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HUMAN RESOURCES

Forms Index

WSU Policies & Procedures Manual
(The University resource of policies and procedures.)

Alphabetical Index of HR Forms


  [A] [B] [C] [D] [E] [F] [G] [H] [I] [J] [K] [L] [M] [N]
    [O] [P] [Q] [R] [S] [T] [U] [V] [W] [X] [Y] [Z]  

 

Forms by Name Link to Instructions Purpose of this Form Versions
AAO - 1/Search Process -- Classified    Click here to go to search forms for classified.  
AAO - 1/Search Process -- Unclassified/Faculty AAO-1  Click here to go to search forms for unclassified professionals & faculty.  
Accident or Illness Report Form   Report must be sent to Office of Human Resources within 3 days of Workers Comp related incident.

Word

*PDF

 Advanced Leave   Leave Advancement is leave provided to an employee pursuant to Executive Order 09-08 (see Bulletin No. 09-05) and must be requested and approved in accordance with appropriate agency policies and procedures. A committee, chaired by the Director of Human Resources, may choose not to provide this leave to an employee if it is believed an employee has abused their leave privileges.

Word

*PDF

Additional Compensation, OHR 210

OHR 210

Compensation for work not related to a full-time unclassified employee's regular duties and not performed during regular work hours (e.g. teaching a class).

Word

*PDF

Address Change   All faculty and staff are invited to review the information now in their employee records.  In addition, one may review and update her/his ethnicity and race using the new federal guidelines.  The Human Resource Office is also asking everyone to provide emergency contact information.  The new Web application is inside the myWSU portal.  To access this new tool, please log into the myWSU portal, click on the Faculty/Staff Resources tab, and in the Administrative Tools channel you will find the link "Demographic Verification."  You can then follow the directions provided.  The document linked on the right may still be used to update your address with Human Resources.

Word

*PDF

Agency Temp, Clerical Request

Pay Chart

To hire individuals through a temporary agency as per contract with the State of KS.

Word

*PDF

Agency Temp, Industrial Technology Request

Pay Chart

To hire individuals through a temporary agency as per contract with the State of KS.

Word

*PDF

Agency Temp, Trades Request

Pay Chart

To hire individuals through a temporary agency as per contract with the State of KS.

Word

*PDF

Americans with Disabilities (ADAAA)   This form is used for reporting of disability status and request for special accommodations.

Word

*PDF

Appointment, OHR 300

OHR 300

To appoint an individual to a position (other than as a Lecturer, Research or Summer Session appointment) at the conclusion of a search or direct hire to a new non-benefits eligible position.  PeopleAdmin is used for all benefits eligible new positions.

Word

*PDF

Appointment - Lecturer, OHR 310

OHR 310

To appoint temporary semester appointments that may include lecturers and paid adjunct appointments. Exempt positions paid a salary either incrementally or at semester end. (May be benefits eligible, dependent on credit hours taught in consecutive semesters.)

Word

*PDF

Appointment - Research, OHR 320

OHR 320

To appoint classified, unclassified professional or faculty to a non-benefits eligible position that is partially or totally grant funded. PeopleAdmin is used for all benefits eligible grant funded positions.

Word

*PDF

Appointment - Research Summer Session, OHR 323

OHR 323

Used to appoint a 9 or 10 month academic, who would ordinarily not teach in the summer, to a position at WSU that is partially or totally grant funded, contract funded or research.

Word

*PDF

Appointment - Summer Session, OHR 330

OHR 330

Appoint lecturer or other unclassified employee (for other than 12-month)during the summer academic period.

 

Word 

*PDF

Background Checks  

Applicants sign an Authorization and Release for Employment Inquiries and/or Reference Checks.  Background checks are required for each person hired for a faculty, unclassified or classified positions at WSU that will continue for a term of longer than 6 months.  See Protocols and Best Practices for guidelines and forms required.

