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Human Resources Forms

Please note: If you are having problems viewing or printing these forms, make sure you have Adobe Acrobat version 5 or later. You can download Acrobat Reader 5 free, by clicking here. Follow the download instructions. Once you have installed the software, you will not have to download it again.

Please click on one of the following to jump to a section:

Benefits Forms

Payroll Forms

Pension Forms

Recruitment & Employment Forms

Faculty Appointment Forms

Benefits Forms

Format Form Name Comments
Adobe Acrobat Document
 Extended Health Care Form for extended health expenses excluding drug costs (see drug form below) (Great-West Life)
Adobe Acrobat Document
 Prescription Drug Form for prescription drug expenses (through Assure Health Inc.)
Adobe Acrobat Document
 Out-Of-Country Expenses Required for out-of country claims
Adobe Acrobat Document
 OHIP Authorization and Release Required for out-of country claims
Adobe Acrobat Document
 Dental Form Great-West Life
Adobe Acrobat Document
 Beneficiary Form Pension and Life Insurance beneficiary declaration form. See the Life Insurance Beneficiary page for further instructions.
Adobe Acrobat Document
 Parental/Maternity Leave To be completed & submitted to your Payroll Benefits Assistant at least 2 months prior to the start of your leave. Click here for more information.
Adobe Acrobat Document

Sick Leave Forms

 Please complete these forms and submit them in a confidential envelope to the Disability Advisor or the Occupational Health Nurse.
Adobe Acrobat Document
 Tuition Benefit Complete both the Tuition Benefit Application & Promissory Note & submit them to Student Accounts, Needles Hall
Word
 Tuition Benefit Appeal Template For appeal to Canada Revenue Agency
Word
 Overage Dependent Enrollment For coverage of dependents between 21 and 23 for Extended Health and Dental Plans

Payroll Forms

Format Form Name Comments
HTML
 Casual New Hire Form Required for new casual employees with UW
Casual Payment Form Required for casual employee payment
Graduate Student New Hire Form Used to hire Grad student if entering salary information online
Direct Deposit Form For direct deposit of paycheques
Adobe Acrobat Document
 Federal TD1 Form Required to determine tax deductions
Adobe Acrobat Document
 Ontario TD1 Form Required to determine tax deductions
Word
 Request for Payment of Overtime Required for overtime payment
HTML Request for Employment Letter Required to request a proof of employment and salary letter.
Adobe Acrobat Document Contract form for Social Insurance Application To be printed on UW Letterhead and completed by employee and employer.
Adobe Acrobat Document

Social Insurance Number application form (Government of Canada)

  
Word Change of Address Required to notify HR of a change of mailing address

Pension Forms

Format Form Name Comments
Adobe Acrobat Document
 Spousal Waiver form Pre-retirement Death Benefit
Adobe Acrobat Document
 Beneficiary Form Pension and Life Insurance beneficiary declaration form. See the Life Insurance Beneficiary page for further instructions.
HTML
 2% Salary Increase in Lieu of Vacation (Faculty) For Faculty
HTML
 2% Salary Increase in Lieu of Vacation (Non-Union Staff) For Non-Union staff
HTML
 2% Salary Increase in Lieu of Vacation (Union Staff) For Union staff
Adobe Acrobat Document
 Pension Transfer Form Please consult Human Resources, ext. 3573, prior to use
Adobe Acrobat Document
 Pensioner Bank Deposit Form Please notify Human Resources of this change if you are in receipt of any UW payments through payroll
HTML
 Address Change Form Please notify Human Resources also

Recruitment, Employment Forms

Format Form Name Comments
Word
 Application for Employment For applying to on-campus positions
Word
 Request for Recruiting Services For appointments longer than 1 year
Word
 Temporary Employment Authorization For appointments lasting 3 months to 1 year
Word Job Description Guide and Template Suitable for new positions and positions under review. Macros must be enabled for full functionality in this document.
Word Performance Appraisal Form Please read the Guidelines before you begin. The Staff Performance Appraisal is a confidential document. Please protect from inadvertent viewing.
WordPerfect Performance Appraisal Form Please read the Guidelines before you begin. The Staff Performance Appraisal is a confidential document. Please protect from inadvertent viewing.
Word Notice of Termination Not to be used for a transfer or promotion to another department.

Faculty Appointment Forms

Format Form Name Comments
Word
 Full Time Faculty Appointment For full time faculty appointments
Word
 Part Time Faculty Appointment For part time faculty appointments
Word
 Non-Faculty Appointment For non-faculty appointments