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Bluefield State College
Human Resources Forms

Job Description Forms

    Classified Staff          Non-Classified Staff

     Coversheet                 Coversheet
     PIQ Form                    PIQ Form

Medical Management Forms

    Medical Verification Leave Form
    Catastrophic Leave Request
    Catastrophic Donor Request

Performance Appraisal Forms
    EPA-1   Initial Review
    EPA-2   3 and 6-Month review
    EPA-3   Annual Review

New Hire Forms

    BSC Application
    Data Sheet
    Federal I9
    W-4
    Virginia Employee Withholding Form
    WV Employee Withholding Form
    WV Certificate of Non-Residence

Miscellaneous Forms

    Change of Address
    RSE Extra Help Request
Office Personnel

Leah Taylor
Director, Human Resources
E-Mail: ltaylor@bluefieldstate.edu


Kim Daniels
Human Resource Representative
E-Mail: kdaniels@bluefieldstate.edu

Phone: (304) 327-4013
Fax: (304) 327-4321

Updated: November 19, 2008
©2008 Bluefield State College Human Resources