FORMS

These forms are provided to assist employees with various request types.  If you have any questions about the forms provided on this page please reach out to your Human Resource Representative.

Coaching/Discipline

• Coaching Form
• Disciplinary Action Form
• Performance Improvement Plan (PIP)

Grievance

• West Virginia Public Employees
• Grievance Form

Supplemental Retirement Account

• 403B 457 Form

Tax Forms

• WV State Tax Withholding Form
  WV IT-104
• Ohio State Tax Withholding Form
  Ohio IT-4
• Virginia State Tax Withholding Form
  Virginia VA-4
• Maryland State Tax Withholding Form
  Maryland MW507
• Kentucky State Tax Withholding Form
  Kentucky K-4
• Federal Income Tax Withholding Form
  https://www.irs.gov/pub/irs-pdf/fw4.pdf

HR Forms

• HR Hire Checklist
• HR Resignation Checklist
• PEIA Coverage Termination Form