{"id":15,"date":"2013-09-13T17:40:18","date_gmt":"2013-09-13T17:40:18","guid":{"rendered":"http:\/\/stagewp.westernu.edu\/hr?page_id=15"},"modified":"2026-03-30T22:46:47","modified_gmt":"2026-03-30T22:46:47","slug":"forms","status":"publish","type":"page","link":"https:\/\/stagewp.westernu.edu\/hr\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<section class=\"hero-secondary\">\n  <div class=\"relative bg-black\">\n                <img decoding=\"async\" class=\"adhere object-cover\" src=\"\/media\/hr\/iverson-bell-summit-1.jpg\" srcset=\"\" sizes=\"100vw\" alt=\"people, table\">\n      <div class=\"adhere gradient-overlay\"><\/div>\n        <div class=\"relative container pt-56 md:pt-112 pb-144 md:pb-192\">\n      <div class=\"md:flex md:justify-between px-12\">\n        <div class=\"sm:w-8\/12 md:w-6\/12 xl:w-5\/12 px-12\">\n                      <div class=\"mb-20\">\n              <div class=\"block font-sans font-bold text-14 text-white leading-130\">\n  <span class=\"inline-block\">\n    <a href=\"\/\" class=\"block hover:underline\">WesternU<\/a>\n  <\/span>\n      <span class=\"inline-block mx-6\">\/<\/span>\n          <a href=\"https:\/\/stagewp.westernu.edu\/hr\" class=\"inline-block hover:underline\">Office of Human Resources<\/a>\n          <span class=\"inline-block mx-6\">\/<\/span>\n    <span class=\"inline-block\">Forms<\/span>\n  <\/div>            <\/div>\n                                        <h1 class=\"t-h1-sans  text-white\">Forms<\/h1>\n        <\/div>\n              <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n\n<section class=\"relative my-48 md:my-72\">\n  <div class=\"container\">\n    <div class=\"lg:flex px-12 lg:justify-center\">\n      \n      \n                  \n                  \n      <div class=\"w-full px-24 wysiwyg-content xl:w-10\/12 2xl:w-9\/12\">\n        <p>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 \u201cSave As\u201d under Word\u2019s file menu to save the completed form as a Word document file.<\/p>\n<h3>Quick Links<\/h3>\n<ul>\n<li><a href=\"\/media\/hr\/pdfs\/complaint-form-universal.pdf\" target=\"_blank\" rel=\"noopener\">Discrimination, Harassment &amp; Retaliation Complaint Form<\/a> (PDF)<\/li>\n<li><a href=\"\/media\/hr\/pdfs\/employee-relations-complaint-form-6-2023.pdf\" target=\"_blank\" rel=\"noopener\">Employee Relations Complaint Form<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<\/ul>\n<h3>All Forms<\/h3>\n<ul>\n<li><a href=\"https:\/\/webapp.westernu.edu\/incident_report\" target=\"_blank\" rel=\"noopener\">Incident Report<\/a><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/wh-380-certification-of-health-care-provider-for-employee-serious-health-condition.pdf\" target=\"_blank\" rel=\"noopener\">Certification of Health Care Provider for Employee\u2019s Serious Health Condition \u2013 FMLA <\/a><span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/wh-380-certification-of-health-care_provider-family-member.pdf\" target=\"_blank\" rel=\"noopener\">Certification of Health Care Provider for Family Member\u2019s Serious Health Condition \u2013 FMLA <\/a><span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/westernu_conflict-of-interest-and-commitment-disclosure-form.pdf\" target=\"_blank\" rel=\"noopener\">Conflict of Interest and Commitment Disclosure Form <\/a> (<span class=\"annotation\">PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/complaint-form-universal.pdf\" target=\"_blank\" rel=\"noopener\">Discrimination, Harassment &amp; Retaliation Complaint Form<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/affidavit-for-enrollment-of-domestic-partners-insurance-form_fillable.pdf\" target=\"_blank\" rel=\"noopener\">Domestic Partners Affidavit for Group Insurance<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/affidavit-for-tuition-remission-for-domestic-partners_fillable.pdf\" target=\"_blank\" rel=\"noopener\">Domestic Partners Affidavit for Tuition Remission<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/educational-assistance-application.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Educational Assistance Application<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/educational-assistance-application-cgu.