Forms

• ACT 34 Clearance Release Form
• Address Change Form
• AFSCME Employee Performance Review Form 
  (if pop-up for UserName & Passwork, click cancel.  Form will open)
• Annuitant Rehire Request Form
• Auxillary Employee Form
  

• Cell Phone Stipend Request Form
• Classification Review Request Form
  
• Deferred Compensation Enrollment/Change Form
• Direct Deposit Form
• Dual Employment Form
  
• Equal Employment Supplement
• Equity Complaint/Grievance Form
  
• Faculty 20/60 Pay Option 2012-2013
• Faculty Dental Claim
• Faculty Hearing Aid Claim
• Faculty Vision Claim
• Flexible Spending Reimbursement Form - Dependent Care Account
• Flexible Spending Reimbursement Form - Health Care Account
• FMLA Leave Request Form
• FMLA Serious Health Condition Form

• Group Life Insurance Change Form

• Injury Report
• Insurance Enrollment/Change Form
  
• Job Description - Blank
  
• Kelchner Fitness Center Lunch Period Usage

• Leave Request Form
• Local Service Tax (LST) Exemption Form
  
• Management Performance Evaluation & Development Form (MPED)

• Paperless Approval Form
• Payroll Deduction Authorization Form - MU Foundation
• Performance Log
• PEBTF Enrollment/Change Form
• Prescription Drug Mail Order Form (Medco)
  
• Retirement Election Form
• Request for Reasonable Accommodations Form (ADA/MHRA)
• Request to Donate Leave Form
  
• SCUPA Employee Performance Review Form
• SCUPA Employee Probationary Evaluation Form
• Special Appointment Contract
• SPFPA Employee Performance Review Form
• Student Appointment Contract
• Student Workstudy Payroll Forms

• Tax-Shelter Annuity Deduction - Salary Reduction Agreement
• Tuition Waiver - AFSCME SPFPA
• Tuition Waiver - APSCUF SCUPA Mgmnt Coaches
• Tuition Waiver - Reciprocal - APSCUF
  
• Vision Claim Form (Non Faculty)
• Voluntary Group Life Change Form
• Volunteer Form

• 2012 W-4 (Federal Income Tax Withholding)
• Workers' Compensation Panel Physicians

Human Resources Contacts

Dia Carleton, Executive Director for Employee & Leadership Services
120 Alumni Hall
570-662-4050

Human Resources

Bev Dunham, Employee Compensation Manager
110 Alumni Hall
570-662-4891

Benefits Manager
118 Alumni Hall
570-662-4050

Billie Sue Morgan, Employment Manager
110 Alumni Hall
570-662-4050

Missy Sullivan, HR Manager
118 Alumni Hall
570-662-4052

Carmen Wood, Associate Director of Employee Relations & Compensation
112 Alumni Hall
570-662-4893

Greg Zagozewski, Administrative Assistant II - Confidential
123 Alumni Hall
570-662-4876

Leadership

Robin Colby, Administrative Assistant
106 Alumni Hall
570-662-4933

Multi-Cultural Affairs / Social Equity

Alan Zellner, Social Equity & Multicultural Affairs Officer
106 Alumni Hall
570-662-4071

Fax: 570-662-4117

Office Hours:
Monday - Friday
8:00 a.m. - 4:15 p.m.