Human Resources Forms
These documents are for SCSU use only and should not be modified without consent from Human Resources.
Frequently Used Forms
- Confidentiality Statement
- Direct Deposit
- Dual Employment Request Form_CT-HR-25
- eProfile for Core-CT changes
- Name/Address Change
- W-4 CT Tax Form
- W-4 Federal Tax Form
- I-9 Employment Eligibility Verification
- PCRF Form
- Student Employee Confidentiality Policy Statement
Employment Forms
- Background Check Authorization Form
- Graduate Assistant Appointment Form
- Graduate Intern Appointment Form
- Lecturer Appointment Form (Effective as of Winter Intersession 2024)
- Lecturer Appointment Form (Applicable for Fall 2023 and prior Semesters)
- Personnel Action Form
- Personnel Action Form (Grant-funded Positions Only)
- Student Worker Authorization System - New Process effective Fall 2015
- University Assistant Appointment Form
Note: The GA, GI, and UA Appointment forms are now completely electronic - paper appointment forms will no longer be accepted. Approvers will be required to sign the form through DocuSign and will be notified by email when the process is complete. Email notifications will be sent to all parties involved as actions become required.
Faculty Related Forms
- 10.12 Instructional Faculty Timesheet
- Faculty Consulting and Research with Public or Private Entities Compliance Form
- Article 11 Compensation for Non-Instructional Educational Activities Form (Full-Time)
- Article 12.8 Non-Instructional Educational Activities Form (Part-Time)
- Instructional Faculty Authorization Form (10.12)
- No Load Credit Form (10.12.1)
- Outside Teaching Employment Request Form
- Request for Time and/or Allocation Split
- Faculty Absence Report
Evaluation Forms
- Administrative Faculty
- Administrative and Residual
- Clerical
- Maintenance
- Management/Confidential
- Protective Services
Medical Related Forms
- FMLA - HR1 Employee Request
- FMLA - HR3 Intent to Return to Work
- Employee Med Cert Form (P33-A)
- Caregiver Med Cert Form (P33-B)
- FMLA - HR4 Statement of Qualifying Family Relationship
- Military Family Leave Form (WH-384, Employee)
- Military Family Leave Form (WH-385, Service Member)
- Sick Leave Bank Grant Application - AAUP
- Sick Leave Bank Grant Application - Management/Confidential
- Sick Leave Bank Grant Application - SUOAF
Retirement Forms
- Limited Durable Power of Attorney Form (CO-1049)
- Retirement Form (CO-931H)
- Designation of Retirement Plan Beneficiary (CO-999)
- Tier 3 Credit Purchase (CO-991)
- State Employee's Retirement System (SERS) Eligibility Requirements
Voluntary Schedule Reduction Program
Schedule Request Forms
Tuition Reimbursement
- Instructions - Classified Employees Only
- Tuition Reimbursement Application - Classified Employees Only
- Clerical Tuition Waiver
- Unclassified Tuition Waiver (If using for a family member, employee must provide proof of dependents for waiver, ex: Birth Certificate, Marriage Certificate)