Forms

• Personal Information
  • Name Change Form
  • Gender Identity Form
  • Personal Information in Human Resources System Self-Service
    (including Home and Mailing Address, Phone Numbers (Main, Campus and Campus Emergency Cell), and Emergency Contacts)

• Benefits

  Workplace Accident Reporting Forms

  • Employee Accident Reporting Form
  • Supervisor's Accident Investigation Report

  Short Term Disability, Family and Parental Leave

  • UNUM - How to File a Leave Request

  bswift Benefits Portal

  • bswift.williams.edu – enter/review Enrollments, Dependents, Beneficiaries
  • bswift Login Instructions
  • Life Event Changes

  Health and Dental

  • Blue Cross/Blue Shield of Mass. Subscriber Claim Form
  • Prescription Mail-in Order Form
  • Prescription Transfer Form
  • Prescription Reimbursement Claim Form
  • Blue Cross/Blue Shield of Mass. Dental Claim Form

  Vision

  • BCBS Blue 20/20 Vision - Out of Network Claim Form (Group #19493)

  Flexible Spending

  • HealthEquity – login to review your accounts and submit claims
  • First Time Login Guide and FSA Member Guide
  • HIPAA Authorization Form – complete to display adult dependent’s Private claims details
  • Dependent Care Self Reimbursement Instructions
  • Orthodontia Reimbursement Form
  • Letter of Medical Necessity Form

  Retirement Income Plan

  • Service Credit Form (to be completed by previous college/university employer)
  • Retirement Salary Reduction Agreement - Unmatched and Matched
  • Retirement Salary Reduction Agreement - Maximize Contributions
  • TIAA Beneficiary Designation Form

  Wellness

  • Blue Cross/Blue Shield Fitness Benefit Form
  • Blue Cross/Blue Shield Weight Loss Benefit Form

  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 for Accounting of Protected Health Information (PHI) Disclosed by Williams College

  Miscellaneous

  • Tuition Benefit Application
  • Tuition Grant Benefit Request Form
  • Appreciation Day Gift Selection Form
  • "Kudos" Program" (Williams Staff Committee)

• Payroll
  • Payroll Forms Guide
  • Download the Federal I-9 Form (Includes List of Acceptable Documents to provide to HR)
    (this must be downloaded and opened in Adobe Acrobat or another pdf viewer – not in your browser)
  • Payroll and Compensation in Human Resources System Self-Service
    (including Direct Deposit, Federal W-4 Tax Withholding and Massachusetts M-4 Tax Withholding online forms)
  • Time Reporting for staff and students in Human Resources System Self-Service
    (including hourly staff and student time entry, admin staff leave entry, and manager approval)
  • Taconic Payroll Deduction Form
  • One-Time Payment Request

• Employment/Access

  Staff Hiring & Changes

  • HR Request Form (Recruitment and Position/Compensation Change Requests)
  • Position Description Template
  • Reference Release Form
  • Staff New Hire Information Form
  • Massachusetts Paid Family and Medical Leave Notice

  >> Staff Employment Opportunities (online application)<<

  Staff Separation

  • Staff Exit Interview Questionnaire
  • Employment Exit Procedure and Checklist

  Temporary Employees

  • Temporary Employment Authorization Form
  • Temporary Employment Change Form
  • Temporary Employment Separation Form
  • Temporary New Hire Information Form
  • Massachusetts Paid Family and Medical Leave Notice
  • Temporary Employee Orientation

  Account and Services

  • ID Cards
  • Faculty/Staff Parking
  • Directory Photo Update
  • COVID-19 Faculty and Staff Policies
  • HR Data Request Form

  Affiliates/Access

  • Williams Affiliation Request Form
  • Spouse/Partner Information Form (ID Card and/or Network Access)
  • Guest Wireless Access (if only needing network access for 5 days max.)
  • OIT HelpDesk Forms (New Hire Computer, New Hire Phone, Telecom changes and Computer issues)

• Student Employment

  Academic Year Employment

  • Student Academic Year - Add a Hire Request (Manager Self-Service)
  • Student Academic Year Employment Change Form
  • Student Employment Position Request Form

  Summer

  • Student Summer Temporary Employment - Add a Hire Request (Manager Self-Service)
  • Future Enrolled Student Summer Temporary Employment Authorization Form (For Students Not Enrolled in the Spring Semester)
  • Student Summer Change Form

• Staff Development

  Performance Development

  • Narrative Form - Free of ratings, this form allows managers to write a review by responding to a few open-ended questions.
  • Competency-Based Form – Most similar to the forms we’ve been using for years now, this form allows managers to rate their employees on key dimensions of performance and reflect on overall performance.
  • Service Maintenance and Culinary Staff Form
  • Employee Self-Evaluation Form - This form allows employees to respond to a few simple, open-ended questions to provide input to their supervisor for the performance evaluation.
  • Performance Development Evaluation Form - 6 Month
  • Performance Improvement Plan
  • Position Description Template

  Employee Recognition

  • Appreciation Day
  • "Kudos" Program" (Williams Staff Committee)

Questions? Contact Simone Anderson