FMLA Forms for a Family Member’s Serious Health Condition | Human Resources | PLU

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Benefits

Benefits Summary for Faculty 2025 (pdf)

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Benefits Summary for Staff 2025 (pdf)

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Dependent LuteCard ID Application (pdf)

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Dependent Tuition Remission Application 2025-2026 (pdf)

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Employee Tuition Remission Application 2025-2026 (pdf)

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Flexible Spending Account (FSA) Enrollment Form 2025 (pdf)

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Health Savings Account (HSA) Enrollment Form 2025 (pdf)

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Medical, Dental, Basic Life & AD&D Enrollment Form 2025 (pdf)

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Medical Plan Cost Comparison Estimator 2025 (xlsx)

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Phased Retirement Plan (pdf)

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Retirement Plan Agreement Form June 2024 (pdf)

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Travel Medication Reimbursement Policy and Form (doc)

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Tuition Benefits Policy 2025-2026 (pdf)

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Tuition Benefits Policy 2024 - 2025 (pdf)

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Unum Basic Life and AD&D Insurance Summary (pdf)

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UNUM Coverage Change Request Form (pdf)

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Unum LTD Insurance Summary (pdf)

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UNUM Voluntary Term Life Enrollment Form (pdf)

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Unum Voluntary Term Life Insurance Summary (pdf)

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Flexible-Remote Work: Staff

Remote Work Application - Staff (pdf)

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Remote Work Manual - Staff (pdf)

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Health and Safety

Injury Report Form (pdf)

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Hiring

Personnel Record Form (pdf)

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Direct Deposit Form (pdf)

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2025 W-4 Form (pdf)

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I-9 Documents List (pdf)

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Leaves of Absence

FMLA Forms for Employee's Serious Health Condition (pdf)

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FMLA Forms for a Family Member's Serious Health Condition (pdf)

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WA Paid Family and Medical Leave Website (link)

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Miscellaneous

Holiday Schedule 2025-2026 (pdf)

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Retirees Directory (pdf)

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Personnel Action/Change of Address Form (pdf)

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Table of Organization (pdf)

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Click on drop down menu on "About" section of President's website and click "Organization Chart" to view most up-to-date version.

Outprocessing Checklist (pdf)

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Performance Management

Performance Management Manual for Supervisors (pdf)

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Employee Performance Coaching/Counseling Report (doc)

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Performance Appraisal Form (staff) (doc)

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