Human Resources Management and Development

Forms

Workers Compensation / Work Place Injury Report

Report all emergencies to the University Police at 317-940-9396

Report Non-employee injuries to University Police Department 317-940-9396                                                       

Accident/Injury Form (Faculty, Staff and student employees ONLY) (PDF)                                             

Injury on Job Procedure (PDF)

 

Family & Medical Leave Act

Request for FMLA form (PDF)
Medical Certification of Health Care Provider (PDF)
Fitness for Duty (PDF)

Compensation Study - October 2005

Position Description Questionnaire (DOC)

Affiliate Forms

Request for Affiliate ID Form (PDF)
Code of Responsibility Form  (PDF)

General Employment

Address/Name Change (PDF)
Code of Responsibility (PDF)
Direct Deposit (DOC)
Part-time Faculty Form (PDF)
Pay Schedule (PDF)

New Hire

New Employee Information (PDF)
I-9 Employment Eligibility Form(I-9) (PDF)
Federal Tax Form(W-4) (PDF)
State Tax Form(WH-4) (PDF)

Performance Management Tools

Performance Evaluation Summary (DOC)
Performance Evaluation Summary - Sample (DOC)
Performance Management Guide (DOC)
Self Evaluation (DOC)

Recruiting

Position Requisition (formerly Request for Position) (DOC)
Position Review Request (DOC)

 

NEWS

More news

Human Resources Management & Development

4600 Sunset Avenue
Jordan Hall, Room 144
Indianapolis, IN 46208
(317) 940-9355
(800) 368-6852 ext. 9355
HR Assistant: Sherri A. Heidenreich
sheidenr@butler.edu