The following Human Resources Office forms may be printed, filled out, and submitted to the appropriate area/address. Some of these form are best viewed with Adobe Reader. Download Adobe Reader.

Employee Action Form

• Employee Action Form 2009

NovaSys Insurance Forms and Information

• NovaSys Enrollment Form
• NovaSys Claim Form
• NovaSys Status Change Form

Prescription Drug Forms and Information

• Prescription Drug Claim Form
• Prescription Drug List 2009 

Other Insurance Forms and Information

• Cancer Insurance Claim Form
• Life Insurance Service Request
• Hendrix Health Comparison 2009 

Flex Spending Accounts Forms and Information

• Flex Plan - Direct Deposit Form
• Flex Plan - Benefit Election Form
• Flex Plan - Status Change Form
• Flex Plan - Allowable Expenses
• Flex Plan - Medical Claim Form
• Flex Plan - Med/Dep Care/Ins Pol Claim Form
• Flex Plan - SourceCard Reimbursement Request 

TIAA-CREF Retirement Forms and Information

• TIAA-CREF Contribution Form
• TIAA Change of Address Form

Miscellaneous Hendrix Personnel Forms and Information

• Hendrix Direct Deposit Form
• Employee Enrollment Admission Non-Degree-Seeking 
• Hendrix Change of Address Form
• Hendrix Tuition Waiver Form
• Hendrix Employee's Notice of Injury for Arkansas Workers' Compensation

State and Federal Tax Withholding Forms

• 2009 W-4 Federal Withholding
• State of Arkansas Withholding Form 

Computers Through Hendrix Program Forms and Information

• Computer Order Form
• Computer Purchase Agreement

Vacation/Sick Leave Forms and Information

• Hendrix Vacation/Sick Leave Form
• Donation of Leave Time
• Request For Leave 
• 2009-2010 Staff Holiday and Summer Work Schedule 

Domestic Partnership Forms and Information

• Domestic Partnership Tax Information
• Domestic Partnership Affidavit
• Domestic Partnership Termination Affidavit