Many benefit enrollments and other transactions are completed electronically via secure websites.  A few transactions require completion of one of the forms shown below.  Contact Human Resources if you're unable to locate a form or need help. Since forms change from time to time as plan provisions are revised,  you should only print copies to take care of your immediate need.

Benefits Forms

Tuition Benefit Forms Tuition Remission Application Form
Tuition Exchange or Fachex- Apply online at
Tuition Reimbursement Request 
Community Service Time Away Community Service Leave Request Form

COVID-19 Forms

COVID-19 Vaccination Exemption Form COVID-19 Vaccination Exemption Form 

Supplemental Medical Certification 

(for use only with request for medical exemption)

Supplemental Medical Certification

Other HR Forms

Faculty & Staff Name Change Name Change Form 
Address & Emergency Contact Change Instructions for updating in mySeattleU
Staff Supplemental Pay Request Staff Supplemental Pay Form 
Staff Salary Distribution Change Salary Distribution Change Form 
Staff Title or Department Change Title or Department Change Form
Volunteer Acknowledgement Volunteer Acknowledgement Form  
Staff Wage Change
Staff Honored Retiree Forms
Payroll Forms

Go to Payroll Forms for:

  • Direct deposit update form
  • W-4 tax withholding
  • Payroll advance requests
  • Exempt & librarian leave reports
  • W-9 request for taxpayer ID
  • Other pay related requests
Staff Safety Forms Safety Orientation