Faculty & Staff Forms

Professional Development – Congress (4Cs)

• Travel Authorization & Reimbursement Procedures (REV 1/2020)
• Employee Reimbursement Request Form (CO-17XP NCCC)

Performance Evaluations – Congress (4Cs)

• Full-Time Faculty

  • Overall Performance Form (FT Faculty)
    • Appendix A – Standards of Instructional Excellence
    • Appendix B – Performance Standards and Indicators
  • Instructional Observation Form – Classroom
  • Instructional Observation Form – Clinical
  • Instructional Observation Form – Lab & Studio
  • Pre-Observation Form
  • Self-Appraisal (FT Faculty)
  • Professional Development Plan (FT Faculty)

• Adjunct Faculty

  • Overall Performance Form (Adjunct)
  • Instructional Observation Form – Classroom
  • Instructional Observation Form – Clinical
  • Instructional Observation Form – Lab & Studio
  • Pre-Observation Form

Reimbursement Request Forms: Expenses/Tuition & Fees Waiver

• Travel Authorization & Reimbursement Procedures (REV 1/2020)
• Mileage Reimbursement Rate (OLR Memo 2019-02)
• Congress (4Cs) Full-Time Employees Tuition Waiver Form
• General (Community College Fee) Waiver Form for Full-Time Employee

CSCU Tuition & Fees Waiver Form – Congress (4Cs)

• Cash Value of In-State CC Tuition and Fees (2019-20)
• CSCU Guidelines for Waiver of Tuition & Fees
• Important Information Regarding Tuition Waivers on Graduate-Level Studies
• CSCU Graduate-Level Educational Assistance Tax Reporting Requirements

Direct Deposit & Tax Forms

• W-4 Exemption Acknowledgment (2020)

Connecticut State Employees (CSE) Credit Union

• CSE Membership Application
• CSE Share Draft Application
• CSE VISA Debit Card Application
• CSE Credit Union Fact Sheet

Leave Related Forms

• Voluntary Schedule Reduction Program Request Form

Workers Compensation Forms

• Workers Comp First Report of Injury Form WC207 (Rev. 2-2017)
• WC Quick Reference Guide
• WC Supervisor’s Guide to Claim Reporting Brochure
• WC Employee Information Brochure
• DAS Memo (6/12/17) – WC Initial Treatment Provider Network Guidelines
• WC Provider Network for Winsted CT area
• List of Approved WC Pharmacies

Other Reference Documents

• Instructions on Core-CT Login
• Reference Guide for First-Time Core-CT Users (PPT Presentation)

Miscellaneous Forms

• ​Employee Change of Address Form
• Faculty Consulting & Research Compliance Form
• Designation of Retirement System-Tier-Plan-Beneficiary (CO-931h)
• Volunteer Form