Human Resources Forms and Documents

Adjunct

• Adjunct Faculty Handbook (PDF)

Benefits & Leave

• FMLA-Fitness for Duty Form (PDF)
• Employee Assistance Program (link)
• FMLA (Link)

Insurance Documents

• For information, go to: SEGIP
• Find a SEGIP Form

• ADA Information & Employee/Applicant Request for Accommodation Form
• Faculty Voucher Form (PDF)
• Request to View Personnel File (PDF)
• Professional Development Funds Request Form (PDF)
• Professional Leave Request Form (PDF)
• MAPE Professional Development Procedure (PDF)
• MAPE Professional Development Tuition Application (PDF)

Minnesota State is self-insured for workers’ compensation and claims are administered by the Minnesota Department of Administration pursuant to Minnesota Statute 176.541.  Generally, Minnesota Workers’ Compensation covers injuries or occupational disease that arise out of and in the course of employment.  Information regarding specific employee benefits for accepted claims can be found at the Minnesota Department of Labor and Industry website.

Forms for Reporting an Incident 

The following forms are to be completed and submitted to your Workers’ Compensation Coordinator as soon as possible but no later than 24 hours after the incident or by the end of the next business day.

Employee Forms

• Information and Privacy Statement (PDF)
• Employee statement regarding injury/illness (PDF)
• Leave supplement form (PDF)
• Employee Information Packet (PDF)
• Student Worker Data Form (PDF)

Supervisor Forms

• First Report of Injury - Injury, Illness, Incident Data Form (IDF) (PDF)
• Agency Claims Investigation Form (PDF)
• Supervisor Injury, Illness and Incident Reporting and Workers' Compensation Checklist (PDF)

• Employee Home
• Employee Self Service
• E-Timesheets/Faculty Leave Request
• Tuition Waiver
• SEGIP/ Employee Benefits
• StarID
• Union Contracts
• Insurance Clinic Directory 
• Minnesota Management and Budget (MMB)
• Employee Assistance Program (EAP)
• Family Medical Leave Act (FMLA)
• Minnesota State Colleges and Universities
• Payroll Bulletins and Updates
• Sending email attachments securely

• MMB Policies & Procedures (Maintained by MMB)
• Minnesota State Colleges and Universities Board Policies and System Procedures
• Southeast Policies & Procedures (Maintained by the college) 

• Minnesota Deferred Compensation Plan (MNDCP)
• Minnesota State Retirement System (MSRS)
• TIAA-CREF
• Teachers Retirement Association
• TRA Election Form: (contact the HR Office: [email protected] )
• TSA Self-Service Instructions (PDF)
• Vacation Conversion to 403b