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Educational Assistance Application CGU<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/employee-info-release-form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Employee Information Release Form<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/employee-relations-complaint-form-6-2023.pdf\" target=\"_blank\" rel=\"noopener\">Employee Relations Complaint Form<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/health-club-reimbursement-form.pdf\" target=\"_blank\" rel=\"noopener\">Health Club Membership Reimbursement Form<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/supervisor-orientation-checklist_fillable.pdf\" target=\"_blank\" rel=\"noopener\">Hiring Supervisor\u2019s Orientation Checklist<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/interviewer-guide-report_fillable-edit-1.pdf\" target=\"_blank\" rel=\"noopener\">Interviewer\u2019s Guide and Report<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/jprod.westernu.edu\/comments\/form.jsp\" target=\"_blank\" rel=\"noopener noreferrer\">Kudos and Suggestions<\/a> <span class=\"annotation\">(web form)<\/span><\/li>\n<li><a href=\"https:\/\/support.westernu.edu\/TDClient\/Requests\/ServiceDet?ID=34463\" target=\"_blank\" rel=\"noopener noreferrer\">New Hire Checklist<\/a> <span class=\"annotation\">(html form)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/people-admin-authorization-form-2014-revised.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PeopleAdmin User Authorization<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/employee-perf-eval-process-guide-2025.pdf\">Performance Evaluation \u2013 PeopleAdmin Annual Evaluation \u2013 Employee\u2019s Quick Guide <span class=\"annotation\">(PDF)<\/span><\/a><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/supervisors-quick-guide-to-evaluations-on-peopleadmin.pdf\">Performance Evaluation \u2013 PeopleAdmin Annual Evaluation \u2013 Supervisor\u2019s Quick Guide <span class=\"annotation\">(PDF)<\/span><\/a><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/performance-eval-90-day.pdf\" target=\"_blank\" rel=\"noopener\">Performance Evaluation &#8211; 90 Day Introductory Period<\/a><span class=\"annotation\"> (PDF)<\/span><\/li>\n<li><a href=\"\/media\/hr\/pdfs\/request-to-inspect-personnel-file.pdf\" target=\"_blank\" rel=\"noopener\">Request to Inspect Personnel File Form <\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/jprod.westernu.edu\/rideshare\" target=\"_blank\" rel=\"noopener noreferrer\">Rideshare Online Incentive Form<\/a> (online form)<\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/statement-of-termination-of-domestic-partnership_fillable.pdf\" target=\"_blank\" rel=\"noopener\">Statement of Termination of Domestic Partnership<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/westernu-83220a1bb607c8.sharepoint.com\/sites\/policies\/PolicyPortal\/Lists\/Approved%20Documents\/Telecommuting%20Agreement.pdf?CT=1626127764671&amp;CT=1626190958745&amp;OR=Outlook-Body&amp;OR=Outlook-Body&amp;CID=43CD7F15-C5B4-49C4-AA20-37C3114B5223&amp;CID=02F5DB0B-18AC-44E9-ADF2-5647E7CA0B95\" target=\"_blank\" rel=\"noopener\">Telecommuting Agreement<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/westernu\/pdfs\/tuition-remission-application-form-11-2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Tuition Remission Application<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/mediafiles\/hr\/tuition-remission-grandfather-benefit-chart.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Tuition Remission Grandfather Benefit Chart<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/ulv-partnership-education-form.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">University of LaVerne Partnership in Education Form<\/a> <span class=\"annotation\">(PDF)<\/span><\/li>\n<li><span class=\"annotation\"><a href=\"https:\/\/www.westernu.edu\/media\/hr\/pdfs\/weight-watchers-reimbursement-form_fillable.pdf\" target=\"_blank\" rel=\"noopener\">Weight Watcher\u2019s Reimbursement Form<\/a> (PDF)<\/span><\/li>\n<li><a href=\"https:\/\/westernu.sharepoint.com\/:b:\/r\/sites\/WebsiteRedesign\/Shared%20Documents\/webdoc\/hr\/WesternU%20403(B)%20Summary%20Plan%20Description.pdf?csf=1&amp;web=1&amp;e=yT24Yo\" target=\"_blank\" rel=\"noopener\">WesternU 403(B) Summary Plan Description<\/a> (Login Required-PDF)<\/li>\n<li><a href=\"https:\/\/webassets.westernu.edu\/westernu-news\/hr-forms\/Workers-Compensation-California---2017.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Workers Compensation Forms \u2013 California<\/a> (<span class=\"annotation\">PDF)<\/span><\/li>\n<\/ul>\n\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":23,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-15","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/pages\/15","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/comments?post=15"}],"version-history":[{"count":19,"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/pages\/15\/revisions"}],"predecessor-version":[{"id":2569,"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/pages\/15\/revisions\/2569"}],"wp:attachment":[{"href":"https:\/\/stagewp.westernu.edu\/hr\/wp-json\/wp\/v2\/media?parent=15"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}