All forms are in PDF format except as noted

Classified Staff Step Structure
PIQ Summary by Job Family
Calculate Fringe Benefits for FT Employees Form
(for Temporary Appointment) - MS-Excel format
Calculate Fringe Benefits for PT Employees Form
(for Temporary Appointment) - MS-Excel format
Calculate Fringe Benefits for FT Employees Form
(for Full Time Employment) - MS-Excel format
Calculate Fringe Benefits for PT Employees Form
(for Part Time Employment) - MS-Excel format
Faculty CIP code descriptions - MS-Excel format
Adjunct Rates (PDF)
Monthly Work Record; Non-Exempt Employees - MS-Excel format
Payroll Forms
(includes W-4 Form, Resident/Non-Resident WV Withholding Forms, I-9 Form, Direct Deposit Authorization Form, WV Higher Education Retirement Programs)

Student Payroll Forms
Student Employment Information Sheet 
Student Current Pay Schedule 
Student On-Line Pay Information 
Student Hourly Time Sheet
Direct Deposit Form

Pre-employment Inquiry Guide 
(permissible inquiries and those that must be avoided)
Confidential Interview Evaluation Form 
(each interviewer must complete and sign for each interviewee)

Catastrophic Leave Donation Request Form 
(allows classified/non-classified/12-month faculty employee to donate leave time to an employee who has been approved to accept catastrophic leave donations)
Leave of Absence Options
Leave of Absence Guidelines and FMLA information

Optional Employee Election to Reduce F.T.E. 
(Change in full-time equivalency requires supervisory and cabinet-level approval)
Note: Not available to employees with 9-month appointment or less

Please contact the Human Resources Office for the following forms:

Authorization for Unused Annual and Sick Leave Form
(must be completed by benefits-eligible employees prior to resignation/retirement)
FSU Voluntary Phased Retirement Plan Form
Pierpont Voluntary Phased Retirement Plan Form
(Please meet with HR as a first step in this process)

Name / Address Change Form 
(a copy of social security card is required if changing information regarding name)

WORK RELATED INJURY / ILLNESS - (Additional information)

Occupational Injury/Illness Report 
(must be completed within 24 hours of injury)
Election of Option Form
(must be completed if employee misses more than 3 days of work due to work-related injury)

For Questions Concerning...

Faculty and Staff positions contact:

Student positions contact:

Employment Verifications contact: 
 Tami Winston, 304-367-4111

Contact Info

Mailing Address:
Fairmont State University
Human Resources Office
1201 Locust Avenue
Fairmont, WV  26554
Phone: (304) 367-4111
Fax: (304) 367-4850