Human Resources Forms
Onboarding Forms
- Acknowledgement of Rights and Responsibilities
- Adjunct Faculty Application
- Background Check Disclosure
- Background Clearance Certification For Provisional Employment
- Drug Free Workplace
- Emergency Contact Form
- 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
C-Forms
- New Assignment for Current Employee C-Form E.G. adjunct assignments, overloads, extended time payments
- New Hire C-Form
- Termination C-Form
- Leave of Absence & Return from Leave C-Form
- Change C-Form Other actions not listed above.
General HR Forms
- C-Form
- Change of Employee Information Form
- Classified Position Bid Form
- Exit 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.
Benefits Forms and Notices
- Benefit Enrollment/Change Form
- COBRA Rights
- Life Insurance Beneficiary Form
- PSERS/SERS Pension Plan Attestation Form
- Retirement Plan Contribution Form
- Student Verification Form for Dental Insurance
- 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
Medical Leave of Absence and Medical Leave (FMLA) Forms
- 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
- HIPAA Notice of Privacy Practices
- Release to Return to Work - Fitness to Duty
Life Insurance Forms
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.
Workers Compensation Forms
Evaluation/Information Forms
- Annual Performance Appraisal–Admins DocuSign Power Form
- Administrative Staff Performance Rating Guide - Admins
- Annual Performance Appraisal Form – Admins
- Annual Performance Appraisal Form - Classified/Confidential
- Probationary Evaluation Form - 30 Day - Classified Staff
- Probationary Evaluation Form - 90 Day - Confidential Staff
- Probationary Evaluation Form - 90 Day - Classified Staff
- Probationary Evaluation Form - 90 Day - Administrative/New Hires