Payroll
- Emergency Contact Form
- Direct Deposit Form
- W-4 Form Packet – English (‘packet’ includes identification forms for ethnicity disability, veteran status. Translated versions do not include these extra forms) to update taxes.
- WT-4 Wisconsin State Form
- Resignation/Retirement/Transfer Form
Insurance
- Insurance Forms and Publications
- Delta Dental PPO Plans
- VSP Vision Application
- Flexible Spending Account Application
- Health Savings Account
- State Group Life Application
- Individual and Family Group Life Application
- UW Employees Inc. Life Application
- Accidental Death & Dismemberment Application
- Income Continuation Insurance Application
Workers Compensation
Send Workers’ Compensation forms to Rebecca Rohde within 24 hours.
- Injury Report (employee)
- Supervisor Incident Analysis and Prevention Report
- Learn more about Workers’ Compensation.
Family and Medical Leave
Send Family and Medical Leave (FMLA) forms to Rebecca Rohde.
- FMLA Form – For Employee
- FMLA Form – For Family
- Learn more about FMLA | guide
Recruitment
Send Position Request Forms to Tricia Meinholz.
- FTE- Position Request Form
- Student Hire Request Form – Supervisor completes
- Student Info Request Form – Student completes
- Criminal Background Check Consent Form
Custodian Opportunities
- Open Custodial Applications: Apply Online at: https://jobs.hr.wisc.edu/en-us/job/508904/custodian
- Internal Custodial Transfers: Blue Collar Multi-Shift (BCMS) transfers: You can seek opportunities and apply online at: https://careers.pageuppeople.com/767/ci/en-us/listing.
- You can also download the BCMS Form below and drop it off at the box outside Room 18 at 45 N Charter St, Madison, WI 53715.
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- | Eligibility | BCMS Form |
Business Operations and Purchasing
See the Business Operations and Purchasing pages for relevant forms.
Business Services
- DoIT Mainframe Access Form
- WISDM Authorization Form
- Driver Authorization Online – For all UW employees, students, faculties, and TEs who will operate state vehicles
- Volunteer Driver Authorization – For UW volunteers only
Safety
- PPE Assessment Form
- Request for Protective Footwear Reimbursement | Refer to Protective Footwear Reimbursement Policy to follow the appropriate steps before submitting the form.
Training and Professional Development
Send request forms and performance reviews to FP&M Human Resources, 30 North Mills Street, Suite 362
- ENVIRONMENT, HEALTH, AND SAFETY – FP&M Professional Development and Travel Request Form
- FACILITY PLANNING and DELIVERY – FP&M Professional Development and Travel Request Form
- OFFICE OF ASSOCIATE VICE CHANCELLOR – FP&M Professional Development and Travel Request Form
- PHYSICAL PLANT – FP&M Professional Development and Travel Request Form
- SUSTAINABILITY – FP&M Professional Development and Travel Request Form
- TRANSPORTATION SERVICES – FP&M Professional Development and Travel Request Form
- Reimbursement Request for Career-related Coursework
Travel
A FP&M request form must be filled and sent to FP&M Human Resources, 30 North Mills Street, Suite 362