Who Pays?  There is a central fund in the Office of Human Resources that will pay for all GU positions through their Business Procurement Card (BPC); RU positions will need to be funded by the hiring unit. OHR will assign the BPC charges for RU positions to the hiring unit.

   Word

*PDF

Change of Effort and Funding - Research, OHR 420 OHR 420 Used to show any change in effort and funding of a position or employee that is partially or totally grant funded, contract funded, or research.

Word

*PDF

Change of Status, OHR 200

OHR 200

To show any change in a current employee's status (e.g. promotion or transfer within the University, retirement, termination, name change, reclassification, FTE, title change, provisional to regular appointment, funding change, etc.)

Word

*PDF

Change of Status - Research, OHR 220

OHR 220

Project Director is to prepare a rough draft and send to Office of Research Administration, Campus Box #7 for completion of the form.

Word

PDF

Claims Against the State    Click here for personal injury or property loss guidelines and forms.   
Classified   How to fill a position:
  Classified
  Temporary -- State
  Temporary -- Agency
 
Classified Employee Evaluation & Development System (CEEDS)

 

CEEDS is now PMP.  Please see Performance Management Process for more information.   
Classified Grievance Request   This form to be completed by classified employee who wishes to file a grievance. (Click here for the complete Classified Grievance Procedure handbook.) *PDF
Classified Position Description   The Classified Position Description (revised: 10/09/2012) has been formatted to follow the fields in PeopleAdmin. The form is in a Word table format that will "grow" to fit the information you type in. Assistance and direction for writing position descriptions will be provided by Human Resources. Contact Libby.Gilbert@wichita.edu or call (316) 978-6124. Word
Coaching & Behavior Report, Employee   This form to be used by managers to document performance or behavior issues of their employees (formal write-up).  Type in the form and print completed form for signatures.  Contact Matthew Johnston with questions/concerns.

Word

Corrective Action - Sample Memo   This sample memo is to be used by managers to document performance and/or behavior issues of their employees (formal write-up). Edit this document, print completed form for signatures and send the original signed document to Matthew Johnston, Box 15.  Contact Matthew Johnston with questions/concerns. Word
Direct Deposit, Travel Expense Reimbursements   Travelers are required to sign-up for direct deposit of travel and expense reimbursement by completing the State of Kansas form "Direct Deposit DA130".  This form can be found in myWSU, on the Faculty/Staff tab, in the Travel and Expense Channel.  If you do not choose to use direct deposit, you must enroll in the State of Kansas sponsored PayCard program, Skylight.  
Direct Payroll Deposit   Complete this form and submit with voided check or deposit slip for employee's salary to be deposited directly to their bank. If additional banks are needed to split your payroll deposit, complete the Supplemental Direct Deposit Authorization Form (or pdf).

Word

*PDF

Emergency Contact Information   The Human Resource Office is asking everyone to provide emergency contact information.   To access your emergency contact list, please log into the myWSU portal, click on the Faculty/Staff Resources tab, and in the Employment Details channel you will find the link "Demographic Verification."  You can then follow the directions provided.  It is critical that employees update their emergency contact list when there are life-changing events such as marriage, divorce, death, etc. and when your contacts experience a change of address or phone number.  This information will not be disclosed to other employees or organizations -- it is for the sole purpose of emergency contact in the event of accident/illness. Word
Employee Coaching & Behavior Report   This form to be used by managers to document performance and/or behavior issues of their employees (formal write-up).  Type directly into the form, print completed form for signatures, and send the original signed document to Matthew Johnston, Box 15.  Contact Matthew Johnston with questions/concerns.

