FORMS
Several forms are listed below. If you have problems printing the forms, please contact Karen Portera, Human Resources, so we can make any desirable adjustments. You may also download designated forms as RTF files. RTF files can be opened with any word processing program.
POSITION ACTION REQUEST AND SEARCH FORMS
¨ AAP FORM 1 - Personnel Action Request
¨ AAP FORM 2 - Affirmative Action Search Plan
¨ AAP FORM 3 - Authorization to Interview/Recruitment Efforts
¨ AAP FORM 4 - Approval of Recommended Candidates
¨ INSTRUCTIONS FOR COMPLETING SEARCH FORMS
(Article 10.12 Form)
COMPENSATION FOR BARGAINING UNIT WORK AUTHORIZATION, INSTRUCTIONAL FACULTY
(Article 10.12.1 Form)
COMPENSATION FOR BARGAINING UNIT WORK AUTHORIZATION, INSTRUCTIONAL FACULTY
Background Check Faculty Consent & Disclosure Form
Background Check Staff Consent & Disclosure Form
CCSU Application for Employment
Dual Employment Request Form (PER-DE-1)
EMPLOYEE MEDICAL CERTIFICATE - FORM P-33A
EVALUATION and RECOMMENDATION FOR RENEWAL, TENURE, PROMOTION or PROFESSIONAL ASSESSMENT
EVALUATION and RECOMMENDATION FOR RENEWAL, TENURE, PROMOTION or PROFESSIONAL ASSESSMENT FOR COACHES
EVALUATION and RECOMMENDATION FOR RENEWAL, TENURE, PROMOTION or PROFESSIONAL ASSESSMENT FOR TRAINERS
Faculty Consulting & Research Forms and FAQs
FAMILY & MEDICAL LEAVE (FMLA) INFORMATION & FORMS
* Employee Request Form (HR-1)
* Employee Medical Certificate Form (P-33A)
* Employee Medical Certificate Form - Caregiver (P-33B)
FULL-TIME TEACHING APPOINTMENT FORM (Summer or Intersession)
PART-TIME FACULTY APPOINTMENT FORM
PSA INDEPENDENT CONTRACTOR OR EMPLOYEE PRELIMINARY DETERMINATION QUESTIONNAIRE
Form to be printed from your browser or the form may be downloaded in RTF format and opened with your word processing program.
Reporting Research or Consulting with Outside Public or Private Entity
State of CT Application for Examination or Employment (PLD-1)
Form to be printed from your browser or the form may be
downloaded in RTF format and opened with your word processing program.
Tuition Reimbursement
Tuition Waiver
University Assistant Appointment Form
Form W-4 (U.S.) (IRS Website)
Form CT-W4 (Connecticut Dept of Revenue Services website)
External Forms of Interest
In addition, you may obtain the forms listed below as pdf files. These are files you download to your desktop, then read with a version of free software called Adobe Acrobat Reader. This reader may already exist on your machine. If not, your browser may suggest that you obtain the free version of the reader. You can follow the directions and add this capability to your computer.
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Last Update: Tuesday January 10, 2006