Current Employees
Forms & Calendars

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 Annual Report and Self Evaluation (doc)
• Management / Confidential Performance Evaluation Form (pdf)
• SUOAF Evaluation Form (pdf)
• A&R Staff Evaluation Form (pdf)
• AFSCME Standard Evaluation Form
• Clerical Staff Evaluation Form (pdf)
• Congress Standard Evaluation Form
• Maintenance Staff Evaluation Form (pdf)
• Protective Services Staff Evaluation Form (pdf)
• Congress Sabbatical Leave Application
• Faculty: Instructional Observation (pdf)
• Faculty: Instructional Observation-Clinical (pdf)
• Faculty: Instructional Observation-Studio (pdf)
• Faculty: Overall Performance (pdf)
• Faculty: Professional Development Plan (pdf)
• Faculty: Self Appraisal (pdf)

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

• Processing Aids for Supervisors and Employees

  • Employee Information Brochure
  • List of Approved Pharmacies
  • Supervisors Claim Reporting Brochure

Miscellaneous Forms

• Request to Fill
• Authorization to Carry Over Vacation Leave (pdf)
• Tuition Waiver Form (pdf)
• Direct Deposit Authorization
• Dual Employment Request Form
• HR Shared Services Portal Feedback
• Employee Payroll Reimbursements - CO-17XP-PR
• AFSCME Clerical Tuition Waiver

Labor Relations

• Investigation Complaint Forms
• Investigation Procedures

Employment Application

• Employment Application (pdf)

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

Tax Forms

• State Withholding: CT State W4-2023
• Federal Withholding: Federal W4-2023

Calendars

2023 Pay Schedule

• December 2022: 2, 16, 30
• January 13, 27
• February 10, 24
• March 10, 24
• April 6, 21
• May 5, 19
• June 2, 16, 30
• July 14, 28
• August 11, 25
• September 8, 22
• October 6, 20
• November 3, 17
• December 1, 15, 29

Print Version (pdf)

2023 Holiday Schedule

HOLIDAY	OBSERVED ON
Christmas Day	Monday, Dec. 26, 2022
New Year’s Day	Monday, January 2, 2023
Martin Luther King, Jr. Day	Monday, January 16, 2023
Lincoln’s Birthday	Monday, February 13, 2023
Washington’s Birthday	Monday, February 20, 2023
Good Friday	Friday, April 7, 2023
Memorial Day	Monday, May 29, 2023
Juneteenth Day	Monday, June 19, 2023
Independence Day	Tuesday, July 4, 2023
Labor Day	Monday, September 4, 2023
Columbus Day	Monday, October 9, 2023
Veterans’ Day	Friday, November 10, 2023
Thanksgiving Day	Friday, November 10, 2023
Christmas Day	Monday, December 25, 2023

Print Version (pdf)