 Word

Employee Development, Unclassified Professional   Supervisors of Unclassified Professional employees can utilize this form to set goals.  This should be done for any area when the Unclassified Professional employees does not meet expections on an evaluation.  It can be used anytime for professional development.  Contact Human Resources Lana.Anthis@wichita.edu or call (316) 978-6166; Matthew.Johnston@wichita.edu or call (316) 978-6123; or Frankie.Brown@wichita.edu or call (316) 978-3540 for assistance. Word
Employee Information -- Classified, Unclassified and/or Faculty   The State of Kansas requires this information for all employees to record personal information and emergency contacts. All sections must be completed.  (This form is also a page on the Excel spreadsheet for regular and graduate student employees and lecturers.) Word
Employee Suggestion Form

Guidelines

A WSU employee whose suggestion is approved and implemented shall receive a "monetary employee award" and an "employee suggestion bonus" as permitted by law and as outlined in the policy guidelines.

Word

*PDF

Evaluation, Unclassified Professional   Unclassified professionals are to be evaluated at least annually and evaluation forms submitted through the appropriate channels to the appropriate vice president by May 1. Use the Employee Development form to set goals.  Contact Human Resources Lana.Anthis@wichita.edu or call (316) 978-6166; Matthew.Johnston@wichita.edu or call (316) 978-6123; or Frankie.Brown@wichita.edu or call (316) 978-3540 for assistance. If the evaluation is for a UP in Academic Affairs, please go to the Academic Affairs website for the proper form. Word
Exception Reporting (faculty included)   Departments with faculty members may use this form for individuals to report exceptions to their schedule for timekeeping purposes.

Word

*PDF

Exception Reporting (faculty not included)   Departments with no faculty members may use this form for individuals to report exceptions to their schedule for timekeeping purposes.

Word

*PDF

Exit Checklist -- Employee Separation/Transfer Checklist   Department to complete page 1 of the checklist for employees in their department who leave employment with the department for any reason.  Completed form to be sent with employees for scheduled exit interview in the Office of Human Resources. Word
Exit Financial Obligations Report   Internal HR Form to determine financial obligations for the exit interview process. Word
Exit Interview Questionnaire   Employee will complete an on-line questionnaire in HR as part of their exit interview.  
Exit Status Review Form   Internal HR form used in the employee exit process -- resignation, retirement, etc.

Word

Faculty   Checklist for filling a faculty position.  
Flexible Spending -- NueSynergy

 

If you are enrolled in a flexible spending account, claim reimbursement of dependent care and unreimbursed medical expenses at: https://www.mywealthcareonline.com/kansasfsa/

 

FLSA Designation Form Q & A's To comply with the Federal Fair Labor Standards Act (FLSA) and University policy, Human Resources will complete the FLSA Designation Form for all unclassified professional positions.

Word

FMLA Certification of Health Care Provider

FMLA Guidelines

For the physician to provide information concerning the patient to determine FMLA eligibility.  This also includes the Return to Work Authorization form necessary to return to work after a qualifying event.

Word

*PDF

FMLA Certification of Qualifying Exigency for Military   To be completed by the employee.

Word

*PDF

FMLA Certification for Serious Injury or Illness of Covered Service Member   To be completed by a Department of Defense health care provider.

Word

*PDF

FMLA Request Forms

How to Apply

To be eligible for the Family & Medical Leave benefit, employees must have 12 months of University/State service and to have worked 1,250 hours in the immediate previous 12 months.  The two pages of this form are to be completed & signed by the employee.

Word

*PDF

FMLA Timekeeping Verification   Used to track FMLA certified absences for one diagnosis. Use this form to record the hours absent for each FMLA absence as the absence occurs.

Word

*PDF

Graduate Hiring: Graduate Assistant (GA, non-teaching) (Rev: 04/03/14) How to Fill a Student Position To appoint or change the status of regular or work-study students, the department completes the appropriate Student ePAF -- to access the ePAF training documents and instruction guides, log-on to myWSU and click on the Help for Faculty/Staff tab.  See Human Resources Help channel, click on Electronic Personnel Action Form (ePAF).

