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Also See: Policies & Procedures A - Z, Regent Laws, Policies and APS and UCCS Policies.

Form Name	Format	Form Information	Required Signatures
A
Acknowledgment of Resignation	See "Resignation Acknowledgement"
Add a Person (POI) Worksheet		PBS Form. Also referred to as the Person of Interest Worksheet. This form is used for UCCS Affiliates who do not have a job record in the Human Resource Management System.	Person of Interest
Additional Federal/State Tax Withholding Request		PBS Form. Use this form to request a whole dollar amount to be withheld in addition to the amount of withholding based on marital status and withholding allowances claimed on Form W-4.	Employee
Additional Pay Form (Formerly One Time Payment)		PBS Form. This form is completed by the department/unit to obtain approval for additional pay due to an employee that is not a component of the employee’s ongoing salary amount. UCCS Additional Payment Earnings Codes Matrix	Requestor, Dean, Chancellor or Vice Chancellor, Sponsored Programs (if applicable)
Additional Pay Pre-Approval Form (Freshman Seminar)		This form is used to obtain preapproval for additional payment beyond approved salary for full-time PESA staff, or for part-time staff performing additional and significant duties outside of the scope of their appointment. THIS FORM IS NOT TO BE USED FOR ADMINISTRATIVE STIPENDS	Employee, Supervisor, Assoc Vice Chancellor, (if applicable: Provost, Chancellor, Sponsored Programs Accounting)
Additional Pay Pre-Approval Form (Faculty)		This form is used to obtain pre-approval for faculty additional payment beyond approved academic year salary. This form must be attached to the Additional Payment Form each time the payment is requested. This form must be attached to the PAF. Please refer to the HR Compensation Principles for Faculty, UCCS Policy 300-016.	Employee, Sponsoring Dean, Home Dept. Chair/Director, Home Dept. Dean, (If applicable: Provost, Sponsored Programs, Chancellor)
Additional Pay Definitions and Procedures		Use this spreadsheet to determine what kind of form or procedure to use for Additional Pay and what the required signatures are.
Additional Renumeration, Application for Approval of	See "Application for Approval of Additional Renumeration"
Advertising Template		For Faculty and Exempt Professional positions.	N/A
Affirmation of Legal Work Status		State of Colorado affirmation of employment eligibility	Human Resources
Alternate Work Schedule/Location Request/Agreement		Please refer to the Alternate Work Schedule, UCCS Policy 300-004.	Employee, Supervisor
Annual Leave Contribution Record (Page 5)		Please refer to the Leave Sharing Policy for Classified and Exempt Professional/Faculty.	Employee, HR
Annual Performance Rating - Exempt Professionals		For Officers and Exempt Professional employees. Please refer to the Administrative Policy Statement and the Exempt Professional Plan and Evaluation Form.	Employee, Rater/Supervisor
Annual Performance Rating - Faculty		For Faculty. Please refer to the Administrative Policy Statement and Calendars for Due Dates.	Supervisor, Employee
Appeal/Dispute Form and Instructions, State Personnel	See "Colorado State Personnel System Consolidated Appeal/Dispute Form"
Application for Approval of Additional Remuneration		Faculty must complete this form if they engage in employment or activities in addition to their regular university appointment.	Employee, Chair, Dean, Chancellor
B
Background Check Form Background Check Form - Sex Offender Check Only		Please refer to the Background Check Policy. Once this form has been completed and fully signed, contact Claudia Ryan in Public Safety for processing.	Candidate, Appointing Authority
Benefits Forms		Benefits forms are processed by Payroll and Benefit Services.	NA
C
Check-In Form, New Employee	See "New Employee Check-In Form"
Check-Out Form - see link at left for new process		Supervisors must complete the online form.	Supervisor
Checklist - Classified Staff Temporary Hire (Jobs at CU)		Used when a department does not have a qualified candidate in mind to fill a temporary position. If this position is, or becomes a permanent need, the department must begin the selection process with HR immendiately.Please see The Search Process for Classified Staff for more information.	N/A
Checklist - Classified Staff Temporary Hire (Waiver)		Used when a department wishes to hire a specific individual into a temporary position. If this position is, or becomes a permanent need, the department must begin the selection process with HR immendiately.Please see The Search Process for Classified Staff for more information.	N/A
Checklist - Hiring With Tenure		Please see The Search Process for more information.	N/A
