Recruitment & Employee Relations Forms:
- ADA Medical Accommodation & Certification Form
- Performance Management Form (PDF)
- Performance Management Form (Microsoft Word)
- Three-Month Performance Review Form (PDF)
- Three-Month Performance Review Form (Microsoft Word)
- Adjusted Work Arrangement Request
- Workplace Relationship Disclosure Form
- First Report of Incident 1. If injured at work, the preferred treatment facility is Novant Health Urgent Care and Occupational Medicine.
2. If you are injured on the job as a result of a work-related compensable accident, as soon as reasonably possible, the employee who has sustained an injury or accident must report it to their supervisor and Human Resources by emailing absence@wfu.edu or by phone at (336)758-4700, press option 3. Supervisors will be provided instructions to complete the First Report of Incident form. After a seven-day waiting period, you may begin drawing weekly workers’ compensation benefits if you require time away from work.
3. Please add your email address and copy AskHR@wfu.edu so that HR receives a copy of the online report.
4. Provide a written copy of your Doctor’s notice to return to work to Human Resources.
Benefit Forms:
- Life Insurance Conversion Form
- Life Insurance Enrollment Form (life, voluntary AD & D, beneficiary)
- Life Insurance Portability Form
- Certification of HealthCare Provider for Employees
- Certification of HealthCare Provider for Family Members
- Certification for Serious Injury or Illness of Covered Servicemember
- Certification of Qualifying Exigency For Military Family Leave
- Faculty Parental and Adoption Leave Request Form
- First Report of Incident
- If you are injured on the job as a result of a work-related compensable accident, as soon as reasonably possible, the employee who has sustained an injury or accident must report it to their supervisor and Human Resources by emailing absence@wfu.edu or by phone at (336)758-4700, press option 3. Supervisors will be provided instructions to complete the First Report of Incident form.
- Fitness for Duty Certification
- HIPAA Authorization Form
- Long Term Disability Portability Form
- Request for Family and Medical Leave
- Request for Short Term Disability
- Staff Parental and Adoption Leave Request Form
- NC 529 Plan Payroll Deduction Agreement
- Tuition Concession – Faculty/Staff: Log into WIN to submit an online request
- Tuition Concession – Dependent Children/Spouses: Log into WIN to submit an online request
- Dependent Children and Spouse Tuition Request Guide
- Faculty and Staff Tuition Request Guide (recorded presentation)
- Manager or Department Approver Guide (recorded presentation)
Wake Forest University Human Resources
P.O. Box 7424, Winston-Salem, NC 27109
askHR@wfu.edu | P 336.758.4700 | F 336.758.6127