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Info HR Training Class - Personal Payment Form Personal Payment Form for HR Training Classes Format  Format 
Staff Training Fund Application Staff Training Fund Application Format  Format 
Info Registration Form for WWU External Clients Class registration form for non WWU personnel Format  Format 
Affirmative Action Program Data All new employees must complete this form in compliance with Federal Regulations. Format 
Alternate Workweek Classified/Professional Overtime Eligible Format 
Alternate Workweek Professional Staff, Overtime Ineligible Format 
Info Applicant Record Form Applicant Record Format 
Info Automatic Savings Plan Continuous Enrollment Form For Cyclic Employees Only Format 
Info Banner/HR Access Request Form. Requires a Banner ID, if you do not have a Banner ID complete Hydra/Banner Login Request Form. Format 
Banner/HR Delete Access Used to terminate Banner/HR Accounts Format 
Cancel Direct Deposit Format 
Info Check Out Form Permanent faculty and staff terminating, retiring, going on leave without pay or completly seperating from the University. Format 
Class Evaluation Format  Format 
Computer Accounts Request Form Use to create accounts for Outlook, Novell, Titan, Modem Pool, Blackboard. Contact x3333 for assistance/questions Format 
Consent Form Professional Reference Consent Form For Administrative Professional Candidates Format 
Consent Form For Professional Staff Reference Checks Consent Form for Professional Staff Reference Checks Format 
Criminal Conviction Verification for Employment Format 
Info Cyclic Year Schedule Format 
Data Warehouse Access Request Format 
Deduction Cancellation Form Format 
Dependent Care Assistance Program Enrollment Form Format 
Dependent Care Assistance Program Reimbursement Form - 2007 Format 
Dependent Care Assistance Program Reimbursement Form - 2008 Format 
Info Direct Deposit of Net Wages Enrollment Form Format 
DRS Beneficiary Designation Form Link to Department of Retirement Systems website Format 
Electronic Direct Deposit Opt-Out Form Use this form to receive paper copies of Direct Depost Advise Format 
Info Emergency Check Request Format 
Employee Campus (OF) Address Update Form Format 
Employee Information Form Format 
Info Employee Name Change Form Change your legal name or your preferred first name. Format 
Employee W2 Address Change Form Link to Employee Web. Update Address on Personal Menu Format 
Exit Interview Questionnaire Completed by Permanent Employees separating from WWU Format 
Faculty & Staff Viking Epress Bus Pass Payroll Authorization Format 
Info Faculty Club Membership Application Association of Faculty Clubs International (AFCI) Membership Format 
Faculty Contract e-sign version: complete on-line and route electronically for approvals. Format 
Faculty Contract - Hard Copy Complete on-line, print form and route via campus mail for approval signatures. Format 
Faculty Sick Leave Record Format 
Fidelity Beneficiary Form Fidelity Investments 403(b) Beneficiary Designation Format 
Fit For Duty Work Release Physican or Practitioner authorization to return to work Format 
Flexible Spending Account Reimbursment Form - 2007 Format 
Flexible Spending Account Enrollment Form Format 
Flexible Spending Account Reimbursement Form - 2008 Format 
GET Program Payroll Deduction Authorization Enroll in the Guaranteed Education Tuition Program Format 
Higher Level Duty Pay Authorization Format 
Hydra/Banner Login Request Form Submit this form to obtain a Banner Login Format 
I-9, Employment Eligibility Verification Link to Homeland Security Web site Format 
IRS W4 Format 
Info Leave Request Form (Departmental) Format 
Info Leave Request Form - Special Leave Human Resources Special Leave Types requiring Human Resources Approval Format 
Life Insurance - Evidence of Insurability Link to Washington State Health Care Authority website Format 
Life Insurance - Non-Smoker Certification Link to Washington State Health Care Authority website Format 
Info Life Insurance Change Form Format 
Life Insurance Enrollment Form Format 
Life Insurance Request for Change of Beneficiary Format 
Long Term Disability - Enroll/Change Form Link to Washington State Health Care Authority website Format 
Long Term Disability - Evidence of Insurability Link to Washington State Health Care Authority website Format 
Measles Immunity Report Format 
Measles Immunity Waiver Form Format 
Medical/Dental - 2008 Enrollment/Change Form Format 
Info Medical/Dental - Disabled Dependent Certification Format 
Medical/Dental - Extended Dependent Request Add a dependent who is not your natural child, stepchild, or legally adopted dependent Format 
Medical/Dental - Request to Add Spouse or Same-Sex Domestic Partner to Health Plan Link to Washington State Health Care Authority website Format 
Medical/Dental - Student Certification Form Link to Washington State Health Care Authority website Format 
New Hire Survey Format 
Outside Employment Format 
Parking Permit - Payroll Deduction Set-up a pre-tax deduction of Parking Permit fee. Format 
Info Performance Evaluation - Classified Staff Employee Performance Evaluation Form Format  Format 
Info Personnel Action & Position Control Form Format 
Physican Certification - FMLA Medical certification of Physician or Practitioner for FMLA Leave Request Format 
Physician Certification - Reasonable Accomodation Medical certification of physician or practitioner for Reasonable Accomodation request Format 
Position Questionnaire - Classified Classified Employees requesting a position review. Format 
Position Review Form Position Review Form Format  Format 
Pre-Tax Transportation Waiver Form Format 
Info Reasonable Accommodation Request Form Reasonable Accommodation Request Form Format 
Recruitment Plan Format 
Redistribution Request Salary/Benefits Format 
Request for Systems Support HR Internal use only. Format 
Request for Temporary Applications Format 
Request To Hire - Classified Staff Format 
Request To Hire - Faculty Format 
Request To Hire - Professional Staff Format 
Request To Interview Format 
Request to Recruit Classified and Professional Staff Format 
Info Request to Recruit Faculty Format 
Security Sensitive Position Assessment Format 
Shared Leave Application Shared Leave Application Form Format 
Shared Leave Donation Form Complete this form to donate vacation leave, sick leave or personal holiday hours to a designated State of Washington employee to receive Shared Leave. Format 
Student Employee Information Form The form information is required of ALL Western Washington University Student Employees. Format 
Info Student On Campus Employment Form Click the information button on the left for assistance completing this form. Format 
Supplemental Retirement Account Election For employees participating in the Supplemental Retirement Account Format  Format 
Temporary Application Classified Staff Format 
Temporary Application Exempt Professional Staff Format 
Temporary Appointment Form - Classified Staff Temporary Appointment Form for Classified Staff Positions Format 
TIAA-CREF Beneficiary Form Link to TIAA-CREF Web site Format 
Info Training & Development Registration Request Class registration form Format  Format  Format 
Info Tuition Waiver Form - Academic Year WWU Employees Only Format 
Info Tuition Waiver Form - Summer Quarter WWU Employees Only Format 
Uniform Dental Plan Claim Form Link to Delta Dental Web site Format 
Uniform Medical Plan Claim Form Link to Health Care Authority Website Format 
Uniform Medical Plan Prescription Claim Form Link to Health Care Authority Website Format 
Vanguard Beneficiary Form Vanguard 403(b)(7) Beneficiary Designation Form Format 
Volunteer Application Format 
Volunteer Hourly Time Sheet Format 
WWURP Enrollment Form - Faculty Format 
WWURP Enrollment Form - Professional Staff Format 
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