Human Resources

Campus Use Forms

For Performance Management documents, go to www.willamette.edu/dept/hr/resources/supervisors/perform/.

PLEASE READ THE FOLLOWING BEFORE SUBMITTING PERSONNEL TRANSACTIONS/REQUESTS

The following forms are the basic forms necessary to initiate personnel transactions at Willamette.  Please note, forms necessary to initiate payroll transactions should be submitted to Human Resources no later than the 15th of each month in order to ensure they are entered into the next payroll.  Payroll is processed for payment on the last working day of each month. 

In addition, opening of positions for recruitment through use of the NPO form below typically takes, at minimum, 7 to 10 days.  Further delays can occur if there are issues related to the job description and funding of a position to work out before opening it.  Advertising sources also have deadlines that can cause delays in the recruitment.  Please plan accordingly. 

HR and Payroll will do all we can to process your submissions in a timely manner and and in a way that is compliant with expectations of policy and law.

  • Appointment Proposal Form (APF) WORD
  • Name/Address Change Form PDF
  • Notification of Position Opening (NPO) WORD
  • Personnel Action Form (PAF) PDF

Please obtain divisional Dean/VP signature before submission to:  hr@willamette.edu


New Employee Forms

All new employees should visit the Office of Human Resources on their first day of employment and complete the following forms.  The I-9 Form is a critical requirement of law and must be completed by the new employee in person in the Office of Human Resources within three days of starting work or that employee may not continue to work.  The employee is required to show actual documents (no copies) proving both identity and eligibility to work in the United States and they must be viewed by someone in HR, or by someone who has been approved by HR to serve in that capacity.  HR will delegate the responsibility to review I-9 documents and complete the employer section of the form to other offices in only rare occasions and the person must be certified as having been trained by HR in appropriate completion of the I-9 form.  HR is the only office that will maintain the I-9 form.

REQUIRED:

FORM I-9

FORM W-4


Volunteers

  • Volunteer Certification PDF

Employee Benefits

Checklist for New Employees

Medical/Dental and Flexible Spending Enrollment/Change Forms

Claim Submission Forms

  • Medical/Dental/Vision PDF
  • Prescription 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)
  • SunAdvisor Claim (WU Self-Insured LTD for 90th to 180th day of disability) WORD
  • SunLife LTD Employee's Statement (fully-insured LTD claim for after 180th day of disability) WORD
  • SunLife LTD Attending Physician's Statement WORD

Tuition Remission Benefit Forms

Spouse/Domestic Partner Affidavit

  • Marriage/Domestic Partnership Agreement 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