University of Washington Human Resources. 6/4/19) General Government Transition Pool (GGTP) Application (Word file) (2/5/09) Layoff-GGTP Employment Preferences (Word file) (4/21/10) Employee forms Elected Officials-Authorization to Waive Compensation (Word file) (2/3/12) Employee Affirmative Action and Demographic Data Profile Form (PDF file) (Rev. Conversion Form – Contact UW-Shared Services, Service Operations at [email protected] or (888) 298-0141 (7:45-4:30 p.m. Monday-Friday) to obtain a conversion form. A. Accommodation Health Care Provider Statement (PDF) - Accommodation Health Care Provider Statement form Accommodation Request (PDF) - Accommodation Request form Accommodation Request for Disability or Serious Medical Condition (PDF) Looking for information about COVID-19 preparedness at UW? University of Wisconsin - Superior https://www.uwsuper.edu. UW Psychiatry Patient Documents for Telemedicine Visits. Connect with Human Resources. On September 1, 2020, the Department of Treasury and the IRS published guidance stating that an employer’s participation in the payroll tax holiday is not required. If the cursor is not already in the first form field, place it there and enter the requested information. The fund has provided hundreds of small grants to employees with financial hardships. Contact Us. New Patient Form – OPC; OPC Initial Symptom Review 6/4/19) General Government Transition Pool (GGTP) Application (Word file) (2/5/09) Layoff-GGTP Employment Preferences (Word file) (4/21/10) Employee forms Elected Officials-Authorization to Waive Compensation (Word file) (2/3/12) Employee Affirmative Action and Demographic Data Profile Form (PDF file) (Rev. Professional & Organizational Development. The University of Wisconsin-Green Bay Office of Human Resources and Workforce Diversity guides the efforts to recruit, develop, and retain faculty and staff members who meet the needs of a dynamic academic institution. We provide strategic planning, offer administrative services, promote employee needs, and facilitate organizational change. HR Office Location. This is the place to find links to important documents, forms, instructions and information about being a UW System employee. Phone: (360) 725-5100. I have been asked to serve on a scientific advis… The Academic HR team serves all 3 University of Washington campuses as a central resource for the recruitment, hiring, retention and promotion of faculty, librarians and academic staff. Employee Confidentiality Acknowledgement Form: PDF DOC; Human Resources. The ISC is responsible for sending out three different IRS tax forms. The University of Wisconsin-Green Bay Office of Human Resources and Workforce Diversity guides the efforts to recruit, develop, and retain faculty and staff members who meet the needs of a dynamic academic institution. Office of Financial Management, State Human Resources Division. The individual preparing the form follows these steps: Save the downloaded form to a location where you can find it. 1545-0074. An explanation of the amount of leave time allowed under FMLA and how it is calculated HR Forms; Payroll Administrator Forms; Absences, Leaves, and Worker’s Compensation Forms; Recruitment and Volunteerism Forms; Accounting Services; Forms A to Z; About. It is the responsibility of both the employee and the hiring department to ensure timely completion. Complete and route or process the form as required. (Continuation at retirement is automatic) Your withholding is subject to review by the IRS. New Patient Forms – Outpatient Psychiatry Clinic Provided are links to forms for patients who are seeing a provider at the UW Outpatient Psychiatry Clinic. Continuation Form – Contact your human resources office if you need a continuation form. New employees will be asked to complete the electronic form and present acceptable documents to the Human Resources office. ... University of Washington Tacoma 1900 … Job seeker forms Application for State Jobs (Word file) (Rev. Visit the University of Washington’s Novel Coronavirus Information page. Authorized Divisional Signature Form for Personnel Transactions: PDF DOC; Emergency Contact Change: Checklist Form; Employee Person Data Change Form; ... ©2020 University of Wisconsin … On August 8, 2020, a memorandum was issued recommending a temporary deferral of Social Security taxes for certain employees. View Street and Mailing Addresses. For additional contact information, refer to FAQ #1. OMB No. Plus, learn about the numerous benefits that come along with your employment. We provide strategic planning, offer administrative