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      FMLA Forms for Employee’s Serious Health Condition

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      Contact Information

      Department of Human Resources

      Phone: 253-535-7185

      Fax: 253-535-8431

      Email: humr@plu.edu

      323 Garfield St, Suite 100
      Tacoma, WA 98447-0003

      Office Hours

      Monday – Friday: 9am – 4pm
      (closed for lunch from 12:30-1:30pm)
      Saturday and Sunday: Closed

      Resources
      • Payroll Office
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      Benefits

      Benefits Summary for Faculty (2023) (pdf)
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      Benefits Summary for Staff (2023) (pdf)
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      Dependent LuteCard ID Application (pdf)
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      Dependent Tuition Remission Application 2023-2024 (pdf)
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      Employee Tuition Remission Application 2022-2023 (pdf)
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      Employee Tuition Remission Application 2023-2024 (pdf)
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      FSA Enrollment Form (2023) (pdf)
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      Health Savings Account Form (2023) (pdf)
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      Medical, Dental, Basic Life, & AD&D Enrollment Form 2023 (pdf)
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      Medical Plan Cost Comparison Estimator (xlsx)
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      Phased Retirement Plan (pdf)
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      Retirement Plan Agreement Form (pdf)
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      Travel Medication Reimbursement Policy and Form (doc)
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      Tuition Benefits Policy 2022-2023 (pdf)
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      Tuition Benefits Policy 2023-2024 (pdf)
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      Unum Basic Life and AD&D Insurance Summary (pdf)
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      UNUM Coverage Change Request Form (pdf)
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      Unum LTD Insurance Summary (pdf)
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      UNUM Voluntary Term Life Enrollment Form (pdf)
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      Unum Voluntary Term Life Insurance Summary (pdf)
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      Demographics

      Demographics - 2021 (doc)
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      Turnover Diversity - 2021 (doc)
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      Turnover History 8 Year - 2021 (doc)
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      Flexible-Remote Work: Staff

      Remote Work Application - Staff (pdf)
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      Remote Work Manual - Staff (pdf)
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      Health and Safety

      Injury Report Form (pdf)
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      Hiring

      Background Check Waiver - Faculty (pdf)
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      Background Check Waiver - Staff (pdf)
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      Faculty Application (doc)
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      I-9 Documents List (pdf)
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      Leaves of Absence

      FMLA Forms for Employee's Serious Health Condition (pdf)
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      FMLA Forms for a Family Member's Serious Health Condition (pdf)
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      WA Paid Family and Medical Leave Website (link)
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      Miscellaneous

      Holiday Schedule 2023-2024 (pdf)
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      Retirees Directory (pdf)
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      Personnel Action/Change of Address Form (pdf)
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      Table of Organization (pdf)
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      Outprocessing Checklist (pdf)
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      Job Description: Provost and Senior Vice President for Academic Affairs (pdf)
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      Performance Management

      Performance Management Manual for Supervisors (pdf)
      view download
      Employee Performance Coaching/Counseling Report (doc)
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      Performance Appraisal Form (staff) (doc)
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      Contact Information

      Department of Human Resources

      Phone: 253-535-7185

      Fax: 253-535-8431

      Email: humr@plu.edu

      323 Garfield St, Suite 100
      Tacoma, WA 98447-0003

      Office Hours

      Monday – Friday: 9am – 4pm
      (closed for lunch from 12:30-1:30pm)
      Saturday and Sunday: Closed

      Resources
      • Payroll Office
      • Commute Smart
      • Dispute Resolution
      • Employee Assistance Program (EAP)
      • Student Employment
      More Information
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      • Campus Sustainability
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      Stay Connected

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      Tacoma, WA 98447

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