• Acknowledgement of Rights and Responsibilities
• Adjunct Faculty Application
• Background Check Disclosure
• Background Clearance Certification For Provisional Employment
• Drug Free Workplace
• Emergency Contact Form
• English Fluency Form
• I-9 Form
• I-9 Form Instructions
• IRS W-4 Form
• New Hire Checklist Part-Time Faculty
• Post Employment Data Form
• Reference Check Form

• New Assignment for Current Employee C-Form
• New Hire C-Form
• Termination C-Form
• Leave of Absence & Return from Leave C-Form
• Change C-Form

• C-Form
• Change of Employee Information Form
• Classified Position Bid Form
• Exit Form
• Position Requisition Form
• Request for Temporary Agency Worker Form
• For Chosen Name, ADA Accomodations, and
  Veteran or Disability Self-Identification Forms,
  visit the Diversity & Equity Forms site.

• Benefit Enrollment/Change Form
• COBRA Rights
• Life Insurance Beneficiary Form
• PSERS/SERS Pension Plan Attestation Form
• Retirement Plan Contribution Form
• Student Verification Form for Dental Insurance
• Tuition Remission and Course Registration Application
• Income Protection Benefit (IPB) Authorization Form
• IBC- International Claim Form
• IBC- PPO Out of Network Claim Form
• Keystone- POS Out of Network Claim Form
• Medicare Part D Creditable Coverage

• ACH Direct Payment Plan Authorization Form
• Adjunct Faculty Benefit Enrollment Form
• PSERS/SERS Retirement Plan Attestation Form
• Participation Rules Release Form
• Reimbursement for Coverage Elsewhere (Adjunct/VL)
• Retirement Plan Contribution Form
• United Concordia Enrollment Form

• Keystone 65 Application
• Medigap Security Plan F Application
• Retiree ACH Authorization

• Authorization for Release of Medical Information
• Attending Physician's Statement of Medical Condition
• Certification of Health Care Provider for Employee
• Certification of Health Care Provider for Family Member
• Employee’s Request for Family & Medical Leave
• Employee Rights and Responsibilities under the Family and Medical Leave Act
• HIPAA Notice of Privacy Practices
• Release to Return to Work - Fitness to Duty

Life Insurance designations for Basic Life and AD&D coverage should be made on Plan Source by going to https://benefits.plansource.com/logon/CCOP. 

• Approved Providers
• Employee Acknowledgement Form
• What Happens If I Get Hurt At Work