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Home > Forms

Employee Benefits

Flexible Reimbursement Accounts

• Flexible Reimbursement Worksheet
• Enrollment Form
• Reimbursement Form (Effective through June 30, 2012)

Health Insurance

• Anthem Enrollment/Waiver Form
  (Also use for changes to coverage)
• Drug Prior Authorization Request
• Medical Claim Form
• Prescription Drug Reimbursement
• Blue View Vision Claim Form

Leave

• Compensatory Time  
• Record of Overtime
• Record of Overtime Leave
• Time and Attendance Record for Non-exempt Classified Employees 2012 - 2013
• Time and Attendance Record for Non-exempt Classified Employees 2013 - 2014
  

Tuition Waiver/Reimbursement

• Off-Campus Tuition Reimbursement
• On-Campus Tuition Waiver

Employee Correction/Discipline

• Administrative Notification Form
• Behavior Incident Documentation Form
• Improvement Needed Form
• Written Notice

Employee Recognition Program

• Employee Recognition Nomination Form

Faculty Contracts

• Administrative & Professional Faculty
• Fixed Term Appointment - Non-tenure Track
• Instructional Faculty Member - Tenure Track
• Instructional Faculty Member - Tenured
• Renewable Term Appointment

Miscellaneous

• Affiliates Form
• Annual Campus Crime Report
• Bulk Email and Label Request Information
• Nepotism Review Form

Personal Information

• Address Change
• Employee Suggestion
• Exit Interview for Classified Employees
• Separating Employee Checklist

Personnel Action Request

• 1500 Hour Wage Exception Request Form
• Employee Information Form
• New Hire Blanket Form
• PAR Form
• Pay Action Worksheet (PAW)
• Rehire Blanket Form

Position Evaluation

Evaluation Process

• Administrative & Professional Faculty Performance Evaluation
• Annual Performance Evaluation Form for Non-Probationary Classified Employees
• Extraordinary Contribution Form
• Faculty Evaluation of Academic Unit Head
• Improvement Needed Form
• Interim Evaluation Form
• Individual Professional Development Plan (IPDP)
• Performance Evaluation Process
• Performance Evaluation Sample
• Probationary Progress Review Form
• Self-Assessment Sample

Position/Personnel Management

• Employee Work Profile (EWP/Position Description)
• Grievance Forms
• Grievance Procedure Manual
• Less Than 12-Month Appointment Agreement
• Position Description (EWP)
• Written Notice

Recruitment Services

• Criminal Records Check Release Form
• Emergency Hire Form 
• Form I-9, Employment Eligibility Verification
• Hiring Justification Form
• Multiple Hire Spreadsheet
• Telephone Reference Check

Workers Compensation

• Panel of Physicians
• Report of Accident
• Transitional Duty Plan