Forms
Earlham seeks to provide all of our community members with the support and resources they need to thrive. Below, find important resources that are designed to help you in your day-to-day work.
| Medical | ||
| BPC participant forms and downloads | Print, complete and send printed copy. Do not send forms via email. | |
| Domestic partner health insurance waiver | ||
| Payroll and taxes | ||
| Authorization for payroll direct deposit | ||
| Payroll deduction form | ||
| W-4 | Federal withholding | |
| WH-4 | Indiana withholding | |
| Performance review | ||
| Annual performance review | To be completed by supervisor | |
| Annual self-performance review | ||
| Supervisors | ||
| Annual performance review | ||
| Hourly staff search process summary | ||
| Monthly payroll pay order | ||
| One time salary payment | ||
| Request to hire (permanent staff) | ||
| Request to hire (temporary staff) | ||
| Time sheet and vacation | ||
| 2022 vacation reporting form | For salaried employees | |
| Student time sheet | Spring 2022 students | |
| Time sheet for hourly staff | ||
| Tuition | ||
| Tuition assistance for dependent children | ||
| Tuition for dependent children | ||
| Tuition for employee or spouse | ||