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
Candidate Reimbursement Form – updated 01-2020
Change of Name/Address/Emergency Contact Form – All Employees – Fillable PDF Form
Direct Deposit Authorization Form
Disbursement Form for Searches
Employee Request for Compensation For Activities 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
Workers’ Compensation – First Report of Injury Form – WC-207 – Supervisor Completes, Calls in & Submits to Human Resources
Evaluation Forms
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 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 – Medical Certificate – P33a
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 Employees – NEW 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 06-2020 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 Form – REVISED 01-2020
Volunteer Hiring Procedures & Request Form – REVISED 01-2020