Checklist - Hiring Research Faculty		Please see The Search Process for more information.	N/A
Checklist - Search Committees		Please see The Search Process for more information	N/A
Classified Staff - Temporary Hire Checklist	See "Checklist - Classified Staff Temporary Hire (Waiver) " and "Checklist - Classified Staff Temporary Hire (Jobs at CU)
Classified Staff - Letter of Offer - 6 Month Temporary	See "Letter of Offer - Classified Staff - 6 Month Temporary"
Classified Staff - Letter of Offer - New Hire	See "Letter of Offer - Classified Staff - New Hire"
Classified Staff - Letter of Offer - Reallocation	See "Letter of Offer - Classified Staff - New Hire"
Classified Staff to Exempt Professional Waiver		Employee agreement to willingly and voluntarily move to a position that is exempted from the State Personnel System.	Employee
Compensatory Time Agreement	See "Overtime Basics with Compensatory Time Agreement"
Colorado State Personnel System Consolidated Appeal/Dispute Form		Provided to employees and/or job applicants who are filing appeals or disputes with the State Personnel Board or State Personnel Director.	Employee/Job Applicant
D
Direct Deposit Form & Instructions		PBS Form. Direct-deposit of net wages is mandatory for all University employees. (There are exemption provisions in the policy statement for employees who are unable to have a bank account.) Funds are deposited and available in employee bank accounts on payday(s). Payroll - Mandatory Direct Deposit (Administrative Policy Statement)	Employee, Account Holder (if other than the employee)
E
Email Approval Document		Complete the required fields and submit via e-mail to HR Recruit along with appropriate approving authorities.	Email Approvals Only: HR Recruit Dean/Director Provost/Associate Vice Chancellor or Vice Chancellor (as appropriate) Sponsored Programs (if appropriate)
Emergency Contact Form
Employee Work Record (EWR) - Biweekly		For 6-month temporary workers.	Employee, Supervisor
Employee Work Record (EWR) - Fiscal Year		Form must be completed and signed by the employee and supervisor at the beginning of each month for work/leave taken the previous month.	Employee, Supervisor
Employee Work Record (EWR) - Monthly		A new form must be completed and signed by the employee and supervisor at the beginning of each month for work/leave taken the previous month.	Employee, Supervisor
Exempt Professional - Job Description Template	See "Job Description Template - Exempt Professional"
Exempt Professional Annual Performance Rating Form	See "Annual Performance Rating - Exempt Professionals"
Exempt Professional Plan & Evaluation Form (PESA Evaluation)		Supporting document used in the evaluation process and as a justification for the rating.	N/A - See the Annual Performance Rating - Exempt Professionals
Exempt Professional Leave Record	See "Leave Record Form for Officers, Exempt Professionals and Faculty on Twelve-Month Appointments"
F
Faculty Election to Defer Receipt of Salary Payment		PBS Form. Election to Receive Salary Payment Over 12 Months.	Employee
Faculty Annual Performance Rating Form			Supervisor, Employee
Faculty Oath		All new faculty members are required to submit a notarized Faculty Oath form at the time of their hire.	Employee, Notary Public
Faculty Professional Plan		Faculty Professional Plans should be included in the post tenure review dossiers. The Professional Plan is designed to communicate the faculty member’s teaching, research/creative work, and service goals and to relate those goals to the needs of the primary unit. Please refer to UCCS Policy 200-016 and the Post-Tenure Review Administrative Policy Statement.	Employee, Authorized Primary Unit Signature (Chair/Dean/Director), School or College Offical
Fiscal Code of Ethics Acknowledgement - New Officers		To be completed by new officers upon hire. Original to Human Resources along with Letter of Offer - Exempt Professional.	Employee
FMLA (Family Medical Leave Act) - Forms		Contact HR for Forms.	Varies by Form
G
Grievance Procedure and Form - Classified Staff		Please refer to the Flowchart.	Grievant
H
HRMS Discontinue Access Form		UMS Form. Completed and signed electronically by employee's supervisor.	Supervisor, HRMS Coordinator, Finance System Coordinator (if applicable)
HRMS Specialized Access Request Form		UMS Form. Completed if additional/specialized roles are needed.	Employee, Supervisor, HRMS Coordinator
HRMS System Access Requst Form		UMS Form. This form must be completed, approved by your supervisor and submitted to HR. Please ensure training has been completed before submitting the form for approval.	Employee, Supervisor, HRMS Coordinator
I
