University Health Associates
Morgantown, WV
Transfer/Promotion Form (Word Version)
Family & Medical Leave Request
Personal Information Update Form (Word Version)
Report Work Related Incident or Injury
Workers' Compensation Claim (WC123) Form
Claim Form for Flexible Spending Account
403(b) Roth Enrollment/Change Form
Direct Deposit Form (PDF Version)
Paid Time Off Cash Out Form (PDF Version)
Federal Income Tax Withholding (W4) Form
West Virginia Income Tax Withholding Form (PDF Version)
Pennsylvania Income Tax Withholding Form (PDF Version)
Maryland Income Tax Withholding Form (PDF Version)