AS Employee Forms

Except where otherwise noted, these documents are in PDF format. You need Adobe Reader installed on your computer to open them. Click to download the latest version Adobe Reader. When the download is finished, you need to install the software to open the PDF files.

These forms are listed in alphabetical order by title.

• AccelaPay Payroll Debit Card Sign-up (AS State Accounting website)

Beneficiary Designation (html -- NE Public Employees Retirement website)

• Catastrophic Illness Forms
  • Request for Catastrophic Illness Leave
    • PDF version, to print and complete by hand
    • MS Word version, to complete in Word, then print, sign, and submit
  • Donation form for Catastrophic Illness Leave
    • PDF version, to print and complete by hand
    • MS Word version, to complete in Word, then print, sign, and submit

• Change of Address / Emergency Contact (Word)

• Deferred Compensation Plan Enrollment (NE Public Employees Retirement website)

• Deferred Compensation Change (NE Public Employees Retirement website)

• Direct Deposit Agreement (AS State Accounting website)

• Emergency Contact / Change of Address (Word)

• Employee Performance Appraisal, Six Month

  • PDF version, to print and complete by hand

  • Excel (complete in Excel, then print for signatures; if asked, click "Open," and you must "enable macros" to use this document)

• Employee Performance Appraisal, Annual

  • PDF version, to print and complete by hand
  • Excel (complete in Excel, then print for signatures; if asked, click "Open," and you must "enable macros" to use this document)

• Family and Medical Leave (html -- Employee Relations website)

• Form 50 - Choice or Change of Doctor (AS Risk Management website)

• Parking Deduction Authorization (Word)

• Payroll Calculation Spreadsheet (Excel -- AS State Accounting website)

• PIN (Personal Information Number) Request (NE Public Employees Retirement website)

• Release to Return to Work

• Vesting Credit Application (NE Public Employees Retirement website)

• Voluntary Disability Self-Disclosure Statement

• W-4 Employee's Withholding Allowance Certificate (Federal Government website)

• Workers’ Compensation First Report (Worker's Compensation website)

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