Policies & Forms Directory

Allegiance | Flexible Spending Mid-Year Change Form

Update your flexible spending account plans with Allegiance Flex Advantage mid-year with a qualified life event.

Jun. 27, 2016

Allegiance | Dependent Care Flex Spending Claim Form

Make a claim for reimbursement form your Allegiance Flex Advantage dependent care flexible spending account.

Jun. 27, 2016

Allegiance | Medical Flex Spending Claim Form

Make a claim for reimbursement of a medical expense through your Allegiance Flex Advantage medical care flexible spending plan.

Jun. 27, 2016

Allegiance | Parking Flex Spending Claim Form

Make a claim for reimbursement of parking expenses through your Allegiance Flex Advantage parking flexible spending account plan.

Jun. 27, 2016

Flexible Spending Worksheet

Determine your appropriate medical flexible spending account plan levels with this do-it-yourself worksheet.

Jun. 27, 2016

Direct Deposit Enrollment

Enroll in direct deposit to have your pay automatically placed in your checking or savings account.

Jun. 27, 2016

Payroll Advance Request

Request an advance on your pay.

Jun. 27, 2016

Orientation Review Form

Review form for new employees' 90-day orientation period evaluation.

Jun. 27, 2016

Medicare Part D | Prescription Drug Coverage

Information about prescription drug coverage and Medicare Part D, 2015

Jun. 28, 2016

Medicare Part D | Requirements

USI compliance document for Medicare Part D requirements, 2013

Jun. 28, 2016

Leave of Absence Request

Aug. 4, 2016


IRS Form W-4 for 2016

Aug. 5, 2016

Administrative Structure 2016 | CAS

This document describes the College of Arts & Sciences administrative structure and policies. The college faculty may recommend alterations to its administrative structure by vote of a majority of faculty members eligible to vote at Faculty Meeting. Major changes require approval by the Provost and the President. All votes described below are by the college’s full-time faculty.

Aug. 16, 2016

External Consulting Disclosure Form

Please submit this form for each new external consulting arrangement to the college dean or to the Provost for non-college faculty members.
Please note that if you have paid external consulting work you also need to fill out the Conflict of Interest Disclosure Form.

Aug. 26, 2016

Pacific University Policy on Policies

POL - U1000.001

This policy establishes a process and guidance for the development, review, approval, and maintenance of University policies and procedures. By implementing this process, the University seeks to enhance operational efficiencies and compliance with applicable laws throughout University operations and activities. Policymaking may be used as a tool for providing guidance and establishing requirements for the areas of the University community covered by the policy or procedure.

Policy template

Procedure template  

PUNID required to review documents.

Nov. 7, 2017

IT Guidelines and Policy for International Travel | UIS

POL - UIS4500

International travel significantly increases the risks of theft or loss of IT equipment and of malware infection that can compromise accounts.  This policy helps to manage these risks and thus manage the risk to university protected data and records. There are also potential legal issues surrounding traveling with encryption and this policy helps manage risk of legal action to the university or its employees.

May. 15, 2018

Equal Opportunity Policy

POL - U1001

The Equal Opportunity Policy provides the framework for upholding inclusion, diversity and equity at Pacific University in all academic and employment practices.

Dec. 8, 2016

Service and Companion Animal Policy

POL - U1002

To establish guidance regarding students or visitors bringing service or companion animals on University property and, if applicable, the process for appealing a decision relating to a qualifying animal.  This policy does not apply to animals utilized for research or other scholarly activities. 

Jan. 5, 2018

University Public Exhibits Policy

POL - U1003

To establish a process whereby Pacific University faculty, staff, and students may request, and implement, the temporary installation of a public exhibit in or adjacent to a university building or facility. The primary purpose of exhibits on the Pacific University campuses is to promote interest and use of the university’s cultural resources (Archives, Museum, and Art collections); exhibits may also be used to promote diverse scholarly and cultural perspectives or improve access to collections of resources that connect to community or global issues.

SUP - U1003A External Exhibit Agreement

Apr. 13, 2017

Healthcare Clinic Code of Conduct


The Code of Conduct provides guidance for professional conduct. The success and reputation of the university in fulfilling its mission depends on the ethical behavior, honesty, integrity and good judgment of each member of the community.

The Code of Conduct outlines principles, policies and some of the laws that govern the activities of the University and to which our employees who represent the University must adhere.Those acting on behalf of Pacific University Healthcare Clinic Operations have a general duty to conduct themselves in a manner that will maintain and strengthen the public’s trust and confidence in the integrity of the University and take no actions incompatible with their obligations to the University.

Those acting on behalf of the University in a capacity related to Health Care Clinics must practice and annually attest to and sign the Code of Conduct, Confidentiality of Records Agreement and Acknowledgement of Pacific University Healthcare Clinic Policies and Procedures.

PUNet ID Required to review

Healthcare Code of Conduct Form for Signature (2/2021)

Feb. 9, 2021