All of the Student Hiring forms have been incorporated into an easy to use Excel spreadsheet. Complete the first page (EntrySheet tab) of the spreadsheet and those fields will auto-populate into the required documents. Print all the documents -- in the print command box, request the Entire workbook -- after printing, complete any missing or additional information. If you have questions regarding the spreadsheet, please contact Dale Catlin at 978-6150.

 
Graduate Hiring: Graduate Teaching Assistant (GTA, teaching)
(Rev: 04/03/14)
  To appoint or change the status of a graduate teaching assistant (GTA), the department completes the appropriate Grad Teaching Assistant ePAF -- to access the ePAF training documents and instruction guides, log-on to myWSU and click on the Help for Faculty/Staff tab.  See Human Resources Help channel, click on Electronic Personnel Action Form (ePAF).

All of the GTA forms have been incorporated into an easy to use Excel spreadsheet. Complete the first page (EntrySheet tab) of the spreadsheet and those fields will auto-populate into the required documents. Print all the documents -- in the print command box, request the Entire workbook -- after printing, complete any missing or additional information. If you have questions regarding the spreadsheet, please contact Dale Catlin at 978-6150.

 
Grievance, Classified   This form to be completed by classified employee who wishes to file a grievance. (Click here for the complete Classified Grievance Procedure handbook.) PDF
Grievance, Unclassified Professional   This document to be completed by the Unclassified Professional who wishes to submit a grievance. The form can be completed on your computer and printed off, signed and submitted to the Director of Human Resources or the Executive Director of EEO. See Section 6.13 of the WSU Policies & Procedures Manual in regard to grievance procedures.

Note: The Word document will "grow" to accommodate the information as you fill in the yellow shaded portion on your computer. You may check the "highlight text" box at the top right of the Adobe document to clearly see which areas are to be completed; but the fields will not "grow" with your text -- attach additional pages as needed.

Word

*PDF

I-9/Employment Eligibility Verification

Included

All U.S. employers are responsible for completion and retention of Form I-9 for each individual they hire for employment. This includes citizens and noncitizens.
>>See more I-9 Points to Note for help with the new form.

*PDF

International Student Employment Verification Letter

Included

Form letter will need to be completed by the hiring department for the nonimmigrant student to present to the Social Security Administration to receive a social security card to work on campus.

Word

*PDF

Investment Agreement -- Voluntary Pre-Tax   This form is required  in order for salary deferral contributions to be made to the Kansas Board of Regents Voluntary Retirement Plan under Internal Revenue Code Section 403(b) and K.S.A. 74-4925b. *PDF
Investment Agreement -- Voluntary Roth After-Tax Roth Option Announced Jan. 2011 This form is required n order for salary deferral contributions to be made to the Kansas Board of Regents Voluntary Retirement Plan under Internal Revenue Code (IRC) Section 403(b) and K.S.A. 74-4925b. *PDF
K-4

Included

Employees hired after 1/1/08 must use the new Form K-4 for State withholding tax purposes.  Employees hired prior to 1/1/08 who wish to adjust state withholding will be required to complete the K-4 form.  These options may now differ from the Federal withholding elections made on Form W-4.

*PDF

KBOR Immediate Participation Form   This form allows eligible unclassified and faculty employees to waive their 1-year waiting period and begin contributing to the KBOR Mandatory Retirement Plan immediately.  Employees must submit this to their past employer(s) and have the form returned to Human Resources with 90 days of their hire date in order to be valid. PDF
KBOR Mandatory Investment Agreement   This form allows eligible employees to elect their KBOR Mandatory Retirement Plan investment company.  This form is to be submitted after an employee has established their account with either ING (http://www6.ingretirementplans.com
/SponsorExtranet/KansasBOR/
) or TIAA-CREF (http://www1.tiaa-cref.org/tcm/kbor/).  If this form is not received prior to the employee's 1-year anniversary date, their investment provider will default to TIAA-CREF.  In some cases, an employee may waive their 1-year waiting period.  >>See KBOR Immediate Participation Form.  Questions regarding rollovers will need to be discussed with the investment companies directly.
 
