Forms

Affirmative Action

• Americans with Disabilities Act (ADA) Procedures for CSCU System Office (pdf)

Sick Leave Bank Forms

• Management Confidential Sick Leave Bank Grant Application Form (pdf)
• AAUP Sick Leave Bank Grant Application Form (pdf)
• SUOAF Sick Leave Bank Grant Application Form (pdf)
• Congress, AFT, or AFSCME Sick Leave Bank Application Form (pdf)

Family Medical Leave Act Forms

• Statewide Family and Medical Leave Policy (pdf)
• Family and Medical Leave Act Leave Request Form (pdf)
• Statement of Qualifying Family Relationship (pdf)
• Intent to Return to Work (pdf)
• Certification of Qualifying Exigency For Military Family Leave (pdf)
• Certification for Serious Injury or Illness of Covered Servicemember (pdf)
• Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (pdf)

Medical Certificates

• Employee Medical Certificate P-33A (pdf)
• Caregiver Medical Certificate P-33B (pdf)

Performance/Evaluation

• Management / Confidential
  • Management / Confidential Evaluation Form - Presidents and Campus CEOs
  • Management / Confidential Evaluation Form - Executive 1 and above
  • Management / Confidential Evaluation Form - Manager 3 and below
• Faculty
  • Faculty: Instructional Observation
  • Faculty: Instructional Observation-Clinical
  • Faculty: Instructional Observation-Studio
  • Faculty: Overall Performance
  • Faculty: Professional Development Plan
  • Faculty: Self Appraisal
• Other
  • SUOAF Evaluation Form
  • A&R Staff Evaluation Form
  • AFSCME Standard Evaluation Form
  • Clerical Staff Evaluation Form
  • Congress Standard Evaluation Form
  • Maintenance Staff Evaluation Form
  • Protective Services Staff Evaluation Form
  • Congress Sabbatical Leave Application

Telecommuting

• Telecommuting Procedures for CSCU Management & Confidential Professional Employees
• Telecommuting Application for Management/Confidential Professional Employee
• Telecommuting Guidelines for CCC, AFSCME, and AFT
• Telecommuting Application for CCC, AFSCME, and AFT

Workers' Compensation

• Supervisor's Accident Investigation Report, 207-1
• Request for Use of Accrued Leave with Workers' Compensation, DAS Wc-715
• First Report of Injury, DAS WC-207
• State of Connecticut Workers’ Compensation Program
• Employee Information Brochure
• List of Approved Pharmacies
• Supervisors Claim Reporting Brochure

Hiring Process 2023

• CT State Guidance_1_NCL Contracts
• CT State Guidance_2_Grant-Funded
• CT State Guidance_3_RFT resumption
• CT State Guidance_4_ FT Temp PT
• Guidance 2_Reference.A
• Modified RTF Processes Q & A

Miscellaneous Forms

• CT State RFT Guidance
• Request to Fill (CT State): FT Permanent, FT Temporary, or PT Permanent Positions
• Request to Fill (CT State): PT Temporary or Additional Duty Pay
• Authorization to Carry Over Vacation Leave (pdf)
• Tuition Waiver Form
• Direct Deposit Authorization
• HR Shared Services Portal Feedback
• Employee Payroll Reimbursements - CO-17XP-PR
• AFSCME Clerical Tuition Waiver 
• Employment Eligibility Verification I-9 
• Dual Employment Request Form
   
• Voluntary Schedule Reduction Program
  • Voluntary Schedule Reduction Program Guidelines
  • FAQs to the Governor's Request of Mar 9, 2009
  • Request for Schedule Change under the Voluntary Schedule Reduction Program

Labor Relations

• Investigation Complaint Form
• Investigation Procedures
   

AFSCME

• AFSCME Sabbatical Leave Application
• AFSCME Tenure Application
• AFSCME Standard Evaluation Form
• AFSCME Promotion Application
   

AFT

• AFT Sabbatical Leave Application
• AFT Tenure Application
• AFT Promotion Application

CONGRESS

• Congress Sabbatical Leave Application
• Congress Tenure Application
• Congress Standard Evaluation Form
• Congress Promotion Application - Professional
• Congress Promotion Application - Faculty

Employment Application

• Employment Application (pdf)

Tax Forms

• State Withholding: CT State W4-2024
• Federal Withholding: Federal W4-2024

Internal Complaints

• Investigation Complaint Form
• Investigation Procedures