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Human Resources

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Contact Information

Christine Derwitsch
Assistant in Human Resources 
Davidson, Room 201
derwitschc@ccsu.edu 
860.832.1756
959.255.8790 (Fax)

Office Hours

Monday — Friday
8 a.m. - 5 p.m.

 

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

 Scholarships

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

Classification

Faculty Forms

Part-Time Faculty Hiring Forms

University Assistant Appointment Forms

Search Forms

 

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

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