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Employment Forms |
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| Form Name |
Description |
Download |
| Hiring Authorization Form |
To initiate the hiring process for existing positions, as well as contract, temporary and new positions, Human Resources require the Hiring Authorization Form. |
Fillable Form |
Saint
Mary’s University Application for Employment |
Application for employment at Saint Mary’s
University. Application must be completed by all salaried employees
(non-academic). |
Fillable Form |
| Employee
Action Form |
Complete form to make changes to demographic/address
information, payroll direct deposit details,
and/or to request a name change. Completed form is returned
to HR. |
Fillable Form |
| Human
Resources Salary Paid Employees Letter Request Form |
Salary paid employees complete this form
if requesting confirmation of employment and/or earnings. Completed
form is returned to HR. |
Acrobat .pdf |
| Application for Leave, Overtime & Payment
Request Forms |
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| Form
Name |
Description |
Download |
| Application for Leave Form
(Administrative/Professional group) |
Administrative and Professional staff
complete this form when requesting vacation leave and/or carry-over
of vacation leave. |
Fillable Form |
| Application for Leave, Overtime & Payment
Request: Facilities Management (NSUPE 20, CUPE 4491 & CUPE 4388) |
Facilities Management complete this form when requesting annual
leave, sick time, overtime/lieu, as well as overtime record
and payment requests. |
Available in paper copy only. |
| Application for Leave, Overtime & Payment Request: NSGEU 79 and Confidential
Staff |
NSGEU 79 and Confidential Staff complete this form when requesting annual leave, sick time, overtime/lieu, as well as overtime and payment requests. |
Acrobat .pdf |
| Benefits Forms |
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| Form
Name |
Description |
Download |
| Medavie Blue Cross Forms |
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| Medavie
Blue Cross Application for Group Benefits (Health & Dental) |
Complete if applying for the University’s
health and dental plan. Return completed form to Human Resources. |
Acrobat.pdf |
| Medavie
Blue Cross Direct Deposit Request Form |
Complete if you wish to have your health
and dental claims reimbursed directly your bank account through
direct deposit. Completed form is mailed directly to Blue Cross
for processing. |
Acrobat .pdf |
| Medavie
Blue Cross Special Authorization Prescription Drug Form |
Complete form to determine eligibility
for particular prescription drugs. Form is completed by treating
physician and mailed to Blue Cross. |
Acrobat .pdf |
| Medavie
Blue Cross Dependent Registration Form |
Complete the Dependent Registration Card
if your dependent child is greater than 20 years of age and
less than 26 years of age and is attending University/College
on a full-time basis for the upcoming academic year. Completed
form is returned to Human Resources. |
Acrobat .pdf |
| Medavie Blue Cross Change Form |
Complete if requesting change of plan
coverage (i.e. add or remove dependants). Form is completed
and returned to Human Resources. |
Acrobat
.pdf |
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| Group Life Insurance Forms |
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| Optional
Life Insurance Enrolment/Change |
Completed by employees applying and/or
canceling optional life insurance and/or optional dependant
life insurance. Completed form is returned to Human Resources. |
Acrobat.pdf |
| Manulife
Beneficiary Designation Form |
Form is used to designate or make changes
to beneficiaries for group life insurance or optional life
insurance. Beneficiary form must be completed for each life
insurance benefit and returned to Human Resources. |
Acrobat.pdf |
| Pension Forms |
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| Form
Name |
Description |
Download |
| Sun
Life Trustee Form |
Form is used to appoint a Trustee for
your pension beneficiary if the beneficiary appointed is a
minor. Completed form is returned to Human Resources. |
Acrobat .pdf |
| Sun Life Change of Records
Form |
Complete form to make changes to pension
voluntary contributions, marital status and/or beneficiary
designations. |
Acrobat
.pdf |
| Job Evaluation Forms |
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| Form
Name |
Description |
Download |
| Job
Evaluation Fact Sheet – NSGEU Staff |
Completed by the immediate supervisor
and department head and returned to HR for evaluation and assignment
of provisional rating for a new position.
|
Acrobat.pdf |
| Job Evaluation Fact Sheet – Administrative/Professional
Staff |
Completed by the immediate supervisor
and department head and returned to HR for evaluation and assignment
of provisional rating for a new position.
|
Acrobat.pdf |
| Job
Evaluation Fact Sheet – Confidential Staff |
Completed by the immediate supervisor
and department head and returned to HR for evaluation and assignment
of provisional rating for a new position.
|
Acrobat.pdf |
| Job
Evaluation Request Form (JERF) |
Completed when employees request a review
of their job (i.e. in cases where duties and responsibilities
have changed significantly enough to warrant a review). Completed
form is returned to HR not later than the last working day
of October of a given year.
|
Acrobat .pdf |
| Job
Evaluation Appeal Form (JEAF) |
Completed if the employee or supervisor
disagree with the results of the job evaluation review. Completed
form must be forwarded to HR within ten days of the receipt
of the evaluation results.
