Human Resources
Finance & Administration

HR Forms

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Forms are arranged by the following categories:


Benefit Forms


Benefit Changes

(Qualifying Life Events)

Making Changes to Benefits due to a Qualifying Life Event:

  • Log into Connect Lehigh at
  • Select Employee from the dropdown list
  • Select Lehigh Benefits
  • Click “View/Edit Your Benefits” on the right side of the screen
  • Enter your changes

Capital Blue Cross Forms


Dental Plan Claim Form

Domestic Partnership Forms

Family Medical Leave

Flexible Spending Accounts (FSA)

Leave Requests for Staff

LVAIC Cross Registration Form for Employees and Spouses

Mortgage Incentive Program

Personal Information Changes

(changes in name, address, phone number, emergency contact, or marital status)

Prescription Plan Forms

Short Term Disability Plan Forms

Tuition Cash Grant

Vision Plan Forms

Employee Relations Forms

Accommodation Request

Flextime Guidelines

Employment Forms

Employment Applications (apply for positions through our online system)

Employment Eligibility Verification (I-9)

Leaving Lehigh Forms

Staff Separation Forms

Exit Interview Questionnaires

Recognition and Reward Forms

Spot Bonus Award

Tradition of Excellence Award

Staff Compensation Forms

Extra Duty Compensation

On-Campus Consulting/Additional Compensation for Exempt Employees

Position Descriptions

Request for Deferred Pay Exception

Temporary Bonus Request




Wellness Forms

Health Screening for Be Well program


 CAREER ENRICHMENT and Performance Forms

BEST Program

Performance Management

Career Enrichment @ Lehigh (CE@L) Programs

Workplace Posters - Federal and State Labor Laws

Federal Workplace Labor Law Posters

  • State Posters for Pennsylvania