Important Note: Personal information that is recorded in a writable form from your computer may not be deleted by closing your browser or clicking the "back" button. To completely erase personal information from the temporary file stored on your computer, whenever available, be sure to click on the "Clear Form" button after the form is printed.


Benefit Forms


Employment Forms



Premera info:


CIGNA:  Beginning 7/1/2013  NEW


WDS Dental Claim Form


VSP Vision Claim Form
Must contact VSP prior to use: 1-800-877-7195


Flexible Spending Accounts (FSAs):

For health and dependent care expenses

FSA's are administered by Benefit Administration Company (BAC)

Forms may be printed or filled-in online



Long Term Care Insurance:

Long Term Care - Evidence of Insurability

Additional Life and AD&D Insurance: NEW

















Cigna Insurance Application
(Additional Voluntary Life & Accidental Death & Dismemberment)

Cigna Term Life Insurance Change form
(Additional Voluntary Life & Accidental Death & Dismemberment)

Cigna Beneficiary Designation form
(Additional Voluntary Life & Accidental Death & Dismemberment)


Instructions for Exempt Staff Leave reporting (Banner)

Instructions for Supervisor Leave approval (Banner)


SPU Staff and Faculty Application

Online Application



Staff Hiring Process Timeline for Managers

Staff Position Management


















Staff Recruiting Process


















New Staff Personnel Action Form (PAF)



New Hire Forms for Staff, Faculty and Adjuncts




Retirement Savings Forms
Performance Evaluation Forms
Other Forms



403(b) contribution changes may now be made online with Diversified at



Performance Evaluation Form

Business & Planning Employee Evaluation Form

Business & Planning Peer Evaluation Form



Employee Information Change Form (formerly Name/Address Change Form)

Leave of Absence (LOA) Request

Providing Non-Employees Access to Computer and Email Accounts, White Page Listing and Campus
ID Card