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HUMAN RESOURCES

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Benefits Home

Change My Name/Address Professional Development Policy
Submit Paperwork for a Workers' Compensation Claim Request Professional Development Funds (faculty only)
Increase/Decrease My Tax Deductions Request Additional Staff Support - P-14 Temporary Wage
Request Educational Aid and Continuous Learning In-Process a New-Hire P-14-Wage Employee
Request Family or Medical Leave  

Change My Name/Address Complete the forms directly below when you change your name and/or address.
   
 

W4 - Federal Tax Form- Use when changing your name and/or address or Federal Tax information.

   
  VA-4 State of Virginia Tax Form - Use when changing your State Tax information
   
  VRS Member Information Change - Use when experiencing a name or SSN change
   
  VRS - Beneficiary - Use when changing your name, getting married, getting divorced or to name a new beneficiary/change your current beneficiary.
   
   
Submit Paperwork for Workers Comp Use the forms directly below for a workers' compensation claim.
   
  Workers' Compensation Claims
   
  Employee's Statement
   
  Supervisor's Statement
   
  DPT Policy
   
Increase/Decrease My Tax Deductions Use the forms directly below to change the amount of deductions/ withholdings on my taxes.
  W4 (Federal Tax Form)
  VA-4 (State of Virginia Tax Form)
   
Request Family and Medical Leave Use the forms below to request family and medical leave.
  Family and Medical Leave Policy
   
  Family and Medical Leave Request Form
   
  Certification of Health Care Provider Form
   
In-Process New Hire: P-14 - Wage Employee Use the forms directly below when processing a new P-14 wage employee.
   
  I-9 - U.S. Department of Justice Immigration and Naturalization Service
   
  W-4 - Employee's Withholding Allowance Certificate
   
  VA-4 - Employee's Virginia Income Tax Withholding Exemption Certificate
   
  Direct Deposit Form
   
  Commonwealth of Virginia's Policy on Alcohol and Other Drugs
   
  Paycheck Distribution
   

  
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