University Health Associates

                                                                                                                                   Morgantown, WV


Employee Forms

   Employment Forms

   Human Resources Forms

    Benefit Forms

    Payroll Forms


Employment Forms                          

Application (Word Version)                                                                           

Application (PDF Version)

Update Form (Word Version)                                                                        

Update Form (PDF Version)                                                                          

Transfer/Promotion Form (Word Version)                                                      

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Human Resources Forms                

Family & Medical Leave Request                                                                  

Personal Information Update Form (Word Version)

Report Work Related Incident or Injury                                                                  

Workers' Compensation Claim (WC123) Form                       

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Benefit Forms                                                                                                                       

Claim Form for Flexible Spending Account            

403(b) Enrollment/Change Form

403(b) Roth Enrollment/Change Form

403(b) Discontinuation Form

Educational Assistance Form

Prescription Claim Form

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Payroll Forms

Direct Deposit 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)

Employee Timesheet

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