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My Benefits

My Career

My Forms

My Pay

My Policies

My Resources

My Safety

Leadership Toolkit


FPU Website




Benefit Forms:   

Degree Verification Authorization

EyeMed Out-of-Network Claim Form

Flexible Work Arrangement Request

   - Request FAQ's

Injury at Work Reporting Form

Salary Reduction Form 403b

Tuition Education Student Eligibility Form

Tuition Education Benefit Form



Employment Forms:

Confidentiality Agreement

Directions for Completing a Requisition for Faculty and Staff

Hiring Authorization Form

Position Requisition Form for Faculty and Staff

Position Requisition Form for Students - Academic Year

Position Requisition Form for Students - Summer

Personnel Action Request Form (PAR)

Personnel Action Request Form (PAR) - Adjunct/Part-Time Faculty

Part-Time Teaching Availability Form

Request for Accommodation Form (faculty)

Travel Request Form



General Forms:

Address Change

Finance-Advance Reimbursement Form

Preferred First Name Declaration

Request for Data


Medical Leave Forms:

FMLA Request for Employee (or Employees Family Member) Leave

FMLA - Certification of Health Care Provider for Employee's Serious Health Condition

FMLA - Certification of Health Care Provider for Family Member's Serious Health Condition



Payroll Forms:

W-4 Tax Form

I-9 Form

A-4 Arizona Tax Form

Direct Deposit Form

Service Credit Union Form


2021 Franklin Pierce University
40 University Drive
Rindge, New Hampshire 03461