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 Department of Human Resources & Equal Opportunity

Workers' Comp

Orientation Request for Employees

(Note: required for eligible non-academic employees and fill out if an academic employee would like an orientation)

Hiring department (supervisor or payroll representative) must fill out the form for their employee/s if they:

  • are new hire with 75-100% appointment
  • have transferred up to 75-100 percent time appointment (example, transfer from temp and casual, on-call appointment or under 74% appointment)
  • are hired on 75-100% temporary appointment lasting three months or longer; and
  • has an appointment of 50-74% lasting three months or longer.

Hiring department does not need to fill out this form if it is a transfer from one department to another with employee already on 75% or more appointment from previous department and there is no break in service.

Choose one:
New hire
Transferred to 75-100 % appointment
Temporary appointment of 75-100% lasting three months or more
50-74% appointment lasting three months or longer

*Name of Employee
*Empl ID (or type 00 if no Empl ID available)
*Employee's Department
Employee's Campus Address
Employee's Campus Telephone #, if known
Employee's Email to send invitation
Employee's Work Hours, if known
*Job Requisition Number
*Job Code
*Percentage of Appointment
*Start Date
If Temp Appt, fill out End Date

*Supervisor's Name
*Supervisor's Campus Phone #

*What is Your Name?
*What is Your Campus Phone #?
*What is Your Complete Email Address?


Reset form will delete all your entries

The E-mail address listed will automatically receive a copy of this form.

The Guide for UPlan Benefits Enrollment is available online.

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The University of Minnesota is an equal opportunity educator and employer.
Last modified on 12/07/16 01:08 PM
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