Kansas Mentors Program

About the Program

Employees may use up to 90 minutes of work time per pay period to work with an approved mentoring program. This time must fall within the employee's regular work schedule and shall not be used during or result in overtime for non-exempt employees.

Word

*PDF

Leave Advancement   Leave Advancement is leave provided to an employee pursuant to Executive Order 09-08 (see Bulletin No. 09-05) and must be requested and approved in accordance with appropriate agency policies and procedures. A committee, chaired by the Director of Human Resources, may choose not to provide this leave to an employee if it is believed an employee has abused their leave privileges. 

Word

*PDF

Leave and Overtime Request Form   Optional department timekeeping form

Word

*PDF

Lecturer Hiring
(Rev: 04/03/14)
 

To appoint or change the status of a lecturer, the department completes the appropriate Lecturer ePAF -- to access the ePAF training documents and instruction guides, log-on to myWSU and click on the Help for Faculty/Staff tab.  See Human Resources Help channel, click on Electronic Personnel Action Form (ePAF).

All of the Lecturer forms have been incorporated into an easy to use Excel spreadsheet. Complete the first page (EntrySheet tab) of the spreadsheet and those fields will auto-populate into the required documents. Print all the documents -- in the print command box, request the Entire workbook -- after printing, complete any missing or additional information. If you have questions regarding the spreadsheet, please contact Dale Catlin at 978-6150.

 
List Order Form

Process

To order a list for on-campus mailings of current employees or retirees at their home address, you can refer to the Request for Mailing Lists. Electronic media is the property of Wichita State University and should be used for the primary purpose of benefiting, enhancing and furthering the mission of the University.

Word

*PDF

New Hire Report, State of Kansas   Required by the State of Kansas to report newly hired, rehired and returning employees.
# All new employees must fill out section 1 and answer the questions.
# Department fills out section 2.

Word

*PDF

Non-Reappointment Notice  

Sample letters that can be modified to fit the needs of a department sending out a notice of non-reappointment to unclassified professional staff.  Contact Frankie.Brown@wichita.edu, ext. 3540 or Matthew.Johnston@wichita.edu, ext. 6123 if you need assistance.

 
Oath/Tax Form   (A Notary Public is available in Human Resources)
This form includes the Federal Withholding Form W-4 and the State of Kansas Employee's Oath.
# Be sure the employee fills out this form completely, signs and dates.
# The signature on the oath portion of the form must be signed in front of a Notary Public.
# For questions about allowances, call Payroll at 3074 or Human Resources at 3065.
# The K-4 is also required with the W-4.

Word

*PDF

Payroll Check - Distribution Schedule   Current calendar of payroll distribution dates. PDF
Payroll Deposit Form   Complete this form and submit with voided check or deposit slip for employee's salary to be deposited directly to their bank. If addional banks are needed to split your payroll deposit, complete the Supplemental Direct Deposit Authorization Form (or pdf).

Word

*PDF

Payroll Schedule   Schedule of pay periods, pay dates and due dates for paperwork: 

Word
*PDF

PeopleAdmin Training Calendar Training is required for departments to obtain security to fill vacancies. Training sign-up is available through the myWSU Help for Faculty/Staff tab using the Training/Workshop Registration, Schedule link.  
Performance Management Process Outline Contact Frankie.Brown@wichita.edu for training.  Contact Joan.Antes@wichita.edu for log-in/password assistance or improper dates on evaluations. The PMP system allows for a range of October 1 to December 22 for the completion of evaluations.  
Position Description, Classified    The Classified Position Description (revised: 10/09/2012) has been formatted to follow the fields in PeopleAdmin. The form is in a Word table format that will "grow" to fit the information you type in. Assistance and direction for writing position descriptions will be provided by Human Resources. Contact Libby.Gilbert@wichita.edu or call (316) 978-6124.