services, promote employee needs, and facilitate organizational change. UW Tacoma HR Services HR staff are currently working remotely and we are reachable via email and by phone. No. Contact HR. Self-Identification Survey and W-4 Withholding Forms At UW-Green Bay, students experience hands-on learning from award-winning faculty on a naturally beautiful campus. Learn more about academics, campus life, affordability, and how to apply. Phone: (414) 229-4463 Benefits Phone: (414) 229-5353 Fax: (414) 229-4102 Email: [email protected] Benefits Email: [email protected] Web Form: Link Ask HR: FAQ Address: Map Human Resources Engelmann Hall, Room 125 2033 E. Hartford Avenue Job seeker forms Application for State Jobs (Word file) (Rev. Office of Human Resources 21 N. Park Street Suite 5101 Madison, Wisconsin 53715 608-265-2257; Map HR Forms for UW Facilities Family and Medical Leave Act (FMLA) FMLA-Notice-DOL; Personal-Health-Certification; Family-Member-Health-Certification; Pregnancy-Parental-Leave-Mother Prior to the employee’s first day of paid work, the employee should use Workday to complete Form I-9 Section 1 Employee Information and Attestation. Upon completion of each field, use the tab key to move to the next form field until all of the fields have been completed. The UW uses Workday to complete the Form I-9. Contact HR. Contact Us. A current UW employee who is a stipend recipient: Complete the Employment Verification Request form. If the cursor is not already in the first form field, place it there and enter the requested information. We revise our forms periodically. University of Wisconsin - Superior https://www.uwsuper.edu View Street and Mailing Addresses General Information: 715-394-8101 Weather/Emergency Hotline: 715-394-8400 Contact Us State HR is responsible for enterprise HR policy and manages the statewide classification plan, compensation plan, diversity, HR analytics, labor relations, rules and appeals, and workforce planning and performance. HR Forms. Save the downloaded form to a location where you can find it. Form W-4 2021 Employee’s Withholding Certificate Department of the Treasury Internal Revenue Service Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Most Human Resources forms are designed to be completed in Microsoft Word using the form completion feature. Visit the University of Washington’s Novel Coronavirus Information page. HR Office Location. (Continuation at retirement is automatic) Contact us. Continuation Form – Contact your human resources office if you need a continuation form. Form WT‑4 will be used by your employer to determine the amount of Wisconsin income tax to be withheld from your paychecks. Step 1: Enter Personal Information (a) Invitations to make scholarly presentations, even for compensation (the honorarium), constitutes one of several categories of activities that are excluded from the Outside Work Policy. Please visit the website each time you need a form (as opposed to storing the forms … UWHR to launch new website at end of July! Copyright © 2015 University of Washington. Contact HR. I have been invited to present my research at another academic institution for which I would receive a $1,000 honorarium. Office of Human Resources 21 N. Park Street Suite 5101 Madison, Wisconsin … Phone: (414) 229-4463 Benefits Phone: (414) 229-5353 Fax: (414) 229-4102 Email: [email protected] Benefits Email: [email protected] Web Form: Link Ask HR: FAQ Address: Map Human Resources Engelmann Hall, Room 125 2033 E. Hartford Avenue All quarterly application, registration, and payment dates referenced herein are based on the Academic Calendar. On September 1, 2020, the Department of Treasury and the IRS published guidance stating that an employer’s participation in the payroll tax holiday is not required. Fold completed request form and place in the outside pocket of the Specimen Bag. Your healthcare provider may fax your completed paperwork to HR, but we recommend that you get a copy yourself so that you can send it to HR directly, if necessary. The Academic HR team serves all 3 University of Washington campuses as a central resource for the recruitment, hiring, retention and promotion of faculty, librarians and academic staff. Forms. 