{"id":536,"date":"2022-01-28T15:37:36","date_gmt":"2022-01-28T20:37:36","guid":{"rendered":"https:\/\/www.butler.edu\/human-resources\/?page_id=536"},"modified":"2025-12-18T10:43:40","modified_gmt":"2025-12-18T15:43:40","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.butler.edu\/human-resources\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<section class=\"wysiwyg wysiwyg-primary-block alignfull\" >\n\t<div class=\"container grid-default wysiwyg__container\">\n\t\t\t\t\t\t<nav class=\"sidebar-menu \" aria-label=\"Site Menu\" id=\"page-nav\">\n\t\t<div class=\"sidebar-menu__wrapper\">\n\t\t\t<header class=\"sidebar-menu__header\">\n\t\t\t\t<span class=\"sidebar-menu__headerLabel\">Human Resources Menu<\/span>\n\n\t\t\t\t\t\t\t\t<button class=\"sidebar-menu__mobileToggle\" title=\"Toggle Menu\" :aria-expanded=\"mobileOpen\"><\/button>\n\t\t\t\t\t\t\t<\/header>\n\n\t\t\t<ul class=\"sidebar-menu__list\" v-show=\"mobileOpen\">\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/my.butler.edu\/hr\/compensation\/\" class=\"sidebar-menu__listLink\" target=\"_blank\">Compensation<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.butler.edu\/human-resources\/benefits\/\" class=\"sidebar-menu__listLink\" >Employee Benefits<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"\/human-resources\/team\" class=\"sidebar-menu__listLink\" >Human Resources Team<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.butler.edu\/human-resources\/learning-development\/\" class=\"sidebar-menu__listLink\" >Learning &#038; Development<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.butler.edu\/human-resources\/new-hires\/\" class=\"sidebar-menu__listLink\" >New Hire Information<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.butler.edu\/human-resources\/student-employment\/\" class=\"sidebar-menu__listLink\" >Student Employment<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/my.butler.edu\/hr\/hr-home\/performance-management\" class=\"sidebar-menu__listLink\" target=\"_blank\">Performance Review<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t<li class=\"sidebar-menu__listItem initial-item\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.butler.edu\/human-resources\/work-at-butler\/\" class=\"sidebar-menu__listLink\" >Work at Butler<\/a>\n\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t<\/div>\n\t\t\t<\/nav>\n\t\t\t\t<div class=\"wysiwyg__wrapper wysiwyg__wrapper--hasSidebar\">\n\t\t\t<!-- content from editor -->\n\t\t\t<div class=\"wysiwyg__content wysiwyg__contentContainer\">\n\t\t\t\t<div class=\"acf-innerblocks-container\">\n\n<h1 class=\"wp-block-heading\" id=\"h-forms\">Forms<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-position-request-form\">Position Request Form<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/butler.kualihub.com\/app\/6735f9207029de014e66bb70\/run\">Position Request Form (Kuali)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-additional-pay-form\">Additional Pay Form<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/butler.kualihub.com\/app\/6723b3576e08dc014e2266ad\/run\">Additional Pay Form (Kuali)<\/a> \n<ul class=\"wp-block-list\">\n<li>For stipends, one-time pays, etc.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-termination-form\">Termination Form<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/butler.kualihub.com\/app\/672cdd809d6a83014b604e80\/run\">Termination Form (Kuali)<\/a>\n<ul class=\"wp-block-list\">\n<li>For all terminations and ending additional assignments (Faculty, Staff, Student, Nonworker\/Affiliate)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-nonworker-affiliate-form\">Nonworker\/Affiliate Form<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/powerforms.docusign.net\/ba000b20-be67-4e1a-bd79-a075c9927e24?env=na4&amp;acct=e674b763-691d-45a7-93bc-082039cb5ff7&amp;accountId=e674b763-691d-45a7-93bc-082039cb5ff7\" target=\"_blank\" rel=\"noreferrer noopener\">Nonworker\/Affiliate Form (DocuSign)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-independent-contractor-questionnaire\">Independent Contractor Questionnaire<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/butler.kualihub.com\/app\/67fcfd6dc06d4a02811577a4\/run\" target=\"_blank\" rel=\"noreferrer noopener\">Independent Contractor (IC) Evaluation Questionnaire (Kuali)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-general-employment\">General Employment<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/butler.kualihub.com\/build\/space\/favorites\/my\/drafts\/687f7b719fcd7e2201159fb4\/view\" target=\"_blank\" rel=\"noreferrer noopener\">Name Change Form (Kuali)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cdn.butler.edu\/www\/sites\/14\/2025\/01\/08103451\/PTFAF-Revised-January-2025-3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Part-Time Faculty Appointment Form (PDF)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cdn.butler.edu\/www\/sites\/14\/2025\/07\/24113827\/Pay-Schedule-Election-Form-Current-Faculty.