• Adjunct Faculty Application
• Background Check Disclosure
• Background Clearance Certification For Provisional Employment
• Drug Free Workplace
• English Fluency Form
• I-9 Form
• I-9 Form Instructions
• IRS W-4 Form
• New Hire Checklist Part-Time Faculty
• Post Employment Data Form
• Reference Check Form

• Cform - New assignment for current active employee
• Cform - Termination

• Change of Employee Information Form
• Position Requisition Form
• Request for Temporary Agency Worker Form
• ADA and Pregnancy Accommodation Form for Employees and Applicants
• For Chosen Name, and Veteran or Disability Self-Identification Forms,
  visit the Office of Diversity, Equity and Inclusion Forms site.

• Life Insurance Beneficiary Form
• PSERS/SERS Pension Plan Attestation Form
• Retirement Plan Contribution Form
• Income Protection Benefit (IPB) Authorization Form
• IBC- International Claim Form
• IBC- PPO Out of Network Claim Form
• Keystone- POS Out of Network Claim Form
• Medicare Part D Creditable Coverage
• Model Attestation Regarding Reproductive Health Care

• ACH Direct Payment Plan Authorization Form
• Adjunct Faculty Benefit Enrollment Form
• PSERS/SERS Retirement Plan Attestation Form
• Reimbursement for Coverage Elsewhere (Adjunct/VL)

• Keystone 65 Application
• Retiree 65 Plus Application
• Retiree ACH Authorization

• Authorization for Release of Medical Information
• Attending Physician's Statement of Medical Condition
• Certification of Health Care Provider for Employee
• Certification of Health Care Provider for Family Member
• Employee’s Request for Family & Medical Leave
• Employee Rights and Responsibilities under the Family and Medical Leave Act
• Release to Return to Work - Fitness to Duty

Life Insurance designations for Basic Life and AD&D coverage should be made on Plan Source by going to https://benefits.plansource.com/logon/CCOP. 

• Approved Providers
• Employee Acknowledgement Form
• What Happens If I Get Hurt At Work