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Forms
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Additional Earnings Request Form - Salaried Employees
Additional Earnings Request Form - Hourly Employees
Affidavit of Domestic Partnership
Alternate Work Schedule Agreement
Benefits Enrollment Form
Cardinal Achievement Award
CIGNA Out of Network Claim Form (including Behavioral Health)
CIGNA Vision Claim Form
Commuter Tax Benefit Deduction
Commuter Tax Benefit Claim
Conference/Travel Request Form
Delta Dental Claim Form
Dependent Care Claim Form
Exit Interview Form
Leaving Employment at Wesleyan
Mera Reimbursement Claim Form
Neighborhood Preschool Scholarship Application
Performance Evaluation Self-Assessment Form
Personal Profile
Secretarial/Clerical Bargaining Unit Revised Upgrade Questionnaire
Secretarial/Clerical & Physical Plant Dependent Tuition Book Claim Form
Statement of Termination of Domestic Partnership
SRA Change Form
Tuition/Educational/GLSP Assistance Application
Wesleyan Annual Fund - Deduction Form
Wesleyan Mortgage Program Locality Map
For Payroll forms, please click
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