|
Acrobat.pdf |
| Payroll Forms |
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| Form
Name |
Description |
Download |
| Bi-weekly
Time Report |
This form must be accompanied by the Casual Employee Action
& Change Form when first being submitted. Completed by department for employees
whose hours are submitted every 2 weeks. It is used to pay a casual employee whose hours and dollars are not predetermined. It must be submitted
to Payroll Services on or before the cut-off dates to be processed
for the applicable pay date. |
Fillable Form |
| Casual
Employee Action & Change Form |
This form must be filled out for all new casual employees and all casual employees whose rate of pay or budget information is changing. This is not the form required If the casual employee is a student marker, demonstrator, or teaching assistant. This form must be accompanied by either a Fixed Remuneration or Bi-Weekly form in order to pay the employee. |
Fillable Form |
| Banking Information Change Form |
This form is used for employees who wish to change their direct deposit information. Please note that payroll cutoff dates apply. |
Acrobat.pdf |
| Payroll Services Letter
Request Form |
Completed by hourly paid employees requesting
confirmation of employment and/or earnings. Completed form
is returned to Payroll Services. |
Fillable Form |
| Student
Marker Form |
This form is used for casual employees who are hired to do any of the following jobs: Teaching
Assistants, Student Makers and Demonstrators. This form includes all necessary information; therefore, it does not need to be accompanied by a Casual Employee Action & Change form. Departments must
submit correct and complete information to Payroll Services
on or before the cut-off dates to be processed for the applicable
pay date. |
Fillable Form |
| Fixed
Remuneration Form |
This form must be accompanied by the Casual Employee Action
& Change Form when first being submitted. It is used to pay a casual employee whose hours and dollars remain constant over a period of time. Service worked from and to dates need to be included and the total bi-weekly amounts must add up to the Total Remuneration. Completed form is submitted to Payroll Services. |
Fillable Form - Legal
Fillable Form - Letter |
| Social Insurance Number Application Form |
This form is provided by the Human Resources Social Development Center for employees who do not have a Social Insurance Number. This application needs to be filled out and brought to the Human Resources Social Development Center located in the Halifax Shopping Centre Tower 2. |
Fillable Acrobat - .pdf |
| Labour Redistribution Request Form |
This form is used to correct labour distribution errors. Please complete and forward to Financial Planning for approval. |
Fillable Form |
| Tax Forms |
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| Form
Name |
Description |
Download |
2010 Federal
Personal Tax Credit Form |
Form is used to determine the amount
of federal tax deductions. Completed form is returned to the
Payroll Department. |
Acrobat .pdf |
| TD1
Worksheet for Federal Personal Tax Credit Form |
Complete this worksheet if you want to
calculate partial claims for your federal TD1 form. This form
is for employees’ calculation of tax deductions. Keep
form for your records only. |
Acrobat.pdf |
| 2010 Provincial
Personal Tax Credit Form |
Form is used to determine the amount
of provincial tax deductions. Completed form is returned to
the Payroll Department. |
Acrobat.pdf |
| TD1
Worksheet for Provincial Personal Tax Credit Form |
Complete this worksheet if you want to
calculate partial claims for your provincial TD1 form. This
form is for employees’ calculation of tax deductions.
Keep form for your records only. |
Acrobat.pdf |
| Payroll Schedules |
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| Form
Name |
Description |
Download |
| Hourly Paid Cut-off Schedule |
Payroll schedule for all hourly casual employees. Hourly paid employees will not be paid to and including pay day. |
2009-2010.pdf
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| Cut-off Schedules for payroll
submission |
Payroll Schedule for all employees. Departments
must submit correct and complete information to Payroll Services
on or before the cut-off dates to be processed for the next
pay date. |
2009-2010.pdf
|
Payroll Schedule for Part-time and Overload Contract Employees |
Payroll Schedule for Part-time and Overload
Contract Employees. Departments must submit correct and complete
information to Payroll Services on or before the cut-off dates
to be processed for the next pay date. |
Summer Session 2010. pdf
Fall/Winter 2009-2010.pdf |
| Teaching
Assistant / Student Marker / Demonstrator Schedule |
Payroll Schedule for Teaching Assistants,
Student Markers, and Demonstrators. Departments must submit
correct and complete information to Payroll Services
on or before the cut-off dates to be processed for the next pay date. |
Summer Session 2010. pdf
Fall/Winter 2009-2010.pdf |
| Other Forms (some available only
in hardcopy in HR office) |
Back to top |
| Form
Name |
Description |
Download |
| WCB
Accident Report |
If employee is covered by WCB, an Accident
Report must be completed if the employee misses time or seeks
medical attention due to a work related accident. Completed
forms are returned to HR. |
Web site
Available on the WCB Web site; hard copy also available in
Human Resources. |
| Health and Safety Injury/Incident Report form |
Form is completed for all injuries, incidents or near misses. Original completed form is returned to Human Resources or to the Occupational Health and Safety Program Manager. |
Acrobat.pdf |
Tuition Waiver Form (credit
courses) |
Form is completed to receive applicable
discount for tuition of credit courses for eligible employees
and/or dependants. |
Acrobat. pdf |
Division of Continuing Education
Tuition Discount Application Form (non-credit courses) |
Form is completed to receive applicable
discount for tuition of non-credit courses for eligible employees. |
Only available in hard copy in Human
Resources (MS-103). |
| CUPE 3912 - Article 24.04 - Application |
Form is completed to receive disability payment (CUPE 3912) when the employee is not covered by any other disability plan. |
Acrobat. pdt |
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