I-9 Form		Please refer to the Employment Eligibility Procedures for UCCS and the Immigration Reform & Control Act (UCCS Policy 300-100). This form must be fully completed at Human Resources within three working days at the beginning of employment. Failure to do so will result in termination.	Employee, HR
J
Job Description Template - Exempt Professional Instructions OEP Job Code Descriptions (NEW! effective 11/1/12)		Please refer to UCCS Policy 300-011 when completing this document. The completed document must be submitted electronically to Cindy Corwin.	Human Resources, Dean/Director, Vice Chancellor, Chancellor
Jobs at CU - Security Access Form		Access to Jobs at CU is provided to University of Colorado personnel who support recruitments within their departments. Department Recruiting Liaisons, DRLs, must complete the online tutorial and the Fiscal Code of Ethics course. More information can be found at the main Jobs at CU page.	User, Supervisor, HRMS Coordinator
Job Posting Template		For Faculty and Exempt Professional positions.	N/A
Justification for Mid-Year Adjustment for Officers and Exempt Professionals		Form is located on Pages 7 & 8. Please refer to the Policy (same link) for further information.	Requestor, Assoc Vice Chancellor, Vice Chancellor, Chancellor
K
None
L
Leave Record Form - Officers, Exempt Professional and 12 month Faculty		Each supervisor is responsible for maintaining accurate and complete vacation and sick leave records for personnel within his/her department or unit.	Supervisor, Employee
Leave Reporting Roster (LRR)		Used to report leave every month for Classified and Exempt Professionals. This form is submitted by e-mail to HR in accordance with Payroll Due Dates.	Department Approver
Leave Sharing Application Form		Please refer to the Leave Sharing Policy for Classified and Exempt Professional/Faculty.	Employee, Supervisor, Appointing Authority, HR, Chancellor
Leave Bank Contribution Form		Please refer to the Leave Sharing Policy for Classified and Exempt Professional/Faculty.	Employee, Supervisor, Appointing Authority, HR, Chancellor
Leave/Absence Request and Authorization, State of Colorado	See "State of Colorado Leave/Absence Request and Authorization"
Letter of Offer - Classified Staff - 6 Month Temporary		Sample job offer letter to a temporary employee (6 Month Maximum). HR receives the original, the Department keeps a copy and the employee gets a copy. Please attach the Job Description and SSA-1945 Form.	Supervisor, Employee
Letter of Offer - Classified Staff - New Hire		Sample job offer letter to a new classified employees. Please attach the Position Description and SSA-1945 Form. HR receives the original the Department keeps a copy and the employee gets a copy.	Supervisor, Employee
Letter of Offer - Classified Staff - Reallocation		Sample job offer letter to a reallocated classified employees. HR receives the original, the Department keeps a copy and the employee gets a copy. Please attach the Position Description.	Supervisor, Employee
Letter of Offer - Exempt Professional - New Hire Fiscal Code of Ethics Acknowledgment -New Officers		Please refer to the search process. To be completed by new officers upon hire. Original to Human Resources along with Letter of Offer.	Dean/Director, Vice Chancellor, Chancellor, Candidate
Letter of Offer - Amendment		Amendment to Original Letters of Offer for Faculty and Exempt Positions	Appointing Authority/Dean, Vice Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Adjoint (Memorandums)			Chancellor
Letter of Offer - Faculty - Adjunct			Dean, Vice Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Secondary Administrative Appointment			Dean, Vice Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Instructor		Used for both Instructors and Senior Instructors.	Chair, Dean, Vice-Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Instructor - Intent to Continue (New Template)		Used for both Instructors and Senior Instructors. This is a notification of intent to continue and is used for Instructors hired under the new template.	Chair, Dean, Vice-Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Instructor - Intent to Continue (Old Template)		Used for both Instructors and Senior Instructors. This is a notification of intent to continue and is used for Instructors hired under the old template.	Chair, Dean, Vice-Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Lecturer		Lecturers are part-time faculty and cannot exceed 49% of time	Dean, Candidate
Letter of Offer - Faculty - Research		Please refer to the Checklist - Hiring Research Faculty.	Chair, Dean, Vice Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Tenure Track			Chair, Dean, VIce-Chancellor, Chancellor, Candidate
