Forms for Employees
| Benefits Forms | |
|---|---|
| Type of Form | Who should use this form? |
Insurance Enrollment Form (177 kb, pdf) | Employees wishing to enroll in the WPI health, dental and flexible spending account. |
Flexible Spending Account Election Form FY10 (132 kb, pdf) | For employees who want to elect the FSA for plan year 7/1/2009 – 6/30/2010. |
Health Insurance Matrix (46 kb, pdf) | Comparison of current health insurance plans offered at WPI |
Open Enrollment Notice (865 kb, pdf) | Highlights benefit changes for FY10 ( 7/1/2009 – 6/30/2010) |
Dependent Children Tuition Form [58kb, PDF] | Any eligible employee who has a child using the Tuition Assistance benefit. |
Request for Off-Campus Educational Assistance [70kb, PDF] | Any eligible employee using the Off-Campus Tuition benefit for themselves. |
Request for On-Campus Tuition Remission [173kb, PDF] | Any eligible employee using the On-Campus Tuition benefit for themselves. |
Any eligible employee planning to take advantage of any of the Tuition Assistance benefits. |
|
Tuition Exchange Program Application [171kb, PDF] | Eligible employees who have children wishing to apply for the Tuition Exchange Program. |
Medical Care FLEXCOMP Claim Form [291kb, PDF] | Eligible employees wishing to take advantage of the FLEXCOMP Flexible Spending Account benefit. |
Dependent Care FLEXCOMP Claim Form [291kb, PDF] | Eligible employees wishing to take advantage of the FLEXCOMP Flexible Spending Account benefit for Dependent care. |
Employee Accident Report [31kb, PDF] | Any employee who is injured in the line of work. |
HIPAA Authorization to Use or Disclose Protected Health Information [17kb, PDF] | This form is used by an employee who is having insurance coverage issues and needs the assistance of the HR Department. This form gives WPI/the insurance carrier the authorization to know about and discuss a certain condition the employee might have so that the coverage issue may be discussed. |
Request for Family or Medical Leave [59kb, PDF] | Eligible employees who wish to use the Family Medical Leave Act (FMLA) benefit. |
Retirement Salary Reduction Authorization Form [351kb, PDF] | Eligible employees participating in the Retirement Plan. |
| Employment Process Forms | |
| Type of Form | Who should use this form? |
Affirmative Action Compliance Form [429kb, PDF] | Hiring managers use this form when a new employee is hired. This is used for those hiring managers who do not use the PeopleAdmin system. |
Change of Personnel Status [37kb, PDF] | Managers use this form when there is a change in an employee’s status that affects the employee’s pay. For example, if the funding source that will pay the employee changes, or if the employee reduces their number of hours, etc. |
Payroll Authorization [34kb, PDF] | Hiring managers fill out this form to initiate compensation for any new employee. |
Request for CCC Accounts [327kb, PDF] | Hiring managers use this form for all new employees. It lets the CCC know how to set up the new employee’s accounts, computer access, etc. |
Request for Full- or Part-Time Faculty Appointment [41kb, PDF] | Hiring managers fill this out when they have completed a faculty search and are ready to offer a position to a candidate. This form needs to be completed and signed by the department, the Provost, Budget, HR, and Payroll prior to making the official offer to the candidate. |
Request for Full or PT Faculty Appt. & Payroll Authorization Form | Hiring managers fill this out when they have completed a faculty search and are ready to offer a position to a candidate. This form also initiates compensation for the candidate and needs to be completed and signed by the department, the Provost, Budget, HR, and Payroll prior to making the official offer to the candidate. |
Request for Non-Faculty Research Appointment [212kb PDF] | Hiring managers fill this out when they have completed a search for a researcher position and are ready to make an offer to a candidate. This form needs to be completed and signed by the department, the Provost, Budget, HR, and Payroll prior to making the official offer to the candidate. |
Request for Staff (Non-Faculty) Appointment [99kb, PDF] | Hiring managers fill this out when they have completed a staff search and they want to offer a position to a candidate. This form needs to be completed and signed by the department, the Provost, Budget, HR, and Payroll prior to making the official offer to the candidate. |
Summer Salary Authorization [115kb, PDF] | Managers use this form to outline how a faculty member’s summer salary will be paid. |
TA/RA/Fellowship Award and Authorization [161kb,PDF] | Hiring managers use this form to outline payment for graduate students who will be Teaching Assistants or Research Assistants as part of their graduate work at WPI. |
TA/RA/Fellowship Change of Status Form [161kb, PDF] | Departments use this form when there is a change in how a TA or RA is being paid. |
Employee Referral Form [212kb, PDF] | Employees fill out this form when recommending someone for a position at WPI. |
| Personal Data Forms | |
| Type of Form | Who should use this form? |
WPI Personal Data Card [85kb, PDF] | New employees fill out this form so that HR may set-up their Banner information, begin the payroll authorization process, etc. |
WPI Personal Data Change Form [PDF, 75kb] | Employees use this form to report changes in their personal information; name change, address change, etc. |
| Faculty Forms | |
| Type of Form | Who should use this form? |
Recommended Appointment Rank for New Full- or Part-Time Faculty at or above Associate Professor [105KB, PDF] | Used by department heads to submit a proposed rank for a faculty member. |
For additional information regarding Faculty Forms please visit the Provost Office website | |
| Finance Forms | |
| Type of Form | Who should use this form? |
For Finance Forms, including Check Requests and Expense Reports, visit the Accounting Office website. | |
| Performance Appraisals | |
| Type of Form | Who should use this form? |
This optional tool is intended for use by employees and their supervisors in assessing progress toward achieving the performance goals set during the Performance Appraisal Process. |
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For all other Performance Appraisal forms visit the Performance Appraisal section of our website. | |
Most of these forms are in Portable Document Format (PDF), which can be filled out online and then printed on a networked printer. We highly recommend use of the Adobe Acrobat Reader® 5.0, as we have encountered some minor incompatibilities using older versions. This software is available on campus free of charge - for assistance, please contact the CCC Helpdesk at helpdesk@wpi.edu or call x5888.
IMPORTANT NOTE: On some PDF forms there are boxes in which you can type multiple lines of text - if you type beyond the borders of the box, the text will not appear when the form is printed.
Maintained by webmaster@wpi.eduLast modified: October 16, 2009 15:47:25