800 West Main Street Hyer Hall 330 Whitewater, WI 53190 Phone: 262-472-1024 Fax: 262-472-5668 [email protected] [email protected] New employees will be asked to complete the electronic form and present acceptable documents to the Human Resources office. If a form is not available electronically, you will be provided instructions for requesting a paper copy. HR Forms. On August 8, 2020, a memorandum was issued recommending a temporary deferral of Social Security taxes for certain employees. Self-Identification Survey and W-4 Withholding Forms Email: [email protected] Form W-2s are sent to UW employees who received some form of wage or compensation in the prior calendar year. A current UW Medical Center – Northwest (formerly Northwest Hospital) employee: Contact i2Verify at [email protected] Conversion Form – Contact UW-Shared Services, Service Operations at [email protected] or (888) 298-0141 (7:45-4:30 p.m. Monday-Friday) to obtain a conversion form. Background Checks. If you need to revise text that you have entered you can use your mouse to position your cursor in the field that you need to change. General Information: 715-394-8101 Weather/Emergency Hotline: 715-394-8400 Contact Us You are here. Forms produced by the Wisconsin Department of Health Services are available for downloading and printing from this site. Give Form W-4 to your employer. Please complete these forms and have them handy to review with your provider. UW-La Crosse uses an electronic I-9 form. Length of FMLA leave. Learn more about academics, campus life, affordability, and how to apply. The University’s Tuition Exemption Policy is governed by Chapter 28B.15.558 of the Revised Code of Washington (RCW) and UW Administrative Policy Statement 22.1. (PDF), Summary of Benefits for Faculty with Quarter-to-Quarter or Less than 9-month Appointments (PDF), Summary of Benefits for Graduate Appointees Insurance Program (PDF), Summary of Benefits for Non-US Citizens Working Abroad (PDF), Summary of Benefits for Postdoctoral Scholars and Postdoctoral Scholar-Fellows (PDF), Summary of Benefits for Psychology Interns (PDF), Summary of Benefits for Residents and Fellows (PDF), Summary of Benefits for Temporary Staff (PDF), Summary of Benefits for UW Police Officers (PDF), Supervisory Skills Certificate Curriculum Guide (PDF), Temporary Assignment Request for Extension/Pay Change (MS Word), Temporary Pay Increase or Administrative Supplement Request (MS Word), UW Children’s Centers Wait Pool Application (PDF), UWMC Children’s Center at Northwest Wait Pool Application (PDF), UWRP Participant Fee Disclosure – 2020 (PDF), VIP Participant Fee Disclosure – 2020 (PDF), Voluntary Investment Program Plan Document (PDF), Washington State Employee Tuition Exemption Request (PDF). Looking for information about COVID-19 preparedness at UW? The individual preparing the form follows these steps: Please report technical problems completing forms to [email protected] HR Office Location. Phone: (414) 229-4463 Benefits Phone: (414) 229-5353 Fax: (414) 229-4102 Email: [email protected] Benefits Email: [email protected] Web Form: Link Ask HR: FAQ Address: Map Human Resources Engelmann Hall, Room 125 2033 E. Hartford Avenue Please provide all information on the left hand side of the requisition form. Forms. Provider offices are well intentioned, but HR … Husky Strong. Employee Confidentiality Acknowledgement Form: PDF DOC; Human Resources. Does this activity require submission of Form 1460? 110.11F: Request for Authorization to Transfer/Sell University Property to a Departing Employee’s New Institution Form More 110.12F: Departmental Property Administrator (DPA) Change Request Form Effective on or after January 1, 2020, every newly‑hired employee is required to provide a completed Form WT‑4 to each of his or her employ‑ ers. Authorized Divisional Signature Form for Personnel Transactions: PDF DOC; Emergency Contact Change: Checklist Form; Employee Person Data Change Form; ... ©2020 University of Wisconsin … Most Human Resources forms are designed to be completed in Microsoft Word using the form completion feature. Background Checks. A current UW employee: Contact i2Verify at [email protected] UW-La Crosse uses an electronic I-9 form. Form 1042-Ss are sent to UW employees who are foreign nationals who … UW Directory: Fall Prevention Audits- HD Nursing: MyUW: UW Medicine COVID-19 INFORMATION: Fall Prevention-Hester Davis Toolkit: OCCAM: UW Medicine Insurance Web Tool: Forms Repository: Office 365 Email: UW Medicine LMS: GE RIS * Opioid Dose Calculator 800 West Main Street Hyer Hall 330 Whitewater, WI 53190 Phone: 262-472-1024 Fax: 262-472-5668 [email protected] [email protected] The form must be returned to HR within 15 days of receipt. At UW-Green Bay, students experience hands-on learning from award-winning faculty on a naturally beautiful campus. Twitter; LinkedIn; Faculty and staff information. HR Operations supports UW's most valuable resource — our people. 