Employee Forms

Managers: Find forms related to staffing and managing your team in the Manager Tools section.

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Benefits Forms

Drexel University

• Certification of Healthcare Provider: Employee [PDF]  
• Certification of Healthcare Provider: Family Member [PDF]
• IBX Handicap Dependent Application Form [PDF]
• IBX International Claim Form [PDF] | IBX Claim Instructions [PDF]
• Personal Leave of Absence Request [PDF] 
• Student Verification Form [PDF]

HR Forms

Drexel University

• Break the Glass Status Request [PDF] 
• Employee Information Change [PDF] 
• HIPAA Privacy and Security Awareness and Training Acknowledgement for College of Nursing & Health Professions Faculty and Professional Staff [PDF]
• Motor Vehicle Release Form and Summary of Rights [PDF]    
• Separation Checklist [PDF]
• Voluntary Online Exit Survey 
• Workers' Compensation Packet: Center City Campus [PDF]
• Workers' Compensation Packet: University City Campus [PDF]

Academy of Natural Sciences

• Worker's Compensation Packet: ANS [PDF]

Voluntary Self ID Form

Drexel University is required to report to the federal government summary data about the gender, ethnicity, race and veteran status of its employees and its efforts to achieve equal opportunity through affirmative action for minorities, women, persons with disabilities and veterans.

To self-identify your ethnicity or race, please do the following:

1. Log in to DrexelOne.
2. Select Account.
3. Select Personal Information.
4. Under Additional Details, select pencil icon.

To self-identify your gender or veteran or disability status, please contact Drexel Human Resources at hr@drexel.edu.