Forms

• Address Change
   
• AFSCME Employee Performance Review Form 
  (if pop-up for UserName & Passwork, click cancel.  Form will open)
   
• Classification Review Request Form
   
• Deferred Compensation Enrollment/Change Form
• Direct Deposit Form
• Dual Employment Form
   
• Equal Employment Supplement
• Equity Complaint/Grievance Form
   
• Faculty Dental Claim
• Faculty Hearing Aid Claim
• Faculty Vision Claim
• Flexible Spending Enrollment Form for Dependent Care Reimbursement Account
• Flexible Spending Dependent Care for Reimbursement
• Flexible Spending Enrollment Form for Medical Care Reimbursement
• Flexible Spending Medical Care for Reimbursement
• FMLA Leave Request Form
• FMLA Serious Health Condition Form

•  Group Life Insurance Change Form

• Injury Report
• Insurance Enrollment/Change Form
   
• JEC Authorization Form
• Job Description - Blank
•  
• 2009 LST Exempt Form
• 2010 LST Exempt Form
   
• MPAD Form
   
• Paperless Approval Form
• Payroll Deduction Authorization Form - MU Foundation
• Performance Log
• PEBTF Enrollment/Change Form
   
• Retirement Election Form
• Request to Donate Leave Form
   
• Savings Bond Deduction Form
• Savings Bond Information Form
• SCUPA Employee Performance Review Form
• SCUPA Employee Probationary Evaluation Form
• SPFPA Employee Performance Review Form
• Summer Work Schedule Request Form
• Summer Four-Day Work Week Form
  
   
• Take Your Child to Work Day Registration Form
• Tax-Shelter Annuity Deduction
   
• Vision Claim Form (Non Faculty)
• Volunteer Form

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

Human Resources Contacts

Dia Carleton, Executive Director of Organizational Development & Employee Relations
120 Alumni Hall
570-662-4050

John Boselli, Assistant Director of Classification/Employment
110 Alumni Hall
570-662-4052

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

Annie Cooper, Director of Multicultural Affairs
311 Alumni Hall
570-662-4381

Bev Dunham, Employee/Benefits Manager
110 Alumni Hall
570-662-4052

Tammy Felondis, Associate Director of Employee Compensation & Development
107 Alumni Hall
570-662-4887

Belinda Hampsher, Payroll Technician
106 Alumni Hall
570-662-4876

Billie Sue Morgan, Administrative Assistant
118 Alumni Hall
570-662-4050

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

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

Fax:  570 662-4117

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