800 West Main Street Hyer Hall 330 Whitewater, WI 53190 Phone: 262-472-1024 Fax: 262-472-5668 [email protected] [email protected] University of Wisconsin-Stevens Point > Human Resources > Forms. (See “Additional Considerations” below for other exclusions.) Approval is not required for this presentation. © 2020 University of Washington | Seattle, WA, University of Washington Human Resources Home, HR Benefits, Analytics & Information Systems, Professional & Organizational Development, Accommodation Health Care Provider Statement (PDF), Accommodation Request for Disability or Serious Medical Condition (PDF), Administrative Excellence Certificate Curriculum Guide (PDF), Application for Service Retirement – Plan 1 (PDF), Application for Service Retirement – Plan 2 (PDF), Application for Service Retirement – Plans 2 and 3 Example (PDF), Attendance Incentive Request for Payment of Unused Sick Leave (UW Medicine) (MS Word), Background Check Authorization Form (PDF), Behavioral Interviewing – Clerical/Administrative Support (MS Word), Behavioral Interviewing – Management (MS Word), Behavioral Interviewing – Professional/Technical Non-Clinical (MS Word), Behavioral Interviewing – Research (MS Word), Behavioral Interviewing – Skilled Trades (MS Word), Behavioral Interviewing – Support Service/Paraprofessional Clinical (MS Word), Behavioral Interviewing – Support Service/Technical Non-Clinical (MS Word), Behavorial Interviewing – Professional/Technical Clinical (MS Word), Caregiver Flexibility Planning Tool (MS Word), Checklist – Ending Employment (campus) (MS Word), Checklist – Separating Harborview Employee (MS Word), Checklist – Separating UWMC Employee (MS Word), Checklist – Supplement for Employees Station Outside Washington State (MS Word), Checklist – Transferring Employee (campus) (MS Word), Classified Position Review Questionnaire (MS Word), Classified Staff Temporary Salary Increase – Approval Request (MS Word), Corrective Action Plan Form Only (MS Word), Corrective Action Plan Instructions and Form (MS Word), Criminal Conviction and Civil Finding History Self-Disclosure and Authorization – Campus (PDF), Dependent Care Assistance Program (DCAP) – PEBB – Enrollment Guide (PDF), Disability Accommodation Health Care Provider Statement (PDF), Disability Health Care Provider Form – Student (PDF), Employee Work Reference Inquiry Documentation (PDF), FFCRA – Emergency Paid Sick Time Off Request (MS Word), FFCRA – Expanded FMLA Request Form (MS Word), FLSA Salary-Basis OT Exemption Change Request (MS Word), FMLA (campus) Family Member’s Serious Health Condition (PDF), FMLA (campus) Military Family Qualifying Exigency (PDF), FMLA (campus) Parental Leave for Parent other than Birth Parent (MS Word), FMLA (campus) Parental/Maternity Leave for Birth Parent (MS Word), FMLA (campus) Personal Serious Health Condition (PDF), FMLA (campus) Serious Injury or Illness of Military Family Member (PDF), FMLA (med centers) Family Member’s Serious Health Condition (PDF), FMLA (med centers) Family Member’s Serious Health Condition – Parental Leave (not birth parent) (PDF), FMLA (med centers) Military Family Qualifying Exigency (PDF), FMLA (med centers) Personal Serious Health Condition (PDF), FMLA (med centers) Personal Serious Health Condition – Maternity/Pregnancy (PDF), FMLA (med centers) Serious Injury or Illness of Military Family Member (PDF), Faculty/Staff Tuition Exemption Request (PDF), Family Care Leave – Certification of Health Care Provider (MS Word), Final Counseling Follow-Up Memo (MS Word), Final Counseling Memo Scheduling Notice (MS Word), Fiscal Management Certificate Curriculum Guide (PDF), Flexible Spending Account (FSA) – PEBB – FSA Enrollment Guide (PDF), Formal Counseling Memo Scheduling Notice (MS Word), Formal Counseling Session Follow-Up Memo (MS Word), GAIP – Petition for Self-Pay Graduate Appointee Insurance While on Academic Leave (PDF), GAIP Hall Health Mail Order Program Agreement (PDF), GAIP Mail Order Patient Registration (PDF), HR Administration Certificate Curriculum Guide (PDF), Harborview Children’s Center Wait Pool Application (PDF), Health Care Provider Certification Form – Cognitive (PDF), Health Care Provider Certification Form – Cognitive & Parking (PDF), Health Care Provider Certification Form – Parking (PDF), Health Care Provider Certification Form – Physical (PDF), Health Care Provider Certification Form – Physical & Parking (PDF), Health Insurance – PEBB – 2020 Leave Without Pay Election (PDF), Health Insurance – PEBB – 2020 Premium Surcharge Help Sheet (PDF), Health Insurance – PEBB – COBRA Continuation of Coverage