Word

Position Description, Unclassified   The Unclassified Position Description (revised: 10/09/2012) has been formatted to follow the fields in PeopleAdmin.  The form is in a Word table format that will "grow" to fit the information you type in.  Assistance and direction for writing position descriptions will be provided by Human Resources.  Contact Lana.Anthis@wichita.edu or call (316) 978-6166 or Libby.Gilbert@wichita.edu or call (316) 978-6124. Word
Positive Time Reporting (in-out)   An optional timekeeping form.

Word

*PDF

Reclass Request

Instructions included on 1st page

 Contact Libby Gilbert prior to completing a request to reclassify a position.

Word

*PDF

Reclassification: Employee Worksheet   A 2-page form that an employee may use to outline the duties & responsibilities of their position when seeking a reclassification.

Word

*PDF

Reclassification: Supervisory Analysis of Position   A 2-page form that the supervisor can use to analyze a position that might be considered for reclassification.

Word

*PDF

Reference Check   A form for the search committee to use for prior employment reference checks on applicants who have interviewed for a position.

Word

*PDF

Request to Fill, OHR 100

OHR 100

Begins the search process to fill any non-benefits eligible classified, unclassified or faculty position.  Benefits eligible searches are done through PeopleAdmin.

Word

*PDF

Request to Fill - Research, OHR 120

OHR 120

Project Director is to prepare a rough draft for non-benefits eligible positions and send to Office of Research Administration, Campus Box #7 for completion of the form. Benefits eligible research searches are done through PeopleAdmin.

Word

*PDF

Resignation Form Letter   Employee should give supervisor written notice of resignation.

Word

*PDF

Return to Work Authorization   Last page of FMLA Certificate of Health Care Provider

Word

*PDF

Rhatigan Student Center HR Forms    
Salary Reduction Authorization   For salary deferral contributions to be made to the Kansas Board of Regents Voluntary Retirement Plan. *PDF
Salary Spread, Cancellation   If you are currently on annualized salary spread, it remains in force from year to year unless you elect to discontinue it.  For academic year 2014-2015, salary spread payments begin with the pay period that starts on August 3, 2014 (pay date of 8/29/14).  To discontinue, you must notify the Office of Human Resources in writing prior to the next fiscal year which begins July 1, 2014.  >>Complete the cancellation form and return to Human Resources  
Search Process Report, Classified: Step 1 of the AAO - 1 form  

Connect to PeopleAdmin to begin the search process. 

Step 1 consists of:

  1. Position description
  2. Search plan
  3. Search committee/search chair
  4. Advertising copy 
  5. Evaluation/Interview Selection.
  6. Evaluation Grid
  7. Search Plan Exceptions
Excel
Search Process Report, Classified: Step 2 of the AAO - 1 form  

Step 2 (optional) consists of three parts:

  1. Evaluation/Phone Screen
  2. Evaluation Grid
  3. Search Plan Exceptions
Excel
Search Process Report, Classified: Step 3 of the AAO - 1 form  

Step 3 consists of three parts:

  1. Evaluation/Hire Selection
  2. Evaluation Grid
  3. Search Plan Exceptions
Excel
Search Process Report, Unclassified/Faculty: Step 1 & 2 of the AAO - 1 form Hiring Process: Unclassified

Connect to PeopleAdmin to begin the search process.  Step 1 consists of the position description, search plan, committee members, search chair, advertising copy and what was known as the Request to Fill (OHR100).

Step 2 consists of three parts:

  1. Evaluation/Interview Selection.
  2. Evaluation Grid
  3. Search Plan Exceptions

Step 2 should be printed from Banner Reporting Services and is located in the HR Hiring Reports folder.  It will have all of your applicants printed on the forms.

