Unless otherwise noted, the completed and signed form should be delivered
to the appropriate destination:
TTUHSC Lubbock: Scan & email to firstname.lastname@example.org or Mail to HSC Human Resources, Stop 8100.
TTUHSC Other Campus/Correctional Units: Scan and email or Send it to your Regional/Correctional HR Office.
- Faculty Position Reclassification Form
- Initial Personal Biographic Form | Instructions
- Leave Without Pay Form | Instructions
- Employee Onetime Payment System (EOPS) (NEW!)
- New Position/Secondary Position/Reclassification Form | Instructions
- Position Description (formerly PDQ)
- Personal/Biographic Data Form | Instructions
- Veteran Status/Preference Form (NEW!)
- Child Protection Verification Form(NEW!)
New Employee Forms
- New Employee Checklist
- Personal/Biographic Data Form
- Crime Victim Election Form
- Background Investigation/Credit Check: Announcement | Form
- Selected Regents' Rules and Government Information
9, Employment Eligibility Verification Form with Instructions (must
be completed on or before the 1st day of employment)
- The following documents have been removed from the list of acceptable
- Certificate of U.S. Citizenship (List A#2).
- Certificate of Naturalization (List A#3).
- Unexpired Reentry Permit (List A#8).
- Unexpired Refugee Travel Document (List A#9).
- Form I-151 (List A#5). However, Form I-551 remains an acceptable document.
- The following document has been added to the list of acceptable
- Form I-766, Employment Authorization Document (List A#10).
- The following documents have been removed from the list of acceptable documents:
Current Employee Forms
- HR ePAF (Log into Webraider)
- Employee Name Change
- Employee Complaint Statement
- Employee Grievance Statement
- Ethics Policy Acknowledgement Form
- HR Bio Update (Log into Webraider)
- Performance Management Instrument/Evaluation Form (Log into Webraider)
- Tuition Assistance Certification Flowchart (NEW!)
- Foreign Employees Information Form
- TTUHSC Confidentiality Statement
- Direct Deposit Form
- W-4 (Employee's Withholding Allowance Certificate)
- W-5 (Earned Income Credit Advance Payment Certificate)
- Salary Reduction Agreement for Parking Permit
- Questions: Please contact TTUHSC Payroll Staff
Log into WebRaider and go to the HSC Employee tab to enter the Time Capture information.
Job Description/Evaluation Forms
- Employee Conduct, Discipline and Separation of Employees
- W2 Address Update / Lump Sum Vacation Certification (NEW!)
- Exit Interview
- Request for Separation of Employment (New!)
- Separation Checkout Procedure
Employee Leave of Absence Forms
- Application for Family and Medical Leave (FML) (Attachment A)
- Certification of Health Care Provider for Employee’s Serious Health Condition (Attachment B)
- Certification of Health Care Provider for Family Member’s Serious Health Condition (Attachment C)
- Certification of Qualifying Exigency for Military Family Leave (Attachment D)
- Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (Attachment E)
- Request for Sick Leave from the Sick Leave Pool