Department of Human Resources

Orientation/Benefits Packet Request Form for Non-Academic Employees

Hiring departments (or department's payroll representative) must fill out the form for their employees who are non-academic if they:

• are a new hire with 75-100% appointment
• 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

VCAA sends out the Guide for UPlan Benefits Enrollment to academic employees upon receipt of the PAD. Benefits orientation are not conducted for academic employees but they may call 726-7822 if they have any benefits questions.

For more information about Orientation procedure, see http://www.d.umn.edu/umdhr/Policies/hiring/09.htm

ORIENTATION REQUEST FORM

*Name of employee
*Empl ID (or type 00 if no Empl ID )
*Department name
*Campus Address
Employee's Campus Telephone #
*Job Requisition Number
*Job Code
*Percentage of Appointment
*Start Date
If Temp Appt, fill out End Date
*Supervisor's Name
*Supervisor's Telephone number
*What is Your Name?
*What is Your Campus Phone #?
*What is Your Complete Email Address?

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