Human Resources CCSU Sign-Up

Human Resources

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Contact Information

General Information:
(860) 832-1756
Davidson - Room 201

Christine Derwitsch
Phone: (860) 832-1756
Fax: 959-255-8790

 

Hours

Monday      8:00 am to 5:00 pm

Tuesday      8:00 am to 5:00 pm

Wednesday 8:00 am to 5:00 pm

Thursday    8:00 am to 5:00 pm

Friday        8:00 am to 5:00 pm

 

Welcome to Central Connecticut Sign-Up

This page for new employees contains forms you have been asked to complete (and print) and policies you must read prior to meeting with a Human Resources representative. Please bring completed forms and documentation to your HR appointment. This page also contains important information about retirement and health benefit plans to help you in your decision making. For questions, contact Human Resources at 860-832-1756.

Forms to Complete and bring to On-Boarding Session:

Authorization to work in the U.S.

Employment Eligibility Verification Form (I-9)

If you require Visa assistance, please contact Human Resources. 

Payroll

Federal Income Tax Form W-4

Federal W4 Exemption

NOTICE:  You are submitting this Form W-4 under the penalties of perjury.

This means that if you knowingly claim allowances or an exempt status to which you are not entitled, you are subject to criminal prosecution in Federal Court. Submission of a fraudulent Form W-4 is a federal crime under Title 26, U.S. Code Section 7205, that is punishable by up to one year in prison and a fine of up to $100,000.

In addition, knowingly submitting a false Form W-4 may constitute evidence of tax evasion (or other federal crimes). Tax evasion is a federal crime under Title 26, U.S. Code Section 7201, that is punishable by up to 5 years in prison, a fine of up to $1 Million, costs of prosecution, and an order of restitution for any federal taxes owed.

State Income Tax Form CT-W4

For additional information such as direct deposit, pay schedule, etc., visit Payroll at https://www.ccsu.edu/fiscalaffairs/payroll.html

University Faculty/Staff

Blue Chip ID Card Authorization

Parking Permit

Campus Map

State of CT Work History

  • List all previous state service

Dual Employment Request

Employee Information Sheet

Employee Benefit Information

State of Health Care Planner

Medical

Dental

Pharmacy

Health Enhancement Program Plan Enrollment Form

State of Connecticut Medical Benefit Plan Document
Marriage License & Birth Certificate(s) required to enroll family members in health insurance

Supplemental Benefits
**ARP Participants** - Employees who elect the Alternate Retirement Plan (ARP) are automatically covered for Long Term Disability Insurance through Prudential.

Group Life Insurance

Retiree Healthcare Contribution FAQ

Retiree Health Fund Contributions FAQs

Retiree Health Fund Enrollment Form – for Employees hired prior to 7/1/2017
List ONLY full-time previous state service

Retiree Health Fund Enrollment Form - for Employees first hired on or after 7/1/2017
List ONLY full-time previous state service

Education Benefits

Employee Assistance Program (EAP)

Miscellaneous Benefits Information

  • Dependent Care Assistance Program (DCAP) Spending Account

Supplemental Benefits
**ARP Participants** - Employees who elect the Alternate Retirement Plan (ARP) are automatically covered for Long Term Disability Insurance through Prudential.

Retirement Plans

Retirement Plans Comparison

For Teachers Retirement Board (TRB) Retirees ONLY:

Policies to Read

You will be asked to sign an Acknowledgement Statement that you have read them.
Affirmative Action/Equal Employment Opportunity Policy Statement
Consensual Relationships Policy
Disposition of Public Records Policy
Drug-Free Workplace Policy
Electronic Monitoring Policy (CSU)
Email Policy
Emergency Closing Policy
Emergency Notification System
Ethics Statement (Board of Regents)
Letter from the Governor
Guide to the Code of Ethics for Public Officials and State Employees
NCAA Rules Regarding Student Athletes
Nepotism Policy 
Sexual Misconduct Policy & Protocol
Smoking Policy
Nondiscrimination in Education and Employment Policy 
Suspected Child Abuse or Neglect (Reporting of)
Textbook Policy
Violence-Free Campus Policy

Polices to Read, Print and Sign.

Acceptable & Responsible Use of IT & Resources and Acknowledgment

Records Disposition Policy Receipt Acknowledgement (RC-001)

Policy Acknowledgement

State Ethics Acknowledgement

Faculty Who Wish To Externally Consult, Conduct Research or Teach

External Teaching Request

Research and Consulting with Outside Private Public Entity Compliance

 

 

 

 

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