hawai'i Individual Time Sheet (Revised August 2012)
  Time Sheet Instructions
  Student Timesheet
UH Form 10 Authorization for Overtime Work
  Full Time Employee Overtime Sheet (version September 25, 1986)
  Casual Hire/Overload Time Sheet
UH Form 11 Certification for Compensation (Meals)
UH Form 410 University of Hawai'i Training Request Form
DHRD Form 410 Department of Human Resources Training Registration Form
  University of Hawai'i Faculty/Staff Tuition Waiver Form
  Campus Services Employee Termination Form
Form W-4 Federal Tax Withholding
Form HW-4 State Tax Withholding
  UH Faculty/Staff ID Card Application
  Parent-Teacher Conference Request (BOR)
Campus Services Personnel Forms
  Application for Student Employment
  Student Schedule for Employment (required with application form)
  Student FICA Exemption Questionnaire
  Student 2-Job Memo
  PTS Deferred Comp Enrollment Form
  PTS Deferred Comp Retirement Plan Employee Information Booklet
  Non-Civil Service 89-Day Hire Appointment
Form HRD 278 State of Hawaii Application Form
Form DHRD 329c Criminal History Clearance
Form I-9 Employment Eligibility Verification
Form SSA-1945 Statement Concerning Your Employment In A Job Not Covered By Social Security
  Personnel Record
Form EC-1 2017 EUTF Enrollment Form
  EUTF Reference Guide 2017
Form BEN-DES-EUTF (11-14) USAble Life Insurance Beneficiary Form
Form PCP-2 Premium Conversion Plan Change
Form G2 Application for Transfer of Vacation and Sick Leave Credit or Payment In Lieu of Vacation
Form WH-380 FMLA Certification of Health Care Provider
UH Form 68 Leave Sharing Donation Form
UH Form 6 University of Hawai'i Overload and Casual Notification of Personnel Action
UH Form 33 Changes and Correction of Key Personal Data
UH Form 54 University of Hawai'i Recommendation for Temporary Assignment
Form ERS-1 ERS Membership Enrollment Form
Form D-60 Direct Deposit Assignment/Cancellation
  Employee Manual (Bookstore Non-BU01 only)
Fiscal Forms
  Requisition Form
PPMO Form 95 Determination of Cost or Price Reasonableness (APM, Section A8.255)
Telecommunication and Equipment Forms
UHTR Form 1A Telecommunications Request (Campus Items)
UHT Form 2 Management System Directory Form (Revised 9/96)
Miscellaneous Forms
  University of Hawai'i Bookstore Textbook Order Form
Att. A Request for Approval of Equipment/Motor Vehicle Purchases
FMIS-35 Miscellaneous Encumbrance Form
FMIS-35a Instructions for FMIS-35 (backside)
  Transportation Services - Monthly Travel Log
Workers Compensation Forms
Contact the Auxiliary Enterprises Personnel Office IMMEDIATELY at 965-7455 to report any employee on the job injury.
  Highlights of the Hawai'i Workers' Compensation Law
Att. 3 What to do for Work-Related Injury/Illness
UH Form 79 Report of Work-Related Injury/Illness
UH Form 41 Sick/Vacation Election Form
UH Form 83 Time-Off for Treatment
Restricted Access Forms
The following forms are only accessible to staff with the appropriate authorization. Usernames and passwords are required to access these forms.
  Request for Additional Work Hours for Student Assistants
  Request to Fill Student Position Form
  Request Exemption to the Bookstore Hiring Freeze
  University of Hawaii Training Requests
2010 University of Hawai'i

An Equal Opportunity / Affirmative Action Institution

Updated: July 13, 2010