Forms - Human Resources - West Chester University

201 Carter Drive, Suite 100
West Chester, PA 19383
Phone: 610.436.2800
Fax: 610.436.3464

address

Forms Organized by Department

Benefits
Employment
Labor Relations
New Employee
Payroll
Training

Americans with Disabilities Act- Accommodation Request

PASSHE Benefits Enrollment/Change Form

PASSHE Highmark Health Insurance Claim

PASSHE Medco Presciption Mail Order

PASSHE Prescription Drug Reimbursement

Tuition Fee Waiver Application - WCU Student

Tuition Fee Waiver Application - Other PASSHE School Student

Flexible Spending Accounts

2012 FSA Enrollment Change Form

Leave Donation

Request to DONATE Leave

Request to RECEIVE Leave

Life Insurance

State Paid Life Insurance Beneficiary Form

Voluntary Group Life Insurance Enrollment Medical History Form

Long-Term Disability

Long Term Disability CLAIM APPLICATION

Long Term Disability ENROLLMENT FORM

Long Term Disability EVIDENCE of INSURABILITY FORM

Pennsylvania Employees Benefit Trust Fund - PEBTF

Employee Enrollment/Change Form

Medco Prescription Mail Order

Student Certification Verification

Retirement & Savings

Retirement Election Form

Tax-Sheltered Annuity, Salary Reduction Agreement

Workers' Compensation

Employee's Incident Report

Modified Work Duty

Workers' Compensation Employee Notification

Work Related Injury LEAVE ELECTION FORM

Background Check Release Form

Blank Job Description/Standards - AFSCME, NURSES, POLICE/SECURITY

Blank Job Desription - MANAGERS

Blank Job Description - SUA/GFPC

Candidate Reference Check

Confidentiality Statement

Hiring Process - 8 Steps

Hiring Staff Checklist

Internal Bid Sheet

Job Application - Electronic

Manager Position Questionaire

Orientation Checklist for New Employees

Request to Hire Staff

Volunteer Authorization Application

AFSCME Witness Statement

Performance Development Plan

Below are the necessary New Hire Forms. Please print and fill out and return to Human Resources with TWO forms of acceptable identification

Direct Deposit Form

Emergency Contact Information

Employee I.D. Authorization - Ram E Card

How to Read Your Paycheck

I-9 Employment Eligibility Verification

W-4 Form Employee's Withholding Allowance

Workers Compensation Employee Notification

Additional Employment Information

Address Change Form

Associated Employee Request Form

Biweekly Time Report

Decline Pay Statement Authorization

Detailed Time Record

Detailed Time Record- Coaches

Direct Deposit Form

Dual Employment & Compensation POLICY & GUIDELINES

Dual Employment Request STATE FORM

Dual Compensation Request FORM

Emergency Contact Information

Higher Class Authorization Form

I-9 Employment Eligibility Verification

Personnel Action Sheet Summer Camps

Record of Absence Form

Savings Bond Enrollment Form

Student Payroll Request FORM

Student Payroll Request GUIDELINES

W-4 Form Employee's Withholding Allowance

Blank Job Description/Standards - AFSCME, NURSES, POLICE/SECURITY

Blank Job Desription - MANAGERS

Blank Job Description - SUA/GFPC

Blank Performance Evaluation - AFSCME, NURSES, POLICE/SECURITY

Blank Standards/Planning/Performance Evaluation - MANAGERS

Blank Standards/Planning/Performance Evaluation - SUA/GFPC

COACHES Performance Review and Evaluation

Guidelines for above

Orientation Checklist for New Employees

Forms Organized A-Z

Additional Employment Information Form

Address Change Form

AFSCME Witness Statement

Americans with Disabilities Act- Accommodation Request

Associated Employee Request Form

Background Check Release Form

Biweekly Time Report

Blank Job Description/Standards - AFSCME, NURSES, POLICE/SECURITY

Blank Job Description - MANAGERS

Blank Job Description - SUA/GFPC

Blank Performance Evaluation - AFSCME, NURSES, POLICE/SECURITY

Blank Standards/Planning/Performance Evaluation - MANAGERS

Blank Standards/Planning/Performance Evaluation - SUA/GFPC

Candidate Reference Check

Coaches Performance Review and Evaluation

Confidentiality Statement

Detailed Time Record

Detailed Time Record- COACHES

Direct Deposit Form

Dual Employment & Compensation POLICY & GUIDELINES

Dual Compensation REQUEST

Dual Employment REQUEST STATE Form

Emergency Contact Information

Employee I.D. Authorization - Ram E Card

Employee's Incident Report

Emergency Contact Information

Flexible Spending- 2012 FSA Enrollment Change Form

G-H

Grill Permit - Charcoal and Propane

Hiring Process - 8 Steps

Hiring Staff Checklist

Higher Class Authorization

How to Read Your Paycheck

I-J

I-9 Employment Eligibility

Internal Bid Sheet

Job Application - Electronic

Leave Donation- Request to DONATE Leave

Leave Donation - Request to RECEIVE Donated Leave

Long Term Disability - ENROLLMENT Form

Long Term Disability - CLAIMS APPLICATION

Long Term Disability - EVIDENCE of INSURABILITY

Manager Position Questionnaire

Modified Work Assignment - Workers' Compensation

Orientation Checklist for New Employees

PASSHE Change Enrollment Form

PASSHE Highmark Health Insurance Claim

PASSHE Medco Presciption Mail Order

PASSHE Prescription Drug Reimbursement

PASSHE Student Certification

PEBTF- Employee Enrollment/Change Form

PEBTF- Medco Prescription Mail Order

Performance Development Plan

Personnel Action Sheet Summer Camps

R-S

Record of Absence

Retirement Election Form

Request to Hire Staff

Savings Bond Enrollment Form

State Paid Life Insurance Beneficiary Form

Student Payroll Request

Tax-Sheltered Annuity, Salary Reduction Agreement

Tuition Fee Waiver Application - WCU Student

Tuition Fee Waiver Application - Other PASSHE School Student

V-W

Voluntary Group Life Insurance Enrollment Medical History Form

Volunteer Authorization Application

W-4 Form Employee's Withholding Allowance

Work-Related Injury Leave Election

Workers' Compensation Employee Notification