Human Resources Forms

Here you can find all the Human Resources forms we have available online for your convenience. Please note that all forms are only accessible if you are inside the WVU firewall, the exception is the Regular Employment forms that can be accessed by anyone with no restrictions.

Some forms may require Acrobat Reader

Employment and Recruitment

• Regular Employment

  WVU Employment Application and Directions
  Self Identification Form
  WVU Position Interest Form
  

• Mountaineer Temps

  Mountaineer Temp Application
  Mountaineer Temp Job Order Form
  Mountaineer Temp Time Sheet Form
  

Benefits

• Retirement

  TIAA-CREF Change in Beneficiary Form

• Health Insurance

  Authorization for Release of Information Form
  Student Verification Form
  Change in Status Form
  

• Life Insurance

  Evidence of Insurability Form
  Optional and Dependent Life Insurance Enrollment Form
  PEIA Basic/Optional Life Insurance Change of Beneficiary Form
  

• Long-Term Disability Insurance

  Long-Term Disability Enrollment Form
  Long-Term Disability Cancellation Form
  

• Leave Benefits

  Request for Personal Leave of Absence
  Catastrophic Leave Donor Application
  Catastrophic Leave Recipient Application
  Medical Verification Leave Form
  Immediate Family Member Form - Medical Verification Leave Form
  Leave Extension Request Form (Word)
  Personal Leave of Absence Request (Word)

• Supplemental Retirement Accounts (SRAs)

  Cancellation Form
  Salary Reduction Agreement
  Salary Reduction Agreement - Non Benefit-Eligible Employees Only
  

  403b Enrollment Forms

  Great West
  TIAA-CREF
  

  457b Enrollment Forms

  Great West
  TIAA-CREF
  

• Years of Service

  Request for Years of Service Verificaton
  

• Flexible Spending Account

  Debit Card Receipt Transmittal Form
  Reimbursement Request Form
  

Classification and Compensation Forms and Resources/Information

Immigration Wage Forms

Permanent Residency Wage Packet (PRWP)
H-1B Wage Packet (H1BWP)

Interim Agreements

Informational memo to EBOs on interim agreements
Interim agreement form
Resume attachment form for WVU PIQ review
Memo Template for Interim Appointments

Position and Personnel Action Forms and Information

Classified PIQ Forms:

Position Information Questionnaire (PIQ) - Cover Sheet Instructions
PIQ - Cover Sheet
PIQ Form
PIQ Training Handout
PIQ Tutorial Presentation

Non-Classified and FEAP (Faculty Equivalent/Academic Professional) Job Description Forms:

NC FEAP Cover Sheet
NCFEAP Form

Classified and Non-Classified/FEAP Forms:

Upgrade/Market Adjustment Request Justification Form-new!

Substitute Time Off (STO)/Compensatory Time Off (CTO) Agreement Form

CTO Agreement

References and Resources

Impact of October 2008 full funding of the 2001 Classified Salary Schedule--Memo
Staff Awards-information and limitations-Memo
Handling compensation for emergency/inclement weather closures
FAQ's for FLSA and exempt/non-exempt employees

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Medical Management

Workers Compensation Packet
Catastrophic Leave Donor Application
Catastrophic Leave Recipient Application
Medical Verification Leave Form
Immediate Family Member Medical Verification Leave Form
Parental Leave Request Form

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Payroll Services

Direct Deposit Application

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Human Resources Information Systems

Mailing Label Request

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All other forms click the link below

Mountaineer Administrative Processes (MAP) HR forms