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
  Supplemental Retirement Account - Salary Reduction Agreement
  

  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

Immigration Wage Forms (NEW!)

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

Interim Agreements (NEW!)

Signed memo to EBOs
Interim agreement form
Resume attachment form for WVU PIQ review
Memo Template for Interim Appointments

Position Information Questionnaire (PIQ) - Cover Sheet Instructions
PIQ - Cover Sheet
NC FEAP Cover Sheet
NCFEAP Form
PIQ Form
PIQ Training Handout
PIQ Tutorial Presentation
CTO Agreement

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

Payroll Services

Direct Deposit Application

Human Resources Information Systems

Mailing Label Request

All other forms click the link below

Mountaineer Administrative Processes (MAP) HR forms