Human Resources – Forms
Frequently Used Forms
AAUP – Article 10.6.2 Administrative Assignment Payment Formopens PDF file
AAUP – Adjunct Non-Instructional Assignment Payment Formopens PDF file – REVISED 07-2021
AAUP – Faculty Consulting & Research with Public or Private Entities Compliance Formopens PDF file
Candidate Reimbursement Formopens EXCEL file – updated 02-2022
Change of Name/Address/Emergency Contact Formopens PDF file – All Employees – Fillable PDF Form
Direct Deposit Authorization Formopens PDF file
Dual Employment Formopens PDF file
Employee Request for Compensation For Activities Formopens PDF file
Emergency Room Copayment Waiver Request
Position Reclassification Request Formopens PDF file
Position Request Form (PRF)opens WORD file – Fillable Form – updated 12-2023
Tax Form: CT State W4-2024opens PDF file – Link to: Connecticut Withholding Calculator
Tax Form: Federal W4-2024opens PDF file – Link to: Federal Withholding Calculator
Telecommuting Application – Management & Confidentialopens PDF file
Telecommuting Request Form – SUOAFopens PDF file
Tuition Reimbursement Form – A&R, Maintenance & Clerical Staffopens PDF file
Tuition Waiver Form – Clerical Staffopens PDF file
Tuition Waiver Form – Management/Confidential, SUOAF & AAUP Staff opens PDF file – Fillable Form – REVISED 07-07-2023
Tuition Waiver – MFA-Writing Courses Guidelinesopens PDF file
Tuition Waiver – Graduate Courses – Job-Related Questionnaire – Mgmt/Conf, SUOAF, AAUPopens PDF file
University Separation Checklist Form – All Employeesopens PDF file – Fillable Form – Revised 11-2023
University Exit Interview Questionnaire
Welcoming New Staff Checklistopens PDF file
Workers’ Compensation – First Report of Injury Form – WC-207 – opens PDF file Supervisor Completes, Calls in & Submits to Human Resources
Work Schedule Formopens EXCEL file
Evaluation Forms
Evaluation Form for A&R Staff – Part 1 of 2opens PDF file & Evaluation Form for A&R Staff – Part 2 of 2opens PDF file
Evaluation Form for Clerical Staffopens WORD file
Evaluation Form for Maintenance Staffopens WORD file
Evaluation Form for Police Staffopens WORD file
Evaluation Form for Administrative Faculty (SUOAF) Staffopens PDF file – Revised 12-2022
Evaluation Form for Management & Confidential – Manager 3 and belowopens PDF file – NEW 07/2023
Evaluation Form for Management & Confidential – Executive 1 and aboveopens PDF file – NEW 07/2023
Evaluation Form for AAUP Teaching Facultyopens PDF file
Evaluation Form for AAUP Teaching Facultyopens PDF file – Digital Signature Enabled
Evaluation Form for AAUP Counselorsopens PDF file
Evaluation form for AAUP Counselorsopens PDF file – Digital Signature Enabled
Evaluation Form for AAUP Librariansopens PDF file
Evaluation Form for AAUP Librariansopens PDF file – Digital Signature Enabled
Evaluation Form for AAUP Athletic Coachesopens PDF file
Evaluation Form for AAUP Athletic Coachesopens PDF file – Digital Signature Enabled
Evaluation Form for AAUP Athletic Trainersopens PDF file
Evaluation Form for AAUP Athletic Trainersopens PDF file – Digital Signature Enabled
Leave Related Forms
Medical Certificate – P33aopens PDF file
FMLA – General Letter – Statewide Policyopens PDF file
FMLA – Employee Request – HR1opens PDF file
FMLA – Intent to Return to Work – HR3opens PDF file
Sick Leave Bank Application (SUOAF Staff)opens PDF file
Sick Leave Bank Application (Management/Confidential & AAUP Staff)opens PDF file
State of Connecticut Voluntary Schedule Reduction Program Agreement Formopens PDF file
Student Employee & University Assistants – Medical Certificate – P33aopens PDF file
Employment Forms
Employment Eligibility Verification – Form I-9 (paper form) & LINK TO: I-9 Form – List of Acceptable Documentsopens PDF file
Employment Eligibility Verification – Form I-9 (fillable form – Must use Internet Explorer to open)
LINK TO: I-9 Form – List of Acceptable Documentsopens PDF file
Graduate Intern Hire Formopens PDF file – Revised 05-2021
New Hire Data Sheet for Part Time Employees – Adjuncts, UAs, Graduate Assistants/Interns, Student Employeesopens PDF file – REVISED 10-2022
Records Retention and Disposition Policy Acknowledgement of Receiptopens PDF file – Fillable PDF Form
Retirement – Designation of Beneficiary – Form CO-999opens PDF file
Student Employee Appointment Authorization Form
Summer Term Hire Formopens PDF file
Tax Form: CT State W4-2023 opens PDF file – Link to: Connecticut Withholding Calculator
Tax Form: Federal W4-2023opens PDF file – Link to: Federal Withholding Calculator
University Assistant Recommendation for Hiring Formopens PDF file – REVISED 07-2023 NOTE: You must have approval to hire before completing this form.
Voluntary Schedule Reduction Program – Request for Schedule Change Form – CT-HR-7copens PDF file
Volunteer Athletic Coach Hiring Procedures & Request Formopens PDF file – REVISED 01-2020
Volunteer Hiring Procedures & Request Form opens PDF file – REVISED 01-2020