My Recently Visited Services

Employees complete this form to provide personal information, educational history, and license/certification information.

This form can be used for a pre-treatment estimate or for a claim for an actual service.

This form is used to request a unique employee recognition program.

This form is used to submit institutional and professional claims for benefits for covered services received outside the United States, Puerto Rico, and the U.S. Virgin Islands.

Employees use this form to elect contributions to their 403(b) or 457(b) for sick, vacation, comp time, and deferred salary payouts.

New employees are required to complete all applicable onboarding forms at the start of their employment.

Employees must complete this form each academic year when requesting educational benefits for a qualified dependent.

This form is completed by employees to submit a medical claim to Anthem.

This form is used by employees serving as volunteer firefighters, paramedics, EMT and First Responders to request emergency service leave.

This form is used to request an appeal to a position’s classification or mapping as a result of an incumbent review. This form is completed by an employee, their supervisor, and the Department Head.

New employees are required to complete all applicable onboarding forms at the start of their employment.

Employees may elect to use accrued paid sick leave or to be placed on an unpaid medical leave of absence in the event of an occupational illness or injury.

This document serves as an agreement between an employee and Ohio University for relocation expense repayment.

Employees must complete this form each semester when requesting educational benefits.

This form is completed by the hiring department to request compensation outside of the Pay Administration Guidelines. After submission, the form is reviewed for approval by Compensation, prior to an offer being made to a candidate.

This form is used by employees to request reimbursement for prescriptions paid out of pocket.

This form is submitted to an employee’s previous employer to request a transfer of prior state service credit and sick leave hours.

Completed by new employees to acknowledge that you will not contribute to Social Security.

This form is completed by a Physician or Health Care Provider and serves as an employee's medical authorization to return to work.

Forms to be completed when requesting Family Medical Leave.

Benefits eligible employees may elect to contribute to the designated Ohio state retirement plan or an alternative retirement plan.

This form is utilized by a department to request access to another user’s OHIO accounts or systems.

This form is used when administrators request a Flexplace arrangement.

Employees can apply for a disability benefit using the STRS Disability Benefits Application.

Employees participating in the Alternative Retirement Plan complete this form to change their ARP provider.