BENEFITS

General Information

FORMS:
Alternative Retirement Plan (ARP) Election Form
Alternative Retirement Plan (ARP) Vendor Change Form

COMPENSATION

Job Titles & Specifications:
Classified (Non-Bargaining)
Classified (Teamsters)
Unclassified

Work Out of Class Guidelines:
Working Out of Classification
Working Out of Class Form for
  Classified & Unclassified Positions
Working Out of Class Form for
  Bargaining Unit Positions

Salary Schedule:
Classified (FOP)
Classified (Non-Bargaining)
Classified (IT)
Classified (Teamsters)
Unclassified Hourly
Unclassified
Research

Payroll links:
Payroll Department
Controller's Office

EMPLOYMENT SERVICES
Job Opportunities
Office Hours and Location
Payroll Schedule
Employee/Contractor Questionnaire

EMPLOYEE RELATIONS

Handbooks:
Classified Staff
Faculty
Unclassified (Admin) Staff

Collective Bargaining Agreements:
Teamsters
FOP-Police Officer and Police Sergeant
FOP-Communications Operator 1 and 2

HR Guidelines:
Working Out of Classification
Working Out of Classification Form
Working Out of Classification Form for Bargaining Unit Positions

Dispute Resolution Procedure:
Classified
Unclassified (Admin)
Dispute Resolution Form

TRAINING AND DEVELOPMENT

MANAGER'S TOOL KIT

FAQs

FORMS

MISCELLANEOUS FORMS
Address/Name Change Form
Application for Fee Remission Authorization Form
Direct Deposit Form
Leave Request Form
Strategic Hire Request Form - NEW
Tuition Remission Dependent Authorization Form    
Vacation/Sick Leave Summary

PERFORMANCE APPRAISAL FORMS

Self Appraisal Form
Performance Appraisal Form
Guideline for Performance Appraisals

HEALTH AND BENEFITS FORMS

Biometric Health Screen Results from your personal Health Care Provider - Required Forms:
Verification of Biometric Health Screen Completion Form
Biometric Screening Results Form
WSP - Consent to Participate in Biometric Screening and Authorization for Release of Information Form
Wright State Physicians - Notice of Privacy Practices

Domestic Partner Benefits Forms
Domestic Partner Certification Checklist
Domestic Partner Health Enrollment Form 
Affidavit of Domestic Partnership   
Certification of Tax-Qualified Dependents
Termination of Domestic Partnership

Health Enrollment and Claim Forms
19-26 Adult Child Certification Form    *only needed if making changes
26-28 Adult Child Certification Form    *required
26-28 Adult Child Affidavit Form    *required
26-28 Adult Child Health Enrollment Form *required
Anthem Medical (out of network) Claim Form
Dental Claim Form  
Flexible Spending Agreement Form
Flexible Spending Account Claim Form
Family and Medical Leave Application
Health Insurance Enrollment/Change Form Instructions
Health Insurance Enrollment/Change Form
Health Insurance Enrollment/Change Form for Bargaining Unit Tenure Track Faculty only
Health Savings Reduction Form
HSA Employee Contribution Form
Life Insurance Beneficiary Change Form
Medicare Secondary Payer Act Status Form
Orthodontic Claim Form
Prescription Claim Form
Vision (out of network) Claim Form
WellPoint NextRx Prescription Drug Claim Form (HDHP Plan

Retirement Forms
Retirement Plan Election Form
Alternative Retirement Plan (ARP) Vendor Change Form

COMPENSATION FORMS
Classified Job Audit Form
Personnel Action Form
Position Description Form (PDF)
Position Description Form (Word)
Salary Adjustment Request Form
Starting Salary Request Form
Unclassified Position Review Request Form
Unclassified Position Review Decision Form

TAX FORMS
Federal Tax Form
State of Ohio Tax Form

HOLIDAY SCHEDULE

EMPLOYEE ORIENTATION

CONTACT US