WCSU Covid-19 Information Fall 2021

Human Resources

Human Resources – Forms

Frequently Used Forms

AAUP – Article 10.6.2 Administrative Assignment Payment Form

AAUP – Adjunct Non-Instructional Assignment Payment Form – REVISED 12-2019

AAUP – Faculty Consulting & Research with Public or Private Entities Compliance Form

AAUP – Faculty Request for Approval to Accept External Teaching Employment During the Fall or Spring Semester

Candidate Reimbursement Form – updated 01-2020

Change of Name/Address/Emergency Contact Form – All Employees – Fillable PDF Form

Direct Deposit Authorization Form

Dual Employment Form

Employee Request for Compensation For Activities Form

         Emergency Contact Form

Emergency Room Copayment Waiver Request

Position Reclassification Request Form

Tax Form: CT State W4-2021 Link to: Connecticut Withholding Calculator 

Tax Form: Federal W4-2021 – Link to: Federal Withholding Calculator

Tuition Reimbursement Form – A&R, Maintenance & Clerical Staff

Tuition Waiver Form – Clerical Staff

Tuition Waiver Form – Management/Confidential, SUOAF & AAUP Staff – Fillable Form

Tuition Waiver – MFA-Writing Courses Guidelines

Tuition Waiver – Graduate Courses – Job-Related Questionnaire – Mgmt/Conf, SUOAF, AAUP

University Separation Checklist Form

University Exit Interview Questionnaire

Welcoming New Staff Checklist

         Workers’ Compensation – First Report of Injury Form – WC-207 – Supervisor Completes, Calls in & Submits to Human Resources

Work Schedule Form

Evaluation Forms

Evaluation Form for A&R Staff

Evaluation Form for Clerical Staff

Evaluation Form for Maintenance Staff

Evaluation Form for Police Staff

Evaluation Form for Administrative Faculty (SUOAF) Staff

Evaluation Form for Confidential Unclassified Staff

Evaluation Form for AAUP Teaching Faculty

Evaluation Form for AAUP Teaching Faculty Digital Signature Enabled

Evaluation Form for AAUP Counselors

Evaluation form for AAUP CounselorsDigital Signature Enabled

Evaluation Form for AAUP Librarians

Evaluation Form for AAUP LibrariansDigital Signature Enabled

Evaluation Form for AAUP Athletic Coaches

Evaluation Form for AAUP Athletic CoachesDigital Signature Enabled

Evaluation Form for AAUP Athletic Trainers

Evaluation Form for AAUP Athletic TrainersDigital Signature Enabled

Leave Related Forms

FMLA – General Letter – Statewide Policy

FMLA – Medical Certificate – P33a

FMLA – Employee Request – HR1

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

         Graduate Intern Hire Form – NEW 06-2020

New Hire Data Sheet for Part Time Employees – Adjuncts, UAs, Graduate Assistants/Interns, Student EmployeesNEW 04-2021

IPEDS – Race/Ethnicity IPED Survey Form

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 W4-2021 – Link to: Connecticut Withholding Calculator 

Tax Form: Federal W4-2021 – Link to: Federal Withholding Calculator

University Assistant Recommendation for Hiring Form – REVISED 06-2021 NOTE: You must have approval to hire before completing this form.

Voluntary Schedule Reduction Program – Request for Schedule Change Form – CT-HR-7c

Volunteer Athletic Coach Hiring Procedures & Request FormREVISED 01-2020

Volunteer Hiring Procedures & Request Form REVISED 01-2020