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