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 – NEW 02-2026 – Online Form via the Employee Request for Compensation App
User Guide and Videos for the Employee Request for Compensation App
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 W4-2026 – Link to: Connecticut Withholding Calculator
Tax Form: Federal W4-2026 – 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