Policies & Forms Directory

Consent Form | SCC

The mission of the Student Counseling Center (SCC) is to provide time-effective assistance with problems in living that interfere with your academic success. This may include decision-making, crisis intervention, problem solving, adjustment to new environment/situations, or other matters of personal concern. If you have questions after reading this statement, please discuss them with your intake therapist.

Aug. 17, 2016

All-Campus Email Policy

Aug. 1, 2015

Employment Application

Application for employment at Pacific University.

May. 11, 2016

Orientation Period Review

May. 11, 2016

Annual Performance Self-Evaluation

May. 11, 2016

Annual Performance Review Form

May. 11, 2016

Performance Goals Form

May. 11, 2016

Allegiance | Flex Spending Carryover

Since 2014, the IRS has allowed some carryover of unused portions of employees' flexible spending plans, summarized here.

Jun. 1, 2016

Allegiance | Coverage of Lactation Equipment

In 2011, the IRS determined that breast pumps and supplies that assist with lactation are eligible for reimbursement through medical flex spending accounts.

Jun. 1, 2016

Allegiance | Flex Medical/Daycare Enrollment Form

Enroll in a flexible spending account for eligible medical or dependent care expenses. Enrollment is available during Pacific University's spring open enrollment period or at the time of a qualifying life event.

Jun. 1, 2016

Allegiance | Mid-Year Change Guide

Employees may make changes to their flexible spending account elections during the annual spring open enrollment period or at the time of a qualifying life event. This document outlines qualifying events for mid-year changes.

Jun. 1, 2016

Allegiance | Flex Transportation/Parking Enrollment Form

Pacific University employees who pay for mass transportation and/or public parking in order to attend work may take advantage of flexible spending accounts for eligible expenses. Enroll with this form.

Jun. 1, 2016

2016-2017 Benefit Guide

An overview of benefits available to employees in the 2016-2017 fiscal year.

Jun. 27, 2016

2016-2017 Benefit Enrollment Form

Eligible employees, use this form to enroll in or waive Pacific University medical, dental and vision benefits.

Jun. 27, 2016

Marriage-Domestic Partnership Affidavit

Complete this form to certify your domestic partnership or marriage for the purposes of dependent benefits.

Jun. 27, 2016

Allegiance | Flexible Spending Direct Deposit Enrollment

Complete this form to enroll in direct deposit for your flexible spending account reimbursements through Allegiance Flex Advantage.

Jun. 27, 2016

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

LifeMap | Voluntary Life Insurance Enrollment

Purchase additional life insurance for yourself or a dependent through LifeMap.

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

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