Human Resources

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AMA – Resident and Fellows LTD Insurance Plan Summary (PDF)

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)

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)

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Background Check Authorization Form (PDF) - UTemp background check authorization form, rev. 03/30/2017

Background Check Authorization for Students and Volunteers – Campus (PDF)

Bad invoice example (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)

Benefits Summary for Faculty with Appointments of 9 – 12 Mos. (PDF)

Benefits Summary for Faculty with Quarter-to-Quarter or Less than 9-month Appointments (PDF)

Benefits at Layoff (PDF)

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Candidate Skills Questionnaire (PDF)

Career Planning Resource (PDF)

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)

Compensation Change Request (MS Word)

Competency Guide (PDF)

Corrective Action Plan Form Only (MS Word)

Corrective Action Plan Instructions and Form (MS Word)

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DRS Plan Retiree (MS Word)

Dependent Care Assistance Program (DCAP) – PEBB – 2017 DCAP Enrollment Guide (PDF)

Disability Accommodation Health Care Provider Statement (PDF)

Disability Health Care Provider Form – Student (PDF)

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Employee Work Reference Inquiry Documentation (PDF)

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FMLA (campus) Family Member’s Serious Health Condition (PDF)

FMLA (campus) Military Family Qualifying Exigency (MS Word)

FMLA (campus) Parental Leave for Parent other than Birth Mother (PDF)

FMLA (campus) Parental/Maternity Leave for Birth Mother (PDF)

FMLA (campus) Personal Serious Health Condition (PDF)

FMLA (campus) Serious Injury or Illness of Military Family Member (MS Word)

FMLA (med centers) Family Member’s Serious Health Condition (PDF)

FMLA (med centers) Family Member’s Serious Health Condition – Parental Leave (not birth mother) (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)

FMLA Information Summary (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 – 2017 FSA Enrollment Guide (PDF)

Formal Counseling Memo Scheduling Notice (MS Word)

Formal Counseling Session Follow-Up Memo (MS Word)

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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)

GAIP Summary of Benefits: October 1, 2018 to September 30, 2019 (PDF)

GAIP Summary of Benefits: October 1, 2017 to September 30, 2018 (PDF)

Good invoice sample (PDF)

Group Disability Insurance Plan – Residents and Fellows (PDF)

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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 – 2018 Leave Without Pay Election (PDF)

Health Insurance – PEBB – 2018 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 – 2018 (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)

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Interpreter & Real-Time Captioning Services RFQQ (MS Word)

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LTD – AMA – Medical Student Application (PDF)

LTD – AMA – Physician Assistants Student Application (PDF)

LTD – PEBB – Long Term Disability Plan Booklet – 2018 (PDF)

LTD – PEBB Employee Enrollment Guide – 2018 (PDF)

LTD Plan Comparison for Residents and Fellows (PDF)

Life Insurance – PEBB Employee Enrollment Guide – 2018 (PDF)

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Medicare Enrollment – Request for Employment Information (PDF)

Mentoring Toolkit (PDF)

Military Activation and Return-to-Duty Checklist (MS Word)

Military Duty Leave of Absence Request (MS Word)

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New Employee Checklist (PDF)

O

Official Personnel File Access Request (PDF)

Onboarding Toolkit (PDF)

Outside Work – Request for Approval – Professional and Classified Staff (PDF)

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PEBB Eligibility Summary Table (PDF)

POD Annual Schedule (PDF)

POD Course Registration (PDF)

POD Offerings for Autumn 2018 (PDF)

POD Offerings for Summer 2018 (PDF)

POD Organizational Strategy (PDF)

PSLF Employment Certification Form (PDF)

Parent School Authorization (PDF)

Parent/School Authorization (PDF)

Performance Evaluation – Classified Staff (MS Word)

Performance Evaluation – Structured Approach – Professional Staff (MS Word)

Performance Review – Conversation 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)

Predetermination meeting memo (MS Word)

Pregnancy Accomodation Request (PDF)

Pregnancy Health Care Provider Statement (PDF)

Prior Service Credit for Previous Washington State Employment (MS Word)

Privacy, Confidentiality, and Information Security Agreement (PDF) - For Medical Center Employees Only

Professional References (PDF)

Professional Staff Leave with Pay Application (MS Word)

Professional Staff Position Description (PSPD) (MS Word)

Professional Staff Position Review Employee Signature (MS Word)

Professional Staff Temporary Position (PSTP) – Supplemental Questionnaire (MS Word)

Professional Staff Temporary Position (PSTP) – Request for Extension/Pay Change (MS Word)

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Quick Reference for Mentors (PDF)

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Recommendation for Dismissal (MS Word)

Reference Check Consent Form (PDF)

Reference Checking Consent and Authorization (PDF)

Registration Form for UW Employees Separated Through Layoff (PDF)

Relocation Payment Approval Request (MS Word)

Request for Review of Candidate’s Official Personnel Record (MS Word)

Research Activities (MS Word)

Research Scientist / Engineer Questionnaire (MS Word)

Resumes the UW Way (PDF) - Tip sheet for resumes at UW. http://hr.uw.edu/jobs/

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 – PERS, Student Statement of Personal Ineligibility (MS Word)

Retirement – PERS/ TERS/ LEOFF Beneficiary Designation (PDF)

Retirement – UW Retirement Checklist (PDF)

Retirement – Voluntary Investment Program (VIP) Summary (PDF)

Roosevelt Commons Room Reservation Request (PDF)

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Salary Adjustment – Career Enhancement Growth Program (CEGP) (MS Word)

Salary Adjustment – Recruitment / Retention Form (MS Word)

Service Award Certificate Template (PDF)

Shared Leave – Donation (MS Word)

Shared Leave – Donation – Foster Parent (MS Word)

Shared Leave – Donation – Veterans (VISSLP) (MS Word)

Shared Leave – Health Care Provider Certification (MS Word)

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 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)

Student Employee Exception to Pay and Classification Schedule Form (MS Word)

Succession Planning Toolkit (PDF)

Summary of Benefits for Academic Staff, Professional Staff & Librarians (PDF)

Summary of Benefits for Classified Staff (PDF)

Summary of Benefits for Non-US Citizens Working Abroad (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)

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Telephone Reference Check (PDF)

Telework Plan and Agreement (MS Word)

Temporary Assignment Request for Extension/Pay Change (MS Word)

Temporary Pay Increase or Administrative Supplement Request (MS Word)

Training Action Plan (PDF)

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UW Children’s Centers Wait Pool Application (PDF)

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Washington State Employee Tuition Exemption Request (PDF)