human resources Forms

These documents are for SCSU department use only and should not be modified without consent from the Human Resources Department.

FREQUENTLY USED FORMS

Clerical Tuition Waiver

Confidentiality Statement

W-4 Federal Tax Form 2009

EMPLOYMENT FORMS

Application (SCSU, Unclassified Employees Only)

Application (State - PLD-1, Classified Employees Only)

Background Investigation Authorization

Governor Rell's Ethics Statement

Graduate Assistant Appointment Form

I-9 Employment Eligibility Verification

Lecturer Appointment

Non-Teaching Lecturer Appointment

Part Time Counselor Form

Personnel Action Form

Personnel Change Request Form

University Assistant Appointment Form

Faculty Related Forms

AAUP Consulting Research Approval Form

External Teaching Request

Instructional Faculty Authorization Form (10.12)

No Load Credit Form (10.12.1)

Request for Time and/or Allocation Split

EVALUATION FORMS

Administrative Faculty

Administrative and Residual

Clerical

Maintenance

Management/Confidential

medical RELATED FORMS

FMLA -HR1 Employee Request

FMLA - HR2a Agency Response: Notice of Eligibility & Rights & Responsibilities

FMLA - HR2b Agency Response: Designation Notice

FMLA - HR2c CORE CT Coding

FMLA - HR3 Intent to Return to Work

Employee Med Cert Form (P33-A)

Caregiver Med Cert Form (P33-B)

Military Family Leave Form (WH-384, Employee)

Military Family Leave Form (WH-385, Service Member)

Sick Leave Bank Grant Application - AAUP

Sick Leave Bank Grant Application - Management/Confidential

Sick Leave Bank Grant Application - SUOAF

retirement forms

Income Payment Election Form - Option A (50% Spouse)

Income Payment Election Form - Option B (50% or 100% Survivor)

Income Payment Election Form - Option C (10 or 20 Years Period Certain)

Inome Payment Election Form - Option D (Straight Life Annuity)

Limited Durable Power of Attorney Form (CO-1049)

Worker's Compensation Forms

WC Forms for supervisors

WC Forms for employees

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