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 Maddie Walsh.
- FTE- Position Request Form
- Student Hire Request Form – Supervisor completes
- Student Info Request Form – Student completes
- Criminal Background Check Consent Form
Send Custodial Transfer Forms and all Custodial Paper Applications to 21 Park Street, 5th Floor-Suite 5101 or to Kayla Ruplinger.
- Open Custodial Application: Apply Online or Print a Custodial Application at jobs.wisc.edu/custodians
- Internal Custodial Transfer: Blue Collar Multi-Shift (BCMS) Transfer
- | Eligibility | BCMS Form |
Business Operations and Purchasing
Send financial forms to FP&M Business Operations & Purchasing (Room 101, Service Building).
More information, including instructions for completing this form, can be found on the Purchasing Forms page.
If you have any questions or concerns regarding contracts, paying vendors or individuals, or purchasing and accounting policies please contact fpmbop@fpm.wisc.edu.
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
Training and Professional Development
Send request forms and performance reviews to FP&M Human Resources, 30 North Mills Street, Suite 362
- FP&M Request Form (Non-Physical Plant Employees)
- FP&M Request Form (Physical Plant Employees)
- 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