HR and Benefit Forms

2024 Benefits Information

Information on all healthcare benefits can be found in Benelogic. From the landing page, please navigate to the Resources tab, and click Benefits Information. Can’t find what you need? Contact Human Resources, for more information.

Employee Assistance Programs (EAP)

WellSpan EAP
EAP Business Class

Other Benefits & Information

Ergonomics - Workstation Self-Evaluation Checklist

Leave Time Policy Snapshot

Reasonable Accommodation Request Form

Sick Leave Bank Provisions

Donation Form (for faculty)
Donation Form (for staff/administrative employees)
Request Form

Updating Emergency Contact Instructions

Tuition Remission / Exchange Information & Forms

Employee Tuition Benefits Overview
Tuition Exchange Program Guide
2023 Tuition Benefits Presentation
SGPS Undergraduate Tuition Remission Form for Employees, Spouses , and Dependents
Undergraduate Tuition Remission/Exchange Form for Dependents
Graduate Tuition Remission Eligibility Form for Employees
Graduate Tuition Remission Form for Spouses and Dependents

Workers' Compensation

Form for Reporting a Work-related Injury
Panel of Physicians List