Form name and description

Form number

(Revision Date)

Accident/injury report

Accident/injury 311 report form

Use this link to access the WMU Environmental Health and Safety Web page where you will find the EHS-311 form and related instructions.

EHS-311

(12/01)

Physical capabilities form

Print form and have injured employee bring to Sindecuse Heath Center with WC-210 "Report of Claimed Occupational Injury or Illness" form (see below).

WC-504

(07/03)

Report of claimed occupational injury or illness

Print form and have injured employee bring to Sindecuse Heath Center with WC-504 "Physical Capabilities" form (see above).

WC-210

(02/09)

Business manager/hiring agent

Appointment Form - Staff

Use to place a person in a new position (new hire, promotion, transfer, demotion). Contact Human Resources for more information.

Disclosure and Consent Form for Consumers Report

Use for conducting background checks of new hires. Contact Human Resources to request this form.

Form I-9

Submitted electronically via Employee Self Service. For details, please visit Form I-9.

Form I-9 memo

HR-205

(08/11)

Hiring temporary employees via an agency

Use this link to access Specialized Staffing Solution's online Temporary Employee Order Form and general instructions for hiring temporary employees via an agency.

Personal data form

For use by temporary and student employees.

HR-200

(04/11)

Position authorization form instructions:

Use for position replacement, position changes, and to create a new position. Contact University Budgets and Financial Planning to request this form.

PSHR Electronic Workflow Access Authorization

Use to gain access to the PSHR Electronic Workflow system and the Student Employment Online Transaction System.

HR-201

(04/2013)

PSHR Electronic Workflow Approval Rule Change Request

Use to make changes to the Electronic Workflow approval rules.

HR-203

(07/2010)

PSHR Kronos Timekeeper Report Authorization

Use to gain access to the Kronos Timekeeper Report.

HR-202

(08/10)

PSHR Management Data Report Authorization

Use to gain access to the Management Data Report.

HR-204

(10/09)

PSHR Reporting User Guides

Visit Reporting with the PSHR System to access user guides for the electronic reporting system.

Reasonable assurance of reemployment
Sample letter for use with service and support staff with less than fiscal year appointments, including temporary and regular academic year and ten-month hourly paid staff.

P-520

(03/11)

Student employment online transactions authorization

Complete the PSHR Electronic Workflow Web Access Authorization in order to gain access to the Student Employment Online Transactions System.

Transaction Form - Employee - Instructions (PDF)

Use to change an employee's status (pay change, leave of absence, separation, appointment extension). Contact Human Resources or hr-hris@wmich.edu to request this form.

Designated Eligible Individual

Designated eligible individual enrollment form

HR-710

(05/11)

Flexible spending accounts

BASIC Flex claim form

BASIC Flex direct deposit form

BASIC Flex enrollment booklet

Health insurance

Health insurance enrollment and change form

HR-700

(07/12)

Jury duty and court required service

Faculty (AAUP)

HR-334

(06/03)

Staff Compensation System employees
This form is also used by Coaches, Research
Staff, and all other non-bargaining employees.

HR-333

(06/03)

AFSCME employees

HR-335

(11/03)

HR-337

(06/03)

HR-336

(06/03)

Leave of absence

Leave of absence application (Staff-AFSCME, MSEA and POA)

Use to request a non-FMLA leave of absence.

HR-590

(03/13)

Leave of absence application (Staff-Non-Bargaining)

Use to request a non-FMLA leave of absence.

HR-320

(03/13)

Consent to release leave of absence information (optional)

HR-335

(02/12)

Life insurance enrollment and change

Employee life insurance

HR-720

(01/11)

Dependent life insurance

For Staff Compensation System employees, Coaches, and Research (R1 and R2) employees.

HR-722

(01/11)

Long-term disability insurance enrollment and change

Long-term disability insurance enrollment and change form

HR-730

(09/09)

Performance management

For Staff Compensation System employees. Two versions of these forms are available: Microsoft Word 2003 (for both PC and MAC use) and Microsoft Word 2007 (for PC use only). Please use the latest version compatible with your system, as the Microsoft Word 2007 forms have new features, including spell check.

Microsoft Word 2007 (PC only):

Performance Management Program-Instructions and Definitions

HR-100

(08/11)

Performance Management Program-Annual Review Form

HR-101

(08/11)

Performance Management Program-Employee Self Review-Optional

HR-102

(08/11)

Microsoft Word 2003 (PC and MAC):

Performance Management Program-Instructions and Definitions

HR-100

(08/11)

Performance Management Program-Annual Review Form

HR-101

(08/11)

Performance Management Program-Employee Self Review-Optional

HR-102

(08/11)

Probation

AFSCME probationary report, 30 or 60 day evaluation

HR-314

(07/08)

AFSCME probationary report, final evaluation

HR-315

(12/07)

SCS probationary report, 2 or 4 month evaluation

HR-311

(06/03)

SCS probationary report, 6 month evaluation

HR-312

(06/03)

Retirement-related

Exchange authorization: 403(b) sick/annual leave exchange

For use by Staff Compensation System exempt and non-exempt staff and Police Officers Association members.

HR-601

(01/12)

Salary reduction agreement-calendar year 2013 - Instructions

For 403(b) and 457(b) contributions.

Salary reduction agreement-calendar year 2013

For 403(b) and 457(b) contributions.

Staff Collective Bargaining

Application for bargaining unit layoff

For AFSCME employees under article 7.11.6

HR-500

(03/07)

Staff Compensation System

Appeal form

Use to appeal a Staff Compensation System position evaluation.

P-007a

(05/09)

Job profile questionnaire (JPQ)

Use to create a new or rewrite a Staff Compensation System position.

HR-120

(07/12)

Tuition remission

Tuition remission application - academic year

2013-14

For spouse and dependent program

HRS-031

(03/13)

Designated eligible individual enrollment form