Human Resources
Forms
Job Analysis Questionnaire (JAQ) for Staff
JAQ Questionnaire
JAQ Guide
JAQ Process & Timeline
Action Words for JAQ
Completed JAQ Sample 1
Completed JAQ Sample 2
Completed JAQ Sample 3
FAQ
Benefit Forms
Regence PPO Medical Claim Form (pdf)
Regence PPS Mail Order Form (pdf)
Regence Walgreens Mail Order Form (pdf)
Regence Transition of Care Form (pdf)
Affidavit of Marriage/Domestic Partnership (pdf)
Termination of Marriage/Domestic Partnership Form (word doc)
Group Life Beneficiary Form (pdf)
Pioneer Authorization Release Health Information (word doc)
RegenceRx Prior Authorization Release Form (pdf)
TIAA-CREF Beneficiary Form
TIAA-CREF Salary Reduction Form (pdf)
TIAA-CREF Change of Name Form (pdf)
Travel Insurance Beneficiary Form (pdf)
Employment
Job Posting Template (word doc)
Employment Application (pdf)
Staff Departure Form (pdf)
Enrollment Forms
Medical and Dental Enrollment Form (pdf)
Flexible Spending Enrollment Form (pdf)
Life Insurance Enrollment Form (pdf)
Voluntary Benefits Enrollment Form (pdf)
TIAA-CREF Defined Contribution Retirement Plan (Employer Paid) Online Enrollment
TIAA-CREF Tax Deferred Retirement Annuity Plan (Employee Contribution) Online Enrollment
Flexible Spending Account Reimbursement Forms
Medical Expense Flex Claim Form (pdf)
Child Care Expense Claim Form (pdf)
Family Medical Leave
Faculty Request for Leave Form (word doc)
Staff Request for Leave Form (word doc)
Workers' Compensation
Claim Form (pdf)
Accident/Incident Report (word doc)