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Pay Schedule Election Form &#8211; Current Employee (PDF)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tuition-remission\">Tuition Remission<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a aria-label=\"To make this website accessible to screen reader, Press combination of alt and 1 keys. To stop getting this message, press the combination of alt and 2 keys\" title=\"Tuition Remission Authorization Form\" href=\"https:\/\/docs.google.com\/forms\/d\/1L1gCDKTaf6gd53aCJ6WBtRvYC8I4IsvbLG6rr8_iY2o\/edit?usp=sharing\" target=\"_blank\" rel=\"noopener\">Tuition Remission Authorization Form<\/a>\n<ul class=\"wp-block-list\">\n<li>You will need to be logged into Google with your Butler credentials.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-exiting-resources\">Exiting Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a aria-label=\"To make this website accessible to screen reader, Press combination of alt and 1 keys. To stop getting this message, press the combination of alt and 2 keys\" href=\"https:\/\/cdn.butler.edu\/www\/sites\/14\/2022\/01\/08103543\/9_-_portability_with_link_to_website_updated04212020_tkc.pdf\" rel=\"noopener\" target=\"_blank\" title=\"One America Life Insurance Coverage Portability and Conversion\">One America Life Insurance Coverage Portability and Conversion (PDF)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ada-process-and-forms\">ADA Process and Forms<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.butler.edu\/human-resources\/2025\/03\/17\/americans-with-disabilities-act-ada\/\">Americans with Disabilities Act (ADA)<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-other-resources\">Other Resources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.butler.edu\/human-resources\/benefits\/on-the-job-injury-procedure\/\" target=\"_blank\" rel=\"noreferrer noopener\">On-the-Job Injury Procedures<\/a><\/li>\n\n\n\n<li><a aria-label=\"To make this website accessible to screen reader, Press combination of alt and 1 keys. To stop getting this message, press the combination of alt and 2 keys\" href=\"https:\/\/cdn.butler.edu\/www\/sites\/14\/2022\/01\/08103525\/2018_september_certification_sheet-computer_loan_policy-1.pdf\" rel=\"noopener\" target=\"_blank\">Personal Computer Loan Program Certification Sheet (PDF)<\/a><\/li>\n\n\n\n<li><a aria-label=\"To make this website accessible to screen reader, Press combination of alt and 1 keys. To stop getting this message, press the combination of alt and 2 keys\" href=\"https:\/\/cdn.butler.edu\/www\/sites\/14\/2022\/01\/08103524\/flexible_work_time_request_form.pdf\" target=\"_blank\" rel=\"noopener\">Flexible Work Schedule and Remote Work Request Form<\/a><\/li>\n<\/ul>\n\n<\/div>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":10,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-536","page","type-page","status-publish","hentry"],"revision_note":"","acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.2 (Yoast SEO v26.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Forms | Butler University<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.butler.edu\/human-resources\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.butler.edu\/human-resources\/forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Human Resources\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/butleruniversity\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-18T15:43:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdn.butler.edu\/www\/sites\/14\/2022\/02\/08103513\/butler-social.