Excel
Search Process Report, Unclassified/Faculty: Step 3 of the AAO - 1 form  

Step 3 consists of two parts:

  1. Selection Matrix
  2. Search Plan Explanation and/or justification
Step 3 should be printed from Banner Reporting Services and is located in the HR Hiring Reports folder.  HR will need 24 hours notice before the report can be printed with the final candidate's names preprinted.

Excel

Search Process Report: Evaluation Criteria -- Planning Copy   Utilize this worksheet to list the minimum and preferred criteria used to evaluate candidates.  This worksheet should be used when developing the position description in PeopleAdmin to insure the required and preferred skills are represented in the job posting. Word
Search Waiver   This form is found on the Academic Affairs Search Information web page.  
Selection Matrix for Classified Interview

Checksheet for filling Classified Position

Search chair to complete this grid to submit to HR.

Excel

Shared Leave, Confidentiality Waiver   Authorization for WSU to obtain necessary information in regard to your request for shared leave.

Word

*PDF

Shared Leave, Donation of Time   Form for WSU employee to voluntarily donate leave to another employee on shared leave.

Word

*PDF

Shared Leave, Request for Time

Guidelines

Form for WSU employee to apply for shared leave.

Word

*PDF

Social Security (for jobs not covered)

SSA-1945

All student employees hired after 1/1/2005 must complete this form.

Word

*PDF

Spoken English Screening Form (Faculty Only)  

This form is used exclusively for faculty only and is an assessment tool required by the Kansas Board of Regents.  This form is found on the Academic Affairs Faculty Forms page.

 
Spoken English Screening Form (Graduate Students and Lecturers Only)   This form is used exclusively for graduate students and lecturers only and is an assessment tool required by the Kansas Board of Regents.  This form is found on the Academic Affairs Faculty Forms page.  
State of KS Employees Oath   Must be signed by new employees before entering the duties for employment and before funds for services may be disbursed.

Word

*PDF

Student Hiring: Regular, Graduate (GA, non-teaching) or Work-Study
(Rev: 04/03/14)
How to Fill a Student Position

To appoint or change the status of regular or work-study students, the department completes the appropriate Student ePAF -- to access the ePAF training documents and instruction guides, log-on to myWSU and click on the Help for Faculty/Staff tab.  See Human Resources Help channel, click on Electronic Personnel Action Form (ePAF).

All of the Student Hiring forms have been incorporated into an easy to use Excel spreadsheet. Complete the first page (EntrySheet tab) of the spreadsheet and those fields will auto-populate into the required documents. Print all the documents -- in the print command box, request the Entire workbook -- after printing, complete any missing or additional information. If you have questions regarding the spreadsheet, please contact Dale Catlin at 978-6150.

 
Student Consent for Inspection   All student employees required to sign this form to authorize WSU to inspect and/or release form I-9 information to Immigration & Naturalization Service.

Word

*PDF

Student Employment Application   Departments may use this application format.

Word

*PDF

Student Exception Request   Request for exception of minimum credit hours requirement for students to work on campus.

Word

*PDF

Student Time Reporting   Positive in and out time reporting for student employees. Word
Substance Abuse Policy (see WSU's policy)   The following form is required by state law; the department signs as Agency Representative.

Word

*PDF

Tax Clearance Information Form   Form to acknowledge that candidate or employee has been informed of the Tax Clearance Program for the State of Kansas and that they're aware of the requirements for payment, if applicable.

 PDF

Tax Compliance, Glacier Nonresident Alien Withholding

Instructions

Enrollment for a web based tax compliance system for foreign nationals employed by the University.

Word

*PDF

Tax Withholding, State K-4

Included

Complete this form to change number of dependents for State income tax withholding from employee's salary.

*PDF

Tax Withholding, Federal W-4

Included 

Complete this form to change number of dependents for income tax withholding from employee's salary.

*PDF

Temporary Agency Help -- Administrative

 Pay Chart

Requisition form to request temporary agency administrative & office support staff.

