Human Resources


Contact Information

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

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



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


Human Resources Forms

These documents should not be modified without consent from Human Resources

Frequently Used Forms

Direct Deposit

Dual Employment Request Form (CT-HR25)

Name/Address/Phone Change Form

W-4 CT State Tax & Federal Tax Forms

W-4 Exemption Acknowledgement Form

Work History Form

Tuition Waivers

Tuition Waiver Form for Unclassified Employees (AAUP, SUOAF, Management/Confidential)

Graduate-Level Educational Assistance Tax Reporting Requirements 

 Tuition Reimbursement - Classified Employees Only


For additional information on the Classified Scholarship Program, please contact Mary Cavanaugh, University Human Resources Administrator, (860) 832-1856.

Employment Forms

Background Check and Authorization


Faculty Forms

Part-Time Faculty Hiring Forms

Search Forms

University Assistant Appointment Form (2021-22) - Attachment

Faculty Related Forms

Evaluation Forms

AAUP Evaluation Forms

Classified Employee Evaluations Forms

Medical Related Forms

For additional FMLA information contact Norma Rivera in Human Resources, at (860) 832-2305.

Retirement Forms

Tier 3 and Hybrid Credit Purchase (CO-991)

Voluntary Schedule Reduction Program

Workers’ Compensation