FORMS

Personnel Action Form

Permission to Recruit

Classified Employee PIQ

Non-Classified Employee Position Description

Staff Performance Evaluation Form
PDF | Word file

Improvement Plan
PDF | Word file

Monthly Work Record

Emergency Personnel Designation Memo

Application for Staff Development Funds

I-9 Form

W4 Form

West Virginia State Withholding Form

Maryland State Withholding Form

Virginia State Withholding Form

Salary Reduction Agreement

Direct Deposit Authorization Form

Medical Leave Verification

Catastrophic Leave Forms

PEIA Health Benefits Enrollment Form

PEIA Basic Life Insurance Form

PEIA Change-in-Address Form

PEIA Change-in-Status Form

The Standard Long Term Disability Enrollment Form

Mountaineer Flexible Benefits Form for Active Employees

Mountaineer Flexible Benefits Form for Retirees