Report all emergencies to the University Police at 317-940-9999 Accident/Injury Form (PDF) Injury on Job Procedure (PDF) U.S.HeatlhWorks locations and hours (PDF)
Report Non-employee injuries (including students, visitors, alumni, or contracted employees)to University Police Department 317-940-9396
Staff applying for FMLA should speak with their supervisor and contact CareWorks USA 1-888-436-9530 to obtain an applicaiton for FMLA and a Medical Certification form.
Faculty Request for FMLA form (PDF) Faculty Medical Certification of Health Care Provider (PDF) Faculty Fitness for Duty (PDF)
Position Description Questionnaire (DOC)
Request for Affiliate ID Form (PDF) Code of Responsibility Form (PDF)
Address/Name Change (PDF) Direct Deposit (PDF) Part-time Faculty Form (DOC) with field drop down menus Pay Schedule (PDF) Faculty / Staff Status Form (DOC) with field drop down menus
New Employee Information (PDF) I-9 Employment Eligibility Form(I-9) (PDF) (Rev. 03/08/13 most recent version) Federal Tax Form(W-4) (PDF) State Tax Form(WH-4) (PDF) Direct Deposit form (PDF)
Code Code of Responsibility (PDF)
Performance Evaluation Summary (DOC) Performance Evaluation Summary - Sample (DOC) Performance Management Guide (DOC) Self Evaluation (DOC)
Position Request Form page 1 of 2 (DOC) Position Justification Form page 2 of 2 (DOC)
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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