Forms

These forms are presented as Microsoft WordTM templates so they can be completed electronically. To complete the form, download the template and type the information requested in the appropriate fields. Then use “Save As” under Word’s file menu to save the completed form as a Word document file.

Quick Links

• Discrimination, Harassment & Retaliation Complaint Form (PDF)
• Employee Relations Complaint Form (PDF)

All Forms

• Incident Report
• Certification of Health Care Provider for Employee’s Serious Health Condition – FMLA (PDF)
• Certification of Health Care Provider for Family Member’s Serious Health Condition – FMLA (PDF)
• Conflict of Interest and Commitment Disclosure Form (PDF)
• Discrimination, Harassment & Retaliation Complaint Form (PDF)
• Domestic Partners Affidavit for Group Insurance (PDF)
• Domestic Partners Affidavit for Tuition Remission (PDF)
• Educational Assistance Application (PDF)
• Educational Assistance Application CGU (PDF)
• Employee Information Release Form (PDF)
• Employee Relations Complaint Form (PDF)
• Health Club Membership Reimbursement Form (PDF)
• Hiring Supervisor’s Orientation Checklist (PDF)
• Interviewer’s Guide and Report (PDF)
• Kudos and Suggestions (web form)
• New Hire Checklist (html form)
• PeopleAdmin User Authorization (PDF)
• Performance Evaluation – PeopleAdmin Annual Evaluation – Employee’s Quick Guide (PDF)
• Performance Evaluation – PeopleAdmin Annual Evaluation – Supervisor’s Quick Guide (PDF)
• Performance Evaluation – 90 Day Introductory Period (PDF)
• Request to Inspect Personnel File Form (PDF)
• Rideshare Online Incentive Form (online form)
• Statement of Termination of Domestic Partnership (PDF)
• Telecommuting Agreement (PDF)
• Tuition Remission Application (PDF)
• Tuition Remission Grandfather Benefit Chart (PDF)
• University of LaVerne Partnership in Education Form (PDF)
• Weight Watcher’s Reimbursement Form (PDF)
• WesternU 403(B) Summary Plan Description (Login Required-PDF)
• Workers Compensation Forms – California (PDF)