Word

*PDF

Temporary Agency Help -- Information Technology

Pay Chart

Requisition form to request temporary agency information technology staff.

Word

*PDF

Temporary Agency Help -- Trades & Light Industrial

 Pay Chart

Requisition form to request temporary agency trades & light industrial staff.

Word

*PDF

Tuition Assistance, Dependent/Spouse Application WSU Policy 3.43

The Tuition Assistance Program for Spouses and Dependent Children (Effective Date: December 1, 2011) is available to the spouse and/or dependents of all full-time employees at Wichita State University.

>>See additional information and links to the required applications.

 
Tuition Assistance, Employee Application

Guidelines

The University has authority under state law to pay tuition and other education expenses for the education or training of eligible University employees when such education or training has been determined to be of value to the state and the University.

Word

*PDF

Unclassified   Checklist for filling an unclassified position.  
Unclassified Position Description   The Unclassified Position Description (revised: 10/09/2012) has been formatted to follow the fields in PeopleAdmin. The form is in a Word table format that will "grow" to fit the information you type in. Assistance and direction for writing position descriptions will be provided by Human Resources. Contact Lana.Anthis@wichita.edu or call (316) 978-6166 or Libby.Gilbert@wichita.edu or call (316) 978-6124. Word
Unclassified Professional Employee Development   Supervisors of Unclassified Professional employees can utilize this form to set goals. This should be done for any area when the Unclassified Professional employees does not meet expections on an evaluation. It can be used anytime for professional development. Contact Human Resources Lana.Anthis@wichita.edu or call (316) 978-6166; Matthew.Johnston@wichita.edu or call (316) 978-6123; or Frankie.Brown@wichita.edu or call (316) 978-3540 for assistance. Word
Unclassified Professional Evaluation  

Unclassified professionals are to be evaluated at least annually and evaluation forms submitted through the appropriate channels to the appropriate vice president by May 1. Use the Employee Development form to set goals. 

>>See job performance evaluation supplement page if there are more than 6 duties to evaluate.

Contact Human Resources Lana.Anthis@wichita.edu or call (316) 978-6166; Matthew.Johnston@wichita.edu or call (316) 978-6123; or Frankie.Brown@wichita.edu or call (316) 978-3540 for assistance.  If the evaluation is for a UP in Academic Affairs, please go to the Academic Affairs website for the proper form.

Word
Unclassified Professional Request for Grievance  

This document to be completed by the Unclassified Professional who wishes to submit a grievance.  The form can be completed on your computer and printed off, signed and submitted to the Director of Human Resources or the Executive Director of EEO  See Section 6.13 of the WSU Policies & Procedures Manual in regard to grievance procedures.

Note: The Word document will "grow" to accommodate the information as you fill in the yellow shaded portion on your computer.  You may check the "highlight text" box  at the top right of the Adobe document to clearly see which areas are to be completed; but the fields will not "grow" with your text -- attach additional pages as needed.

Word

*PDF

W-2  

Please see the Desk Aid memo for Employees if you need to request that your W-2 form be re-issued.

New for tax year 2013, electronic W-2 is available.  >>See more to consent to electronic W-2 form.

 
W-5, Advance Earned Income Credit

Included

Use Form W-5 if you are eligible to get part of the earned income credit (EIC) in advance with your pay and choose to do so. See the form for "Who Is Eligible To Get Advance EIC Payments?"

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Withholding Tax, State K-4

Included

Complete this form to change number of dependents for State income tax withholding from employee's salary.

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Withholding Tax, Federal W-4   Complete this form to change number of dependents for income tax withholding from employee's salary.

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Workers Compensation Employee Accident or Illness Report   Complete this form within 3 days of any work-related accident or illness.

Word

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Workers Compensation Mileage   Complete this form to report trips in excess of 5 miles in connection with your Workers Comp claim.

Word

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