HR Forms
UHH Home > Faculty & Staff > Human Resources
Civil Service Hire
All forms are required and are applicable to this packet.
Forms that Must be Filled Out
- W-4

- Allows employee to withhold the Federal income tax from your pay.
- HW-4

- Allows employee to withhold the State income tax from your pay.
- I-9

- This is the Employment Eligibility Verification Form is for the immigration and naturalization service.
- D-90

- Designation of Beneficiary Form; this form must be notarized
. - SSA-I945

- Information about employment in a job not covered by Social Security. You must sign this form to show you have read it.
- Work Schedule Disclosure Form

- Disclosure if you are working at or applying to any other University of Hawaiʻi department or campus.
- Form Vets 100 - Invitation to identify a disability or veteran status
- Invitation to Identify Disability or Veteran Status allows you to notify the University if you are disabled or a United States veteran.
- EC-1 (Word)
- Allows you to enroll in Health Benefit program.
- Standard Life Insurance Company – Designation of Beneficiary

- Allows you to designate a beneficiary for a Standard Life Insurance plan which you are enrolled as part of the University.
- Ethnic Background Form

- Form to which allows the University to keep track of the ethnic background of its employees.
- HRD 319a

- Form which certifies you as a Hawaiʻi Resident.
- Form 12 - Employee's Claim for prior Creditable Service for Awards

- Allows you to declare service awards for past work for the federal or state government.
- HRD 315A

- Departmental Competitive Announcement Application - Certifies your typing speed and short hand writing of transcriptions.
- Supplemental to the Applications for Clerical Positions

- Allows you to declare extra information which pertains to a clerical position.
- Form 92 - General Confidentiality Notice

- Agreement to maintain personal information confidential.
- HRD 329A - Departmental Competitive Announcement Application

- Allows you to apply for criminal history clearance. Showing that you do not have a criminal history which would not allow you to work.
- Personnel Record Card

- Will enable human resources to easily keep important information about you on file for quick reference.
- PTS Enrollment Form

- Form which allows you to enroll in the Part-Time, Temporary, and Seasonal/Casual Employees (PTS) deferred compensation retirement plan.
- ERS Form 1-A beneficiary designation

- Designate a beneficiary with this form. See the ERS Form 1-A Instructions
. This form must be notarized
. - EC&B 1

- Form which allows you to enroll in the State of Hawaiʻi employees' retirement system
Notices that Require You to Do Something
- Social Security Card Notification
- Notification that a copy (or 2 copies for emergency hires) of your current social security card is required on submission.
- TB Examination Notice
- Notification that a current tuberculosis certification (within a year) will be needed before starting work at UHH, for appointments of more than 15 days.
Forms and Information that Must be Requested
- D-60
- Salary Assignment / Cancellation - Form which will allow you to have automatic deposits made to an account you designate. This form needs to be requested from the University, filled out, signed by a financial institution and sent in with your application. This form is not currently available online. Please call 974-7449 for a copy of this form.
Forms for Viewing and Reference
- Retirement Information Form (PTS)
- Notice that Act 212 has been signed into law.
- PTS Deferred Compensation Retirement Plan – Employee Information Booklet

- Booklet which can be requested which contains information about the PTS Deferred Compensation Retirement Plan.
- Workplace Non-Violence Policy and Procedures

- Notice about the University Workplace Non-violence policy and procedures.
- Substance Abuse Notification
- Notice of the University's Policy Substance Abuse in campuses and work sites.
- Smoking Regulations
- Web site about Hawaiʻi's Smoke-Free Law.
- Crime Awareness and Campus Security Notice
- Link to UHH Campus Crime Awareness web site.
- Sexual Harassment Notification
- Notification on the University's position on Sexual Harassment.
- Sexual Harassment Information
- Behaviors that cross the line. Who you can talk to.
- Holiday Schedule
- Holidays observed by the University of Hawaiʻi.
- Summary of Employee Benefits

- Summary of Benefits for eligible employees.
- Tax Deferred Annuity Program

- Information about the voluntary supplemental retirement income investment program.
- The State of Hawaiʻi, Island Savings Plan

- Information about the Island $avings Plan, an optional personal retirement savings plan.
- ERS Form 1-A Instruction

- Information about the ERS Form 1-A Designation of beneficiary form
- Retirement System
- Your Retirement System

- Hybrid Plan FAQ

- Service Retirement Facts

- Information about the State of Hawaiʻi Employee Retirement System. A mandatory personal retirement savings plan which is provided for you by the University.
- Hawaiʻi Public Employee Health Fund Benefit
- Information about the health fund benefit plan.
- Premium Conversion Plan (PCP)

- Guide to enrolling in the PCP program. Enrolling in this program allows you to reduce your taxes. Once enrolled, income taxes are calculated after health care premiums are deducted.
- Active Employee – Health Benefit Brochure

- Full guide for health benefits for Hawaiʻi Employer-Union Employees
- Standard Information Packet

- Information about the Standard Life Insurance plan which you are enrolled as part of the University.
- Reference Guide For Active Employees

- Reference guide for health benefits for Hawaiʻi Employer-Union Employees
- D-55

- Form which allows you to log work for overtime hours or night shift differential hours. See the D-55 Instructions
. - Island Flex

- Information about the Island Flex. This is a program which allows you to open accounts which have tax savings benefits.
- Hawaiʻi employer-union health benefits trust fund monthly insurance premium rates:
- Bargaining Unit 1,2,3,4,8,9

- Agreement between the Board of Regents of the University of Hawaiʻi and Bargaining Units:
- Bargaining Unit 1

- Bargaining Unit 2

- Bargaining Unit 3

- Bargaining Unit 4

- Bargaining Unit 9

- Full Information booklet about the agreement between Bargaining Units and the Board of Regents of the University of Hawaiʻi. (Civil Service hires will have to know their specific bargaining unit)