Human Resources  |  Forms

• Benefits •  

• Employment •

• Leave of Absence •

• New Hire •

• Payroll •

• Performance Review •

• Records •

• Staff Awards •

• Termination •

• Tuition Remission and Exchange •

University Recognition On Campus (UROC)

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Benefits Information

Informational materials for healthcare plans can now be found on the HR Medical, Dental, Vision - Flex Spending Account - COBRA page.

Benefits Overview

• 2012-2013 Benefits Brochure (NEW)
• 2011-2012 Benefits Brochure

Benefit Enrollment Forms

• Medical and Dental and Vision Benefit Enrollment Form for All Plans
• Affidavit of Marriage/Domestic Partnership
• Allegiance Flexible Spending Account Enrollment
• Allegiance Flexible Spending Mid-Year Change Form (including Dependent Care Changes)
• Allegiance Flexible Spending Account-Direct Deposit-Sign up
• Allegiance Flexible Spending Account-Spouse Debit Card Election Form
• Allegiance Transportation Benefits Enrollment Form
• Salary Reduction Agreement for Retirement Contributions
• NEW Regence Life Enrollment & Change Form
• NEW Regence Life Enrollment & Beneficiary Form
• NEW Regence Life Beneficiary Designation Form

Flexible Spending Reimbursement Forms

• Day Care Reimbursement Form
• Medical Expense Reimbursement Form
• Parking Expense Reimbursement Form
• Flexible Spending Account Worksheet

Pacific Pass (Tri-Met) 2011-12

• 2011-2012 Pacific Pass Enrollment Form

Pioneer Plan Pharmacy Forms

• PPS Mail Order Form
• Walgreen's Mail Order Form

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Employment

• Employment Application
• Position Requisition for Faculty & Staff and Instructions
• Position Description Format & Instructions
• Employment Procedures for Faculty & Staff
• Interviewing and Recruitment
• Onboarding Checklist for Supervisors
• Personnel Action Form (PAF) and Instructions
• Funding Plan

Personnel Action Flowcharts

• Flowchart I
• Flowchart II
• Frequently Asked Questions

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Leaves of Absence

• FMLA Medical Documentation
• Leave of Absence Form
• Professional Development Leave

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Forms for New Hires

• Personal Information Form
• I9
• W4
• Direct Deposit Form
• Background Check Authorization
• Code of Conduct / Confidentiality Agreement
• Moving Expense Letter
• Moving Companies

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Payroll Forms

• Direct Deposit
• Payroll Advance
• W4
• Salary Reduction Agreement for Retirement Contributions
• Pacific Giving Annual Election
• Community Giving Campaign
• Supplemental Pay Request (xls)
• Vacation Exception Request

Employee Time Cards

• EXAMPLE - How to fill in Non-Exempt (Hourly) Timecards
• Non-Exempt Timecard 1st-15th (two up)
• Non-Exempt Timecard 16th-End of the Month (two up)
• One page non-exempt half 1st-15th, half 16th-end
• EXAMPLE - How to fill in an Exempt (Salary) Timecard
• Exempt Timecard

Student Time Cards

• Student Timecard 12 month Workbook
• Student Timecard One Page Worksheet

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Performance Reviews

• Position Description Format and Instructions
• Orientation Period Review Form
• Performance Development Goals
• Annual Performance Development Summary Form
• Manager's Letter 2012
• Peer Customer Input Form
• Supervisory Development Feedback
• Code of Conduct, Confidentiality Policies
• Code of Conduct, Confidentiality Policies (Spanish)

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Records

• Address Change Notification Form
• Request to View Personnel File

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Staff Awards

• Nomination Form - Staff Excellence Awards

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Termination

• Notice of Voluntary Resignation (includes Exit Interview questions)
• Request for Final Paycheck

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Tuition Remission and Exchange

• Tuition Remission
• Tuition Exchange Application

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