Forms Index

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Recruitment:
Screening Committee Chair Responsibilities Checklist
Guidelines for Screening/Interview Committees
Interview Questions Database (New 2008)
PeopleAdmin Training Manual for Hiring Managers & Committee Chairs (Recruitment Software)
Authorization to Check Work History
Criminal History Check (pdf)
Equivalency Statement (pdf)
Reference Check Form (for all positions)

Recruitment Form 3 (ER3) (for all positions) (Revised 7/07)

Provisional Instructor Approval (pdf) Writable
Regular Instructor Approval  (Word)
Approval To Hire Temporary Personnel (Online-Word Version) and Irregular Wage Salary Schedule
Approval To Hire Temporary Personnel (Print Word Version)
Notice of Appointment-Administrative (pdf) Writable
Notice of Appointment-Special Assignment  (pdf) Writable
Notice of Appointment - Teaching PT (Word)

Employee Related Forms:
New Hire Required Documentation Info Sheet (Great tool for hiring supervisors!)
Orientation Checklist for Supervisors
W-4 Form  (pdf)
I-9 Form  (pdf)
New Employee Payroll Information (pdf)
Name Change Instructions - Form links (New)
New Hire Acknowledgement Form
Hourly Time Sheet  (pdf)
Work-Study Time Sheet  (pdf)
Classified Time Sheet  (pdf)
Overtime Authorization  (pdf)
Staff Tuition Waiver Policy 
Staff Tuition Waiver Form (on-line version) Staff Tuition Waiver Form (Print version)

Salary Reduction Form for TSA/403(b) (New)
COBRA - Health Coverage Continuation Notice & Application
COBRA - General Information & Employee Rights & Obligations

Evaluation:
Administrator Evaluation (htm)
Administrator Evaluation (Word)
Administrator Evaluation Instructions
Outside Administrator Evaluation Questionnaire (Word)

Classified Performance Appraisal Guidelines (pdf)
Classified Performance Appraisal (Word)
Classified Self Evaluation (pdf)
Classified Reclassification Questionnaire

Faculty Annual Report of Activities (pdf)

Family Medical Leave:
Questions & Answers-FMLA
Questions & Answers-OFLA
FMLA Request for Leave Form
FMLA Medical Certification Form
FMLA Time Sheet (pdf) Writable
Employee Status Report

Position Descriptions/Reclassification:
Job Description Worksheet Completion Guide
Job Description Worksheet (pdf)
Job Description Template - Part Time Instructor (pdf)
Job Description Template Administrators/Classified  (Word)
Job Description Template PT Faculty  (Word)
Job Description Template FT Faculty  (Word)

Health Insurance Forms:
Member Reimbursement Claim Form (PDF) 
Direct Member Reimbursement Form
Benefit Booklets
Enrollment Change Form (pdf)
Domestic Partner Coverage
Certificate of Domestic Partnership
Statement of Termination of Domestic Partnership

Flexible Spending Account Forms (formerly PCA):
FSA Information - Home Page 
FSA Debit Card - Information FAQ
FSA Reimbursement Form – Healthcare 
FSA Reimbursement Form – Dependent Care
FSA - list of common reimbursable expenses
FSA Direct Deposit Authorization Form
FSA Change of Status Form
FSA Address/Telephone Change Form

Other Health Insurance Information: 
COBRA - Health Coverage Continuation Notice & Application
COBRA - General Information & Employee Rights & Obligations
Family Health Insurance Assistance Programs 

Leave Forms:
Leave Request
Report of Sick Leave
FMLA Time Sheet (pdf) Writable
Questions & Answers-FMLA
Questions & Answers-OFLA
Medical Leave Assistance Program Application for Funds

Miscellaneous:
Consent Agreement - Photographs
Public Records Request Form
Group Life Insurance Enrollment/Beneficiary Form

Safety/Worker's Compensation:
Pre 801 Injury Report Form (no medical treatment)   
801 Form (when MEDICAL treatment received)   
Employee Status Report

Public Employees Retirement System:
Information from the PERS Web Site

Termination:
Termination Checklist (pdf) Updated 0806
Termination-Resignation Form (TALX)
Authorization to Release Work History / Provide Reference (Word)
Retirement Checklist (pdf)
COBRA - Health Coverage Continuation Notice & Application