Forms for Personnel Action Training

• Personnel Action Traning Presentation
• Flowchart I
• Flowchart II
• Frequently Asked Questions
• Personnel Action Form and Instructions
• Funding Plan
• Position Description Format and Explanation of Physical Requirements
• Position Requisition for Faculty & Staff and Instructions

Forms for New Hires

• Personal Information Form
• I9
• W4
• Auto Deposit Form
• Moving Expense Letter
• Moving Companies

2008-2009 Open Enrollment Newsletter

Benefit Enrollment Forms

• Medical/Dental/Waiver Enrollment Form for All Plans
• Choices@Pacific Benefit Election Form-Tier 1
• Choices@Pacific Benefit Election Form-Tier 2
• Allegiance Flexible Spending Account Enrollment
• Allegiance Flexible Spending Account-Direct Deposit-Sign up
• Allegiance Flexible Spending Account-Spouse Debit Card Election Form
• Pacific Pass Enrollment Form

Flexible Spending Reimbursement Forms/Plan Information

• Day Care Reimbursement Form
• Medical Expense Reimbursement Form
• Parking Expense Reimbursement Form
• Flexible Spending Account Worksheet
• Eligible/Ineligible Flexible Spending Expenses

Plan Information

Medical Plans

• 2008-2009 Choices@Pacific Beneftis Overview/Rates Incl
• Pioneer Educators Health Trust Plan Booklet
• Side by Side Medical Plan Comparisons
• Side by Side Dental Plan Comparisons
• Pioneer Plan Medical Summary
• Pioneer Plan Rx Summary
• Formulary Drug Listing
• How to find a Provider/Clinic/Hospital
• PPS Mail Order Form (Local Mail Order Service)
• Walgreen's Mail Order Form

Dental Plans

• Pioneer Plan Fee for Service Benefits Summary
• Willamette Dental Plan

Vision Plan

• Voluntary Vision-VSP
• VSP ID card
• VSP Enrollment Form
• VSP Participating Doctors/Clinics
• Examples of Savings While on VSP if Using Pacific University Optemetry Clinic

Privacy Policies

• Pioneer Educators Health Trust Notice Privacy Practices
• Pioneer Educators Health Trust Privacy policy
• HIPAA Hybrid Entity
• Notice of Privacy Practices
• Pacific Univeristy HR Dept HIPAA Notice

Employment

• Employment Application
• Position Requisition for Faculty & Staff and Instructions
• Supervisor's New Hire Checklist
• Position Description Format and Explanation of Physical Requirements

Leaves of Absence

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

Payroll Forms

• Direct Deposit
• Payroll Advance
• Personnel Action Form and Instructions
• Supplemental Pay Request (pdf)
• Supplemental Pay Request (xls)
• Annual Giving Election
• Holiday Schedule 2007-2008
• Holiday Schedule 2008-2009
• Holiday Schedule 2009-2010
• Salary Reduction Agreement for Retirement Contributions
• Non-Exempt Paygrades
• Exempt Pay Grades
• W4
• Vacation Exception Request

Time Cards

• Student Timecard 12 month Workbook
• Student Timecard One Page Worksheet
• Non-Exempt Timecard 1st-15th
• Non-Exempt Timecard 16th-End of the Month
• Exempt Timecard

Performance Reviews

• Orientation Period Review Form
• Performance Management Review Form
• Individual Performance Plan Goals
• Peer Customer Input Form
• Supervisory Development Review
• Position Description Format and Explanation of Physical Requirements

Records

• Address Change Notification Form
• Request to View Personnel File

Staff Awards

• Nomination Form - Staff Excellence Awards

Termination

• Notice of Voluntary Resignation
• Request for Final Paycheck

Tuition Remission

• Tuition Remission
• Tuition Exchange Application