Human Resources Forms

Address Change |  Benefits |  Compensation | Employee Relations |  Faculty |  Family Leave | 
Growth, Planning & Support (GPS) |  Misc. Forms |  New Employee Forms |  Personnel Action  (PAF) | 
Tuition Waiver |  Volunteer/Partnership

  Signing HR Documents Using Adobe Signature

Etrieve Forms Information (ELECTRONIC FORMS)

We will only accept the  Electronic Etrieve Form unless a PDF is provided.

Benefits Forms & Information [Top]

• 457(b) Deferred Compensation Plan Form - | SLCC Login Required
• Affidavit of Qualifying Incapacitated Dependent Eligibility-Large Group Coverage
• Aflac Accident and Supplemental Hospital and Medical Indemnity Claim Instructions
• Aflac Accident Wellness Benefit Claim Form
• Domestic Partner Affidavit
• Domestic Partner Termination
• Educational Reimbursement Application and Reimbursement Form
• Minnesota Life Insurance Brochure
• Early Retirement/Phased Retirement Agreement Application
• Phased Retirement Proposal
• Retirement Election Form -  | SLCC Login Required
• 403(b) Salary Reduction Agreement Form - | SLCC Login Required
• Utah Retirement System 401(k)/457(b) Forms

Family leave information: [Top]

• Employee Rights and Responsibilities Under FMLA
• Family Medical Leave Application Form (FMLA)-  | SLCC Login Required
• Certification of Health Care Provider for Employee's Serious Health Conditions
• Certification of Health Care Provider for Family Member's Serious Health Conditions
• Fitness for Duty Form
• Sick Leave Pool Application Form  -  | SLCC Login Required
• Sick Leave Pool Certification

ADA Accommodation: [Top]

• ADA Employee Request -  | SLCC Login Required
• ADA Physician Letter
• Work Status Form

Compensation Forms [Top]

• Degree Advancement Form
• Direct Deposit & W4 update forms are available on the Payroll Website.
• SLCC Time and Effort Log

New employee forms [Top]

Pre-employment

• • Criminal Background Check Authorization Form
    • Please contact your Human Resources Employment Contact for a link to the electronic Criminal Background Check Form.
  • Employment of Relatives Form -  | SLCC Login Required

New employee

• • Computer Access & Email Form

Available on onboarding website

• • Condition of Employment Form
  • Direct Deposit Form
  • Ethical Duties of Officers & Employees Form
  • Employment Eligibility Verification Form (I-9 Form)
  • New Employee Orientation Checklist Form
  • W-4 Form

Employee Relations Forms [Top]

• Employee Grievance Form
• EEO Intake Form
• Request for Reduction in Work Force, Reorganization

Faculty Forms [Top]

Full Time Faculty Forms:

• • New Faculty Salary & Rank Form

Growth, Planning and Support Forms [Top]

• Forms Available on the Growth, Planning, and Support Toolkit

Miscellaneous Forms [Top]

• Emeritus Nomination Form
• 
  Volunteer Form
   (Required for all volunteers)
  • Steps ( Sponsoring Department, please read and become familiar with all of the steps):
    1. Volunteer applicant fills out Volunteer Agreement Form (PDF), signs the form digitally or physically, and returns form to Sponsoring Department .
       
       • Information on digitally signing HR Documents using Adobe Signature  
       • Explainer Document For Sponsoring Department : How To Setup Secure Upload via OneDrive)
       • The volunteer is require to fill out the PDF because we need to capture the volunteer’s signature/acknowledgement. Currently we cannot send Etrieve Forms to someone without an SLCC employee/volunteer account.
         • In Banner & Etrieve, a Volunteer applicant does not have an account until HR creates them an S#/Account and establishes them as a volunteer in Banner.
    2. Sponsoring Department fills out and submits the “ HR - Volunteer Department Agreement Form " on Etrieve Central. Selecting “Volunteer” as the Form Type and attaches the Volunteer applicant's signed PDF Volunteer Agreement Form.
    3. HR Front Desk & Employment Coordinators will process the form and email approval and the Volunteer ’s S# to the Sponsoring Department .
• 
  Partnership Form
  • Steps:
    1. (optional step) Partner applicant fills out the Partnership Information Form (PDF), and returns it to the Sponsoring Department . Alternatively, the applicant can relay this information to the Sponsoring Department using another method (over the phone, etc.).
       
       • Information on signing HR Documents using Adobe Signature  
       • Explainer Document For Sponsoring Department : How To Setup Secure Upload via OneDrive)
    2. Sponsoring Department fills out and submits the “ HR - Partnership Department Agreement Form ” on Etrieve Central. Selecting “Partnership” as the Form Type.
       
       • (optional) Attach the Partnership Information Form.
       • Front Desk & Employment Coordinators will process the form and email the Partner ’s S# to the Sponsoring Department .
• Telecommuting Handbook (Re-direct to Workplace Transformed)
  
  • Telecommuting Agreement Form

Personnel Action Forms (PAFs) [Top]

• Address Change Form -   | SLCC Login Required
  • Former Employees without access to Etrieve/MySLCC access can submit The Address & Name Change PDF
• Name Change Form -   | SLCC Login Required
  • Former Employees without access to Etrieve/MySLCC access can submit The Address & Name Change PDF
• Change Action Form for an Employee's Existing Position -   | SLCC Login Required
• New, Rehire, Internal Hire Form -   | SLCC Login Required
• One Time Payment Form -   | SLCC Login Required
• Separation of Employees
  • Separation Form: FT/PT Positions | Work Study Positions -  | SLCC Login Required
  • Employee Check Out Form  (For all Employees) -   | SLCC Login Required
• Work Study PAF - all WorkStudy actions will need the new WorkStudy PAF -  | SLCC Login Required

Tuition REMISSION  [Top]

• Request for Tuition Exemption/Remission- Paper Form  (Use if you are in one of the following groups: Adjunct Faculty or Dependent; Part-time Staff; Retired Faculty/Staff or Dependent; Early Retiree or Dependent; Board of Trustees Member or Dependent).

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