Human Resources

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

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

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 Contact Formopens PDF file

Emergency Room Copayment Waiver Requestopens PDF file

Position Reclassification Request Formopens PDF file

Position Request Form (PRF)opens WORD file

Tax Form: CT State W4-2022 opens PDF file Link to: Connecticut Withholding Calculator 

Tax Form: Federal W4-2022opens PDF file  – Link to: Federal Withholding Calculator

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 Staffopens PDF file – Fillable Form

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

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 Staffopens WORD 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 WORD file

Evaluation Form for Confidential Unclassified Staffopens PDF file

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

FMLA – General Letter – Statewide Policyopens PDF file

FMLA – Medical Certificate – P33aopens 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 – NEW 06-2020

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

IPEDS – Race/Ethnicity IPED Survey Formopens PDF file

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

Tax Form: CT State W4-2022 opens PDF file – Link to: Connecticut Withholding Calculator 

Tax Form: Federal W4-2022opens PDF file  – Link to: Federal Withholding Calculator

University Assistant Recommendation for Hiring Formopens PDF file – 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-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