Benefits | Performance Development | Employment | Payroll/Tax | Student Employment

Benefits

Health and Dental

• Blue Cross/Blue Shield of Mass. Subscriber Claim Form
• Blue Cross/Blue Shield of Mass. Dental Claim Form
• Blue Cross/Blue Shield of Mass. Drug Claim Form
• Blue Cross /Blue Shield Fitness Benefit Form
• Blue Cross/Blue Shield Weight Loss Benefit Form
• Express Scripts Patient Profile

HIPAA

• Authorization for Use or Disclosure of Protected Heath Information (PHI)
• Request for Amendment of Protected Health Information (PHI)
• Requested Restriction of the Uses and Disclosures of Protected Health Information (PHI) for Treatment, Payment or Operations
• Request of Accounting of Protected Health Information (PHI) Disclosed by Williams College

MERA /DCRA

• MERA Change in Family Status Form

Workers Compensation Accident Reporting Forms

• Williams College Employee Accident Reporting Form
• Williams College Supervisor Employee Accident Investigation Report

Performance Development

• Staff Performance Evaluation Step-by-Step Instructions
• Performance Competencies
• Position Description Template
• Employee Self-Assessment Worksheet  / (writable PDF)*
• Manager’s Pre-Performance Worksheet / (writable PDF)*
• Performance Evaluation Form

*to be able to save a copy of the completed document the PDF must be open with Adobe Acrobat; opening with Adobe Reader will allow you to print a copy, but not save a copy.

Employment

• Employment Application Form
• Orientation Checklist and Guide
• Position / Employee Status Change Form (Internal HR Use Only)
• Exit Procedure Checklist
• Staff Exit Interview Questionnaire (online)
• Reference Release Form
• Temporary Employee Authorization Form .
• Temporary Employee Separation Form / (PDF)
• Williams Affiliation Request Form (online)

Payroll/Tax

• I-9 Form (Includes List Acceptable Documents to provide to HR)
• W-4 Employee’s Withholding Allowance Certificate
• M-4 Massachusetts Employee’s Withholding Exemption Certificate
• Direct Deposit Authorization Form
• Name Change Form

Student Employment

• Student Job Description Form
• Advertise a Job for Incoming First-Year students only (online)
• Advertise a Job for All Students (online)
• Hiring Points for Supervisors
• Student Academic Year – Add a Hire Request (PeopleSoft Manager Self-Service)
• Job Authorization Form for Supervisors (online)
• Student Summer Temporary Employment Authorization Form  .
• Student Summer Research Assistant  (Paid Stipends) – Add a Hire Request (PeopleSoft Manager Self-Service)