Election (PDF), Health Insurance – PEBB – Electronic Debit Service Agreement (PDF), Health Insurance – PEBB – Employee Enrollment Guide – 2020 (PDF), Hire Confirmation Letter (Classified Fixed Duration Project/LOA) (MS Word), Hire Confirmation Letter (from academic appt to pro staff) (MS Word), Hire Confirmation Letter (from contract classified to pro staff) (MS Word), Hire Confirmation Letter (moving from CNU to pro staff) (MS Word), Hire Confirmation Letter (new to UW contract classified) (MS Word), Hire Confirmation Letter (new to UW pro staff) (MS Word), Hire Confirmation Letter (pro staff promotion or lateral) (MS Word), Interpreter & Real-Time Captioning Services RFQQ (MS Word), LTD – PEBB – Enrollment/Change Form (PDF), LTD – PEBB – Evidence of Insurability (PDF), LTD – PEBB – Long Term Disability Plan Booklet – 2020 (PDF), LTD – PEBB Employee Enrollment Guide – 2020 (PDF), Life Insurance – PEBB Employee Enrollment Guide – 2020 (PDF), Medical Students Group Disability Insurance Plan (PDF), Military Activation and Return-to-Duty Checklist (MS Word), Military Duty Leave of Absence Request (MS Word), Official Personnel File Access Request (PDF), Outside Work – Request for Approval – Professional and Classified Staff (PDF), Performance Evaluation – Classified Staff (PDF), Performance Evaluation – Conversation Approach – Professional Staff (PDF), Performance Evaluation – Structured Approach – Professional Staff (MS Word), Performance Review – Professional Staff Feedback (MS Word), Performance and Development Plan Evaluation – Classified Non-Union (PDF), Performance and Development Plan Expectations – Classified Non-Union (PDF), Performance and Development Plan Instructions – Classified Non-Union (PDF), Physician Assistants Group Disability Insurance Plan (PDF), Pregnancy Health Care Provider Statement (PDF), Prior Service Credit for Previous Washington State Employment (PDF), Privacy, Confidentiality, and Information Security Agreement (PDF), Professional Staff Leave with Pay Application (PDF), Professional Staff Position Description (PSPD) (MS Word), Professional Staff Position Review Employee Signature (PDF), Professional Staff Temporary Position (PSTP) – Supplemental Questionnaire (PDF), Professional Staff Temporary Position (PSTP) – Request for Extension/Pay Change (PDF), Reference Checking Consent and Authorization (PDF), Registration Form for UW Employees Separated Through Layoff (PDF), Relocation Incentive Payment Approval Request (Campus) (MS Word), Relocation Incentive Payment Approval Request (MedCtrs) (MS Word), Relocation Payment Approval Request (MS Word), Request for Review of Candidate’s Official Personnel Record (PDF), Research Scientist / Engineer Questionnaire (MS Word), Retirement – Deferred Compensation Program (DCP) – Enrollment Guide (PDF), Retirement – Deferred Compensation Program (DCP) Forms and Publications (PDF), Retirement – PEBB – Retiree Health Insurance Enrollment Forms (PDF), Retirement – PEBB – Retiree Health Insurance Enrollment Guide (PDF), Retirement – PERS/ TRS/ LEOFF Beneficiary Designation (PDF), Retirement – UW Retirement Checklist (PDF), Roosevelt Commons Room Reservation Request (PDF), Salary Adjustment – Career Enhancement Growth Program (CEGP) (PDF), Salary Adjustment – Recruitment / Retention Form (MS Word), Shared Leave – Donation – Foster Parent (MS Word), Shared Leave – Donation – Veterans (VISSLP) (MS Word), Shared Leave – Health Care Provider Certification (PDF), Shared Leave – Opportunity to Donate template (MS Word), Shared Leave – Organ Donor – Giving (MS Word), Shared Leave – Organ Donor – Request to Receive (MS Word), Shared Leave – Request – COVID-19 (MS Word), Shared Leave – Request to Receive – Domestic Violence, Sexual Assault, Stalking (MS Word), Shared Leave – Request to Receive – Foster Parent (MS Word), Shared Leave – Request to Receive – Health Condition (MS Word), Shared Leave – Request to Receive – Uniformed Services or Emergency Worker (MS Word), Shared Leave – Request to Receive – Veterans (VISSLP) (MS Word), Shared Leave – Uniformed Services – Donation (MS Word), Shared Leave – Uniformed Services – Request to Receive (MS Word), Shared Leave – Request – COVID-19 (Medical Center Employees) (MS Word), Student Employee Exception to Pay and Classification Schedule Form (MS Word), Summary of Benefits during furlough (PDF), Summary of Benefits for Academic Staff, Professional Staff & Librarians (PDF), Summary of Benefits for Classified Staff (PDF), Summary of Benefits for Faculty with Appointments of 9 – 12 Mos. 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