BENEFITS
General Information
Unclassified (Admin) Benefits
Classified Staff Benefits
Faculty Benefits
Adoption Assistance Plan
Faculty and Staff Assistance Program (FSAP)
Family and Medical Leave
Flexible Spending Account
Long Term Care Insurance
Parental Leave
Tuition Remission
HIPAA Privacy Notice
COBRA (Benefits After Separation)
Dependent Verification Program
Health Care
Anthem Blue Cross Blue Shield
Express Scripts
Delta Dental Plan
Vision Service Plan
HIPPA Privacy Notice
Retirement
Selecting an OPERS Plan
Ohio Public Employees Retirement System (OPERS)
State Teachers Retirement System (STRS)
Alternative Retirement Plan (ARP)
Supplemental Retirement
Retirement Manager
Tax Deferred Annuities
FORMS:
Alternative Retirement Plan (ARP) Election Form
Alternative Retirement Plan (ARP) Vendor Change Form
COMPENSATION Unclassified and Classified Staff
Salary Administration Procedures
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
Tuition Remission Dependent Authorization Form
Vacation/Sick Leave Summary
Performance
Appraisal Cover Sheet
Probationary Appraisal Form
NEW Performance Appraisal Forms: for evaluating performance for 2012 and beyond, ONLY!
Non-Supervisory/Leadership Staff Edition - PDF version
Non-Supervisory/Leadership Staff Edition - Word version
Supervisory/Leadership Staff Edition - PDF version
Supervisory/Leadership Staff Edition - Word version
For more information concerning the new appraisal forms, click here.
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
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