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Human Resources Forms

CONTENTS

Benefits Forms
Classification & Compensation
Employment Practices
Hiring & Appointment

Job Performance/Employee Recognition
Leave Administration
Training
Transportation

Benefits Forms

For Benefits forms go to the Benefits Forms webpage.

Compensation & Classification

CLASSIFIED STAFF:
PROFESSIONAL STAFF:
- Administrative Supplement or Temporary Pay Increase Request
- Research Scientist/Engineer Job Questionnaire
- Professional Staff Position Description Form - (Used for UWHIRES requisitions and for review of occupied professional staff positions except research scientists and engineers)
- Employee Signature Form
- Research Activities Form
- Compensation Change Request
STUDENT EMPLOYEES:
- Student Employee Pay and Classification Request
INCOME TAX:
- W-2 Replacement Request
- W-4

Employment Practices

Affirmative Action Data Form for New Employees
Crediting Request for Previous State Employment (MS Word) - (pdf)
Outside Work Approval
DISABILITY ACCOMMODATION:
- Disability Accommodation Request
- Health Care Provider Statement
LAYOFF:
- Request to Initiate Layoff - Classified & Professional Staff
TUITION EXEMPTION:
- UW Faculty/Staff Tuition Exemption Request (pdf)
- State Employee Tuition Exemption Program Application (pdf)
- Tuition Waiver - Request from Professional & Organizational Development For other state colleges & universities

Hiring & Appointment

EMPLOYMENT/APPOINTMENT - GENERAL:
- Checklist - New Hire (MS Word) - (pdf)
- Checklist - Direct Hire Temporary Employee - (pdf)
- Checklist - Transferring Employee (MS Word) - (pdf)
- Checklist - Separating Employee (MS Word) - (pdf)
- Checklist - Separating Employee - Harborview Employees Only (MS Word) - (pdf)
- Checklist - Supplement for Employees Stationed Outside Washington State (MS Word) - (pdf)
- Conviction/Criminal History Form - Used only for applicants not using UWHIRES
- Employment Reference Documentation
- I-9 Employment Eligibility Verification (pdf)
- Inter-System Employment Eligibility Statement - Obtain from Upper Campus HR Operations
- Privacy, Confidentiality, and Information Security Agreement – for UW Medicine employees only
EMPLOYMENT/APPOINTMENT - PROFESSIONAL STAFF:
- Appointment Letter - To professional staff from contract classified position
- Appointment Letter - To professional staff from academic appointment
- Appointment Letter - To professional staff from professional staff
- Appointment Letter - To professional staff from classified non-union position
- Appointment Letter - New professional staff appointment
- Professional Staff Data Form (pdf)
RELOCATION INCENTIVE PAYMENT:w
- Payment Approval Request - Requests approval to offer payment
- Payment Authorization - Authorizes Payroll to make payment to employee
TEMPORARY ASSIGNMENT - PROFESSIONAL STAFF:
- Temporary Assignment Extension Approval Request
- Temporary Assignment (hourly/monthly - new appointment)

Job Performance/Recognition

CONTRACT CLASSIFIED STAFF:
- Performance Evaluation
CLASSIFIED NON-UNION STAFF
PROFESSIONAL STAFF:
- Performance Development Review - Conversation Approach
- Performance Development Review - Structured Approach
- Performance Feedback
Employee Recognition
- UW Employee Appreciation Recognition Certificate

Leave Administration

FAMILY AND MEDICAL LEAVE ACT (FMLA) - Non Medical Centers Units/Employees (Medical Centers employees see below):
- FMLA Information Summary
- Family and Medical Leave Notice Cover Letter
- Family and Medical Leave Notice - Response to leave request that may be FMLA covered
- Health Care Provider Certification - Personal health condition
- Health Care Provider Certification - To care for family member with serious health condition
- Maternal and Parental Leave Certification - For birth mother
- Parental Leave Certification - For a parent other than the birth mother
- Health Care Provider Certification - Seriously ill or injured military family member
- Leave Certification - For "qualifying exigency" related to family member's call to active duty
FAMILY AND MEDICAL LEAVE-RELATED LEAVE REQUEST PACKETS - Medical Centers Employees Only:
LEAVE OF ABSENCE REQUEST:
- Leave of Absence or Modified Work Schedule Request (MS Word) - (pdf)
- Leave of Absence Request - Basic (MS Word) - (pdf)
MILITARY LEAVE:
- Military Leave Checklist (MS Word) - (pdf)
- Military Leave Request Form (MS Word) - (pdf)
SHARED LEAVE:
SHARED LEAVE - UNIFORMED SERVICES SHARED LEAVE POOL
- Request to Donate (MS Word) - (PDF)
- Request to Receive (MS Word) - (PDF)
WORK AND LEAVE RECORD - FORM 220:
- UW #1459 for Classified Staff (Email csonline@u.washington.edu - provide quantity needed and UW budget and box numbers)
- UW #1648 Professional Staff (Email csonline@u.washington.edu - provide quantity needed and UW budget and box numbers)

Training

Transportation Deduction

Pre-tax Transportation Deduction Waiver