DEPARTMENT OF HUMAN RESOURCES
Forms & Documents
Employment, benefits, tax, and onboarding forms and documents from the Jackson State University Department of Human Resources.
Human Resources
Forms and documents
Select a form or document below. Items open in a new tab; some are fillable PDFs while others are submitted through the JSU eTrieve online forms system.
General Forms & Documents
- Application of Employment FORM
- Change of Employee Personal Information Form (Name, Address, Emergency Contact, etc.) FORM
- Request for Outside Advertisement Form PDF
- Volunteer Services Approval Form PDF
- Staff Complaint and Grievance Policy PDF
- EPAF Security Application FORM
- Web Time Entry Request Form (Supervisors) FORM
- Employee Certification and Authorization for Background Check PDF
- HR Leave Report Submission Calendar 2025 PDF
Employment
- Employee Time Sheet PDF
- Flex Time Arrangement (Revised) PDF
- Medical Exemption Request for COVID-19 Vaccination PDF
- Religious Exemption Request for COVID-19 Vaccination PDF
- Request for Job Transfer Form PDF
- Job Description Form PDF
- Job Requisition Form (Fillable) PDF
- Personnel Action Form (Fillable) FORM
- Personnel Action Form (Release Time) FORM
- ADA Medical Certification Form PDF
- Worker’s Compensation First Report of Injury Form PDF
- Exit Interview Form for Employees FORM
- Exit Interview Form for Supervisors / Managers FORM
- Termination Process PDF
- Outside Employment Form FORM
- Report of Absence Form FORM
- Direct Deposit Form FORM
- Information Change Form FORM
- Medical Notice of Personnel Action (MedPAF) FORM
- Salary / Wage Reduction Agreement FORM
New Hire Onboarding Forms/Documents
Student Employment Forms/Documents
Performance Evaluation
Benefits
- Employee Tuition Remission of Fees FORM
- Dependent Tuition Remission of Fees Form FORM
- JSU-Hinds Employee Tuition Waiver PDF
- State Health Insurance Application Form PDF
- State Life Insurance Application Form PDF
- State Life Insurance Beneficiary Designation Form PDF
- FMLA Request Form FORM
- FMLA Intermittent / Reduced Schedule Leave FORM
- Donor / Recipient Leave Request Form PDF
- The PERS Form Library LINK
Independent Consultant
Shortcuts
Quick links
Join Our Team
Careers @ JSU
Explore Opportunities
Discover current openings and manage your application through the JSU careers portal.
Get in Touch
Division of Human Resources
Location
College of Business, Suite #530
1400 J.R. Lynch Street
Jackson, MS 39217
1400 J.R. Lynch Street
Jackson, MS 39217
Mailing Address
P.O. Box 17028
Jackson, MS 39217
Jackson, MS 39217
Contact
Phone: (601) 979-2015
Fax: (601) 979-9090
Fax: (601) 979-9090