Human Resources – Forms
Frequently Used Forms
AAUP – Article 10.6.2 Administrative Assignment Payment Form
AAUP – Adjunct Non-Instructional Assignment Payment Form
AAUP – Faculty Consulting & Research with Public or Private Entities Compliance Form
Candidate Reimbursement Form – updated 01-2025
Change of Name/Address/Emergency Contact Form – All Employees – Fillable PDF Form
Direct Deposit Authorization Form
Employee Request for Compensation For Activities Form – If late must complete the Late Submittal Form as well
Emergency Room Copayment Waiver Request
Position Refill and Reclassification Request Form (PRF) – Form-Fill – updated 09-2024
Tax Forms – See below under Employment Forms for current year forms
Telecommuting Request APP – NEW 04-2025
Telecommuting APP Training Session Recording – NEW 04-2025
Tuition Reimbursement Form – A&R, Maintenance & Clerical Staff
Tuition Waiver Form – Clerical Staff
Tuition Waiver Form – Management/Confidential, SUOAF & AAUP Staff – Fillable Form – REVISED 06-04-2024
Tuition Waiver – MFA-Writing Courses Guidelines
Tuition Waiver – Graduate Courses – Job-Related Questionnaire – Mgmt/Conf, SUOAF, AAUP
University Separation Checklist Form – All Employees – REVISED 09-2025
University Exit Interview Questionnaire
Workers’ Compensation – First Report of Injury Form – WC-207 – Supervisor Completes, Calls in & Submits to Human Resources
Evaluation Forms
Evaluation Form for A&R Staff – Part 1 of 2 & Evaluation Form for A&R Staff – Part 2 of 2
Evaluation Form for Clerical Staff
Evaluation Form for Maintenance Staff
Evaluation Form for Police Staff
Evaluation Form for Administrative Faculty (SUOAF) Staff – REVISED 12-2022
Evaluation Form for Management & Confidential – Manager 3 and below – REVISED 07-2025
Evaluation Form for Management & Confidential – Executive 1 and above – REVISED 07-2025
Evaluation Form for AAUP Teaching Faculty
Evaluation Form for AAUP Teaching Faculty – Digital Signature Enabled
Evaluation Form for AAUP Counselors
Evaluation form for AAUP Counselors – Digital Signature Enabled
Evaluation Form for AAUP Librarians
Evaluation Form for AAUP Librarians – Digital Signature Enabled
Evaluation Form for AAUP Athletic Coaches
Evaluation Form for AAUP Athletic Coaches – Digital Signature Enabled
Evaluation Form for AAUP Athletic Trainers
Evaluation Form for AAUP Athletic Trainers – Digital Signature Enabled
Leave Related Forms
FMLA – General Letter – Statewide Policy
FMLA – Intent to Return to Work – HR3
Sick Leave Bank Application (SUOAF Staff)
Sick Leave Bank Application (Management/Confidential & AAUP Staff)
State of Connecticut Voluntary Schedule Reduction Program Agreement Form
Student Employee & University Assistants – Medical Certificate – P33a
Employment Forms
Employment Eligibility Verification – Form I-9 (paper form) & LINK TO: I-9 Form – List of Acceptable Documents
Employment Eligibility Verification – Form I-9 (fillable form – Must use Internet Explorer to open)
LINK TO: I-9 Form – List of Acceptable Documents
New Hire Data Sheet for Part Time Employees – Adjuncts, UAs, Graduate Assistants/Interns, Student Employees – REVISED 06-2025
Records Retention and Disposition Policy Acknowledgement of Receipt – Fillable PDF Form
Retirement – Designation of Beneficiary – Form CO-999
Student Employee Appointment Authorization Form
Tax Form: CT State W4-2025 – Link to: Connecticut Withholding Calculator
Tax Form: Federal W4-2025 – Link to: Federal Withholding Calculator
University Assistant Recommendation for Hiring Form – REVISED 07-2023 NOTE: You must have available funds before submitting this form.
Voluntary Schedule Reduction Program – Request for Schedule Change Form – CT-HR-7c