Benefits Forms

State Health Plan - Indemnity (CMMP) Enrollment Form

State Health Plan - PPO Enrollment Form

State Health Plan - Change Form

State Health Plan - Indemnity (CMMP) Medical Claim Form

State Health Plan - PPO Medical Claim Form

State Health Plan - Prescription Drug Claim Form

NC FLEX - Spending Account Reimbursement Claim Form

NC FLEX - Dental Claim Form

Retirement Application and Forms

403(b) Salary Reduction Agreement Form

Direct Deposit Enrollment and Change Form

Employment Forms

AA7(PAF) form

PERMANENT AND ADJUNCT CONTRACT/AA7 PROCESS

Faculty Contract
Permanent Faculty contract/AA7 process
Adjunct Faculty Contract/AA7 process
Faculty Hire CHECKLIST label

Reference Check Form

Summer Session form

Existing Faculty flowchart

New Hire Flowchart

Personnel Action Request / Hiring Actions (HR Form 1)

Personnel Action Request / Separations (HR Form 2)

Personnel Action Request for Hourly Personnel (PO Form 3)

W-4

NC-4

Leave Forms

Application for Leave Form (Exempt)

Permanent Employee Monthly Time Report (Non-Exempt)

Additional OHR Forms

Americans with Disabilities Act (ADA) Physical Efforts Checklist
Microsoft Word 97 Format.

Western Carolina University Work Plan
Microsoft Word 97 Format.

Performance Appraisal Summary Transfer Form
Microsoft Word 97 Format.

Position Description Form

Request for Position Restudy

Tuition Reimbursement Form

Tuition Waiver Form

Address Change Forms

Employee Data Form

Label Request Form

Request for In-Range/Career Progression Salary Adjustment