Forms
Employment Forms |
Temporary Employment Forms
UM-Dearborn Student temporary packet
UM-Dearborn Student temporary packet + I-9, tax & direct deposit form
Temporary Employment packet
Temporary Employment packet + I-9, tax & direct deposit form
Also include with the above packets:
- Employment Eligibility Verification – I9
- Federal W-4 also available online through Employee Business
- Michigan W-4 also available online through Employee Business
- Direct Deposit Authorization Form also available online through Employee Business
- US Mail Authorization Form
Staff Employment Forms
Supplemental Appointment Information (Oath Form)
Employment Eligibility Verification I-9
Faculty Employment Forms
Appointment Activity Record (AAR)
Faculty Selection Criteria Form
Additional Employment Forms
Authorization for Criminal Records Check
Employment Eligibility Verification – I9
Federal W-4 also available online through Employee Business
Michigan W-4 also available online through Employee Business
Direct Deposit Authorization Form also available online through Employee Business
Benefit Forms |
Health & Retirement Benefits
Enrollment Forms for New Faculty and Staff Members
Expanded Long-Term Disability Forms
Flexible Spending Account Forms
Educational Support Forms |
Tuition Support Request Form - see SPG 201.69 for additional information
Dearborn Employee Dependent Tuition Scholarship Form - click here for additional information about the scholarship requirements
Information Changes |
Payroll
Federal Tax Withholding Form W-4 also available online through Employee Business
Michigan Tax Withholding Form W-4 also available online through Employee Business
Direct Deposit Authorization Form also available online through Employee Business
Request a copy of your W-2 available online through Employee Business
Please visit http://www.payroll.umich.edu/ for a comprehensive list of payroll forms.
Address / Personal Data Change
Name and Home Address also available online through Employee Business
Work Address also available online through Employee Business
Performance Management
2012:
- A new form has been in use since the 2009/2010 evaluations.
Leave of Absence / Work~Connections Forms
Authorization to Obtain Patient Information
The University of Michigan
Dearborn Human Resources
1020 Administration Building
4901 Evergreen Road
Dearborn, MI 48128
Phone: 313-593-5190
Fax: 313-593-3568
