If you need any of these documents in an alternative format for accessibility purposes, please contact the WVSU Department of Human Resources at (304) 766-3156.
Human Resources
Phone: 304-766-3156
Fax: 304-766-4156
Campus Address:
324 Ferrell Hall
Hours:
Monday – Friday, 8:30 a.m. – 5:00 p.m.
Benefits
Health Insurance
- PEIA Forms
- Includes forms such as:
- Change-in-Status
- Change of Address
- Beneficiary Update
- Dependent Out of Area Form
- Includes forms such as:
- PEIA Shopper’s Guides
- PEIA Plan Documents
Retirement
- FBMC Retiree Enrollment form
- PEIA Retiree Health Benefits and Basic Life Insurance Enrollment Form
- PEIA Retiree Optional/Dependent Life Insurance Enrollment Form
- State Teacher’s Retirement System (STRS) Enrollment Form
- TIAA 403(b) Enrollment
- TIAA 457(b) Enrollment
- TIAA Beneficiary Change
- TIAA Change in Address Form
- TIAA Name Change
Voluntary Benefits
- Delta Dental Claim Form
- MetLife Vision Out-of-Network Claim Form
- Mountaineer Flex Benefits Enrollment/Change in Status Form
- PayFlex Flexible Spending Account Claim Form
- PayFlex Health Savings Account Transfer Request Form
- PEIA Optional/Dependent Life Insurance Enrollment Form
- PEIA Basic and Optional Life Change of Beneficiary Form
Employee Performance
Employment
Payroll
Federal and State Tax Withholding
- WV Withholding Exemption IT-104
- Federal Withholding Allowance Certificate – W-4
- Tax Withholding Estimator
Direct Deposit
(Links below will have you log in to myApps. From there click the blue Forms box and choose the appropriate link)