- Willamette
- Administrative Departments
- Human Resources
- Important Forms
Campus Use Forms
For Performance Management documents, go to www.willamette.edu/dept/hr/resources/supervisors/perform/.
- Appointment Proposal Form (APF) WORD
- Name/Address Change Form PDF WORD
- Notification of Position Opening (NPO) WORD
- Personnel Action Form (PAF) PDF WORD
NEW PAF PROCESS COMING SOON! TRY ONE OF THESE TEST PAF FORMS INSTEAD.
Benefits
Checklist for New Employees
- New Employee Benefits Checklist PDF
- Regence Blue Cross/Blue Shield: Short-term, Interim Medical Insurance
Medical/Dental and Flexible Spending Enrollment/Change Forms
Claim Submission Forms
- Medical/Dental/Vision PDF
- Prescription PDF
- PPS Mail Order prescription refill PDF
- Health Care or Dependent Care Expenses PDF (FSA)
- Mass Transit PDF (eFlex)
Basic Life, Optional Life, AD&D, and Long-Term Disability (LTD)
- Life Insurance Beneficiary Designation PDF Form
- Optional Life Insurance Enrollment PDF
- Evidence of Insurability WORD (for Optional Life Insurance)
- Verification of Prior Coverage WORD (LTD)
Tuition Remission Benefit Forms
- Dependent Application Form PDF
- Spouse/Domestic Partner Application WORD
- Faculty and Staff Application PDF
- Faculty and Staff Graduate Tuition Benefit Taxability FAQ PDF
Spouse/Domestic Partner Affidavit
On-the-job Injury
- Incident Only Report Form WORD
- First Report of Injury/Illness Report PDF (Form 801)
- Physician Claim form for Worker's Compensation WORD
- Work Release Form WORD (to be completed by physician)
Leave of Absence Including Family/Medical Leaves
- Oregon Family Leave Law (OFLA) Information PDF
- Family Medical Leave Law (FMLA) Information PDF
- Leave of Absence Application Form WORD
- Medical Certification Form PDF - Required If:
- You are taking leave for your own serious health condition
- You are taking leave to care for your family member
- You are taking time off to care for a servicemember
Shared Leave Program
Cell Phone Allowance
- Cell Phone Allowance Request PDF
Faculty & Staff Campaign

