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HR-EHS Forms

 

Employment Information 

  • Attendance Record Form
    • Annual
    • Seasonal
    • 2012 (Excel)
    • 2013 (Excel)
  • Confidentiality Agreement Form
  • Graduate Students - Request for Approval of Extra On-Campus Employment Hours
  • OSSTF Union Leave Form
  • Performance, Review & Planning (see Employment Information & Resources for additional information and forms)
  • Recruitment
    • Employment Authorization Form
    • Employment Authorization Form - Fillable
    • Job Description Template
  • Student Employment Rate Schedule
    • Effective September 1, 2012
    • Effective March 1, 2010 
  • Temporary Departmental/Office Assistance Request (TES) Form - Fillable
  • Voluntary Reduction
    • Application Form & Policy - Non-union Staff
    • Application Form - OSSTF
    • Application Form - CUPE 4207, Unit 2 or 3
    • Worksheet Estimates

 

Environment, Health & Safety 

  • Authorization for Representing the Employer 
  • Certificate of Insurance
  • Chemical Waste Disposal Record
  • Injury/Incident Report Form
  • Instrument Repair Form
  • Slip, Trip and Fall Incident Report
  • Volunteer Application and Risk Assessment
  • Work Education Placement Form
  • Work Education Placement Form (non-fillable version)

 

CUPE4207

  • Allocation of Hours Form (pdf)
  • Allocation of Hours Form (fillable)
  • CUPE 4207 Application Form

 

Career Opportunities 

  • General Application Form
  • Self Identification Form - Faculty and Professional Librarian Appointment
  • Request for Transfer Form CUPE 1295

 

 

 

Payroll 

  • TD1 (Federal) Form
  • TD1 (Provincial) Form
  • Direct Deposit Form
  • Change of Information Form
  • Payroll Timesheet - Part-time Staff
  • Overtime Authorization Form
    • OSSTF
    • CUPE 4207, Unit 2
    • CUPE 4207, Unit 3
  • Foreign Student information to apply for a Social Insurance Number (SIN)
  • Record of Employment Request Form (part-time employees)

 

 

Benefits

  • Dependant Enrollment/Change Form
  • Green Shield Forms 
    • Audio Claim
    • Custom Foot Orthotics Claim
    • Dental Claim
    • General Claim Submission
    • Prosthetic and Durable Medical Equipment
    • Related Professional Services
    • Vision Claim Form
    • Claim Form for the Services of an RN, RNA, RPN, PNA or LPN Personal Support Worker
  • Overage Dependant Form
  • RWAM Dental Claim Form
  • Tuition Waivers
    • BUFA
    • BUFA Dependants
    • Staff
    • Staff Dependants

 

Pension 

  • Spouse and Beneficiary Designation Form
  • T2151 - Direct Transfer of a Single Amount Form
  • Declaration of Transfer to a Locked-In Retirement Account Form (LIRA)
  • Declaration of Transfer of Funds to a Life Income Fund Form (LIF)

 

 

 

 

HR-EHS Forms
Source URL: http://www.brocku.ca/hr-ehs/hrehs-forms