Letter of Offer - Faculty - Tenured		Please contact Susan Watson in HR prior to beginning on a Tenured appointment. Appointments with Tenure must include a separate statement from the Dean. Appointments must be approved by the Board of Regents.	Chair, Dean, Vice Chancellor, Candidate
Letter of Offer - Faculty - Visiting		Employee must hold the same current faculty rank at another institution	Dean, Vice Chancellor, Chancellor, Candidate
Letter of Offer - Student Faculty - Graduate Assts		For Graduate Assistants, Graduate Research Assistants, and Graduate Teaching Assistants	Chair, Dean
M
Memorandum of Understanding for Employees in Exempt Professional Positions		Sample Template. See Compensation for Officers and Exempt Professionals for more information. This form should be reviewed by HR before signatures are obtained.	Employee, Dean/Director, Vice Chancellor/Associate Vice Chancellor/Provost or Chancellor
N
New Employee Check-In Form		Please refer to the Check-In Policy, UCCS Policy 300-013 . This form is to be supplied to new employees by the hiring department.	Employee, Supervisor
O
Off-Site Employment Notary Form & Instructions		We will only accept forms that are completed exactly as specified in the instructions.	Notary Public
Outside Employment Authorization		Please complete this form and submit to your supervisor if you are Classified or Exempt Professional Staff and would like authorization to work in a second job outside of your University employment.	Employee
P
Payroll and Benefit Services Forms		Central location for all forms, many of which are listed here.	Varies
PAM Report (Personnel Actions/Matters Report)		Faculty listing of actions for lecturers, additional pay for regular faculty, new appointments & graduate students. Attach PAM Report to e-mail approval from the dean (or their designated assistant). This report is the approval process for getting prior approval on pay that has not already received Chancellor approval. It replaces the Payroll Lecturer Summary, Job Data Status & PAF. Send to hrinfo, making sure PAM Report is in the subject line. See TABS on template for instructions.	Dean/Director, (HR gets Provost, Chancellor signatures)
PDQ	See "Position Description for Classified Employees"
PERA Member Information Form		More information can be found on the second page of this document. For additional information, please visit PERA's website.	Employee, HR
Performance Management Program - Department Certification Form (Annual)		Annual Department Performance Planning Certification Form for Classified Positions. Must be recieved no later than May 15th of each year.	Appointing Authority
Performance Management Program - Department Certication Form (Mid-Year)		Complete this form when hiring a new classified employee or if a current classified employee's job class or supervisor changes. Must be received in HR no later than 30 days after hire or reclassification.	Appointing Authority
Performance Management Program - Dispute Form		Submit the original of this form to the appointing authority (or designee) whose name was provided by your supervisor during discussion of your performance evaluation. Submit copies to your supervisor and HR.	Employee
Performance Management Program Planning and Evaluation Form		Please refer to the Instructions and Manual. Also see examples for Core Competencies and Supervisory Goals. Supervisors of Classified Staff are required to take additional training. Evaluation Period is April 1st to March 31.	Supervisor, Appointing Authority, Employee
Person of Interest (POI) Worksheet	See "Add a Peson (POI) Worksheet"
Personal History Questionnaire - Police Officer (PHQ)		Personal History Questionnaire is used as an assessment tool for filling Police Officer positions.	Candidate
Personal Information Worksheet		PBS Form. This form is to be completed by new employees, or by employees making changes to their personal information.	N/A
Plan and Evaluation Form for Exempt Professionals
POI Person of Interest Worksheet	See "Add a Person (POI) Worksheet"
Position Description for Classified Employees
Post-Tenure Review Form	See "Faculty Professional Plan"
Q
None
R
Request to Fill		Complete the required fields and submit via e-mail to HR Recruit along with appropriate approving authorities.	Email Approvals Only: HR Recruit Dean/Director Provost/Associate Vice Chancellor or Vice Chancellor (as appropriate) Sponsored Programs (if appropriate)
Resignation Acknowledgement		For Classified Staff Positions.	Supervisor
S
Sabbatical Application		Also see the Sabbatical Assignments Administrative Policy Statement, Due Dates, and Academic Calendar.	Employee, Chair, Dean, Vice Chancellor
Sabbatical Change Form		Completed during the first semester after returning to regular duties.	Employee, Chair, