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 Ciminal 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  | Revised Agreement Coming Soon

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 Waiver [Top]

• Request for Tuition Exemption/Waiver - 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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