Employee Status Requisition Procedures printable pdf download

Employee Status Requisition

Procedures

LANGSTON UNIVERSITY

This form is to be used for the following actions (Please check the applicable action):

Employment

Continuation of Employment

Salary Adjustment

Transfer

Resignation

Retirement

Leave With Pay

Leave Without Pay

Sabbatical Leave

Non-Renewal of Contract

Termination

Change of Salary Funding Source(s)

Change of Title

Change of Employment Codes

Opening Position

Change of Dates of Employment

Overload

One-Time Stipend

Additional Duties

Amendment to Initial Requisition

Complete all applicable sections for the action you are requesting. This form must be routed to those

individuals listed for signatures of approval (in the order listed). After the requisition form has received

Presidential approval, copies of same will be sent to all individuals signing for approval.

In preparing this form, please make note of the information below. According to the University's

insurance carrier, to be eligible for coverage, an employee must be 75% FTE or greater. Employees

appointed for less than six consecutive months will be considered seasonal employees and will not be

eligible for coverage.

Univeristy Paid Coverage

Health Insurance - The University pays up to the standard plan amount.

Life Insurance- The University pays annual salary x 2=Face Value. Face value gradually decreases at

age 65.

Long Term Disability- This is an employee-paid benefit, through American Fidelity. Additional

information may be obtained in the Office of Human Resources.

Unemployment Insurance- Benefits are paid to eligible employees following separation.

Workers Compensation Insurance - On the job injuries must be reported by supervisor to the Office of

Human Resources.

Oklahoma Teachers Retirement- The University pays the member contribution or contributory salary

(pay + benefits). Langston University also pays the employer fee, which is not credited to the member’s

(employee’s) account. Adjuncts who are active Oklahoma Teachers Retirement members with their

primary employer will pay an OTR contribution on their adjunct salary through a payroll deduction.

The exception would be member whose earnings plus employer paid total benefits total $40,000.00

or more. All Adjuncts must complete a Langston University Teachers Retirement Option Form,

which can be obtained in the Benefits office.

[ ] Ms. [ ] Mrs. [ ] Mr. [ ] Dr.

NAME:

SSN:

BIRTHDATE:

DEGREES HELD:

JOB TITLE:

Revised 2014

Employee Status Requisition Procedures

Related Articles

Related forms

Related Categories