Human Resources

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

Medical/Dental and Flexible Spending Enrollment/Change Forms

  • Medical/Dental PDF
  • Flexible Spending (FSA) PDF
  • Health Insurance Opt Out Form WORD

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

  • Marriage/Domestic Partnership Agreement WORD
  • Marriage /Domestic Partnership Dissolution WORD

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:
    1. You are taking leave for your own serious health condition
    2. You are taking leave to care for your family member
    3. You are taking time off to care for a servicemember

Shared Leave Program

  • Shared Leave Policy WORD
  • Shared Leave Request Form WORD
  • Shared Leave Donation Form WORD

Cell Phone Allowance

  • Cell Phone Allowance Request PDF

Faculty & Staff Campaign