Forms
People and Culture
- Home
- Employee Resources
- Benefits
- Benefits Offered
- Dental Insurance
- Employee Assistance Program
- Flexible Spending Account (FSA)
- Health Insurance
- Health Savings Account (HSA)
- Life Insurance
- Nice Healthcare
- Paid Leave
- Retirement Program
- Short-Term & Long-Term Disability Benefits
- Supplement Benefits
- Tuition Benefit
- Vision Insurance
- Employee Discounts and Perks
- Frequently Asked Questions
- Holiday and Gift Day Schedule
- Employee Life Cycle Resources
- Onboarding
- Connection and Well-being
- Professional Development
- Recognition
- Internal Job Transfers
- Departing Bethel
- Employee Handbook
- Employment Law
- Employment Verification
- Payroll
- Supervisor Resources
- Recruitment
- Developing Employees
- Building Teams
- Performance Management
- Supporting University’s Mission and Vision
- Managing Departures from Bethel
- Student Employment
- Forms
- Complaints and Concerns
- Reporting a Complaint or Concern
- Disability Discrimination
- Racial and Ethnic Harassment
- Sexual Misconduct and Sexual Harassment (Title IX)
- Training
- Frequently Asked Questions
- Contact Us
Affirmation of Faith Agreement
Benefits
Medical, Dental, and Life Insurance
Enrollment in these benefits can only be changed during a qualifying event or during the annual Open Enrollment Period. Please contact people-culture@bethel.edu if you have experienced a qualifying event in the last 30 days and need a form to change or enroll in these benefits.
Retirement Deduction Change
Tuition Benefit
Beneficiary Changes
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TIAA: Visit tiaa.org/bethel and log in
Contact Information
- This information will be kept confidential and only used in cases of extreme emergency (such as medical) when you are unable to provide the information. Your submission of this form authorizes People and Culture to call your contact or provide this information on a need-to-know basis.
Employee Recognition
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Royal Kudos request (for student employees)
Family and Medical Leave Act (FMLA)
Leaving Bethel
Payroll
Payment Changes & Requests
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Request for employee payroll payment (ie. a stipend)
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12-Month Paycheck Distribution form (for non-12-month employees)
Tax Withholding & Statements
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Federal Form W-4 (2024) (pdf) (for Federal Tax Withholding)
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Minnesota Form W-4 (2024) (pdf) (for MN State Tax Withholding)
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California Form DE 4 (2024) (pdf) (for CA State Tax Withholding)
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Instructions for Electronic Forms Consent (W-2 and 1095-C)
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Instructions for Viewing Your Electronic Form W-2 (pdf)
Payroll Calendar
Leave Reports & Timesheets
These forms can be used if you are unable to submit your leave report or timesheet via Self-Service Banner.
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Leave Report (xls) (for exempt employees)
- Adjunct Leave Report (xls)
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Timesheet (xls) (for non-exempt employees)
Deductions
Performance Review Forms
- Performance Review (docx)
- Performance Goals (docx)
- Performance Review Guide (pdf)
- Performance Review: Employee Self-Assessment Form (pdf)
Workers' Compensation/Injuries
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Report of Injury form (pdf) (Turn in to the Office of People and Culture within 24 hours of injury)
Work from Home and Remote Work Forms
Work From Home
Remote Work
If the form you are looking for is not listed, please contact people-culture@bethel.edu or the appropriate People and Culture team member.