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@butleru\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.butler.edu\/human-resources\/forms\/\",\"url\":\"https:\/\/www.butler.edu\/human-resources\/forms\/\",\"name\":\"Forms | Butler University\",\"isPartOf\":{\"@id\":\"https:\/\/www.butler.edu\/human-resources\/#website\"},\"datePublished\":\"2022-01-28T20:37:36+00:00\",\"dateModified\":\"2025-12-18T15:43:40+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.butler.edu\/human-resources\/forms\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.butler.edu\/human-resources\/forms\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.butler.edu\/human-resources\/forms\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.butler.edu\/human-resources\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Forms\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.butler.edu\/human-resources\/#website\",\"url\":\"https:\/\/www.butler.edu\/human-resources\/\",\"name\":\"Human Resources\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.butler.edu\/human-resources\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.butler.edu\/human-resources\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.butler.edu\/human-resources\/#organization\",\"name\":\"Butler University\",\"url\":\"https:\/\/www.butler.edu\/human-resources\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.butler.edu\/human-resources\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.butler.edu\/human-resources\/wp-content\/uploads\/sites\/14\/2022\/01\/cropped-fav-1.jpg\",\"contentUrl\":\"https:\/\/www.butler.edu\/human-resources\/wp-content\/uploads\/sites\/14\/2022\/01\/cropped-fav-1.jpg\",\"width\":512,\"height\":512,\"caption\":\"Butler University\"},\"image\":{\"@id\":\"https:\/\/www.butler.edu\/human-resources\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/butleruniversity\",\"https:\/\/x.com\/butleru\",\"http:\/\/instagram.com\/butleru\",\"https:\/\/www.linkedin.com\/school\/14798\/\",\"https:\/\/www.youtube.com\/user\/butleruniversity\",\"https:\/\/en.wikipedia.org\/wiki\/Butler_University\"]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Forms | Butler University","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.butler.edu\/human-resources\/forms\/","og_locale":"en_US","og_type":"article","og_title":"Forms","og_url":"https:\/\/www.butler.edu\/human-resources\/forms\/","og_site_name":"Human Resources","article_publisher":"https:\/\/www.facebook.com\/butleruniversity","article_modified_time":"2025-12-18T15:43:40+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/cdn.butler.edu\/www\/sites\/14\/2022\/02\/08103513\/butler-social.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_site":"@butleru","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.butler.edu\/human-resources\/forms\/","url":"https:\/\/www.butler.edu\/human-resources\/forms\/","name":"Forms | Butler University","isPartOf":{"@id":"https:\/\/www.butler.edu\/human-resources\/#website"},"datePublished":"2022-01-28T20:37:36+00:00","dateModified":"2025-12-18T15:43:40+00:00","breadcrumb":{"@id":"https:\/\/www.butler.edu\/human-resources\/forms\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.butler.edu\/human-resources\/forms\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.butler.edu\/human-resources\/forms\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.butler.edu\/human-resources\/"},{"@type":"ListItem","position":2,"name":"Forms"}]},{"@type":"WebSite","@id":"https:\/\/www.butler.edu\/human-resources\/#website","url":"https:\/\/www.butler.edu\/human-resources\/","name":"Human Resources","description":"","publisher":{"@id":"https:\/\/www.butler.edu\/human-resources\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.butler.edu\/human-resources\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.butler.edu\/human-resources\/#organization","name":"Butler University","url":"https:\/\/www.butler.edu\/human-resources\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.butler.edu\/human-resources\/#\/schema\/logo\/image\/","url":"https:\/\/www.butler.edu\/human-resources\/wp-content\/uploads\/sites\/14\/2022\/01\/cropped-fav-1.jpg","contentUrl":"https:\/\/www.butler.edu\/human-resources\/wp-content\/uploads\/sites\/14\/2022\/01\/cropped-fav-1.jpg","width":512,"height":512,"caption":"Butler University"},"image":{"@id":"https:\/\/www.butler.edu\/human-resources\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/butleruniversity","https:\/\/x.com\/butleru","http:\/\/instagram.com\/butleru","https:\/\/www.linkedin.com\/school\/14798\/","https:\/\/www.youtube.com\/user\/butleruniversity","https:\/\/en.wikipedia.org\/wiki\/Butler_University"]}]}},"_links":{"self":[{"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/pages\/536","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/comments?post=536"}],"version-history":[{"count":66,"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/pages\/536\/revisions"}],"predecessor-version":[{"id":4008,"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/pages\/536\/revisions\/4008"}],"wp:attachment":[{"href":"https:\/\/www.butler.edu\/human-resources\/wp-json\/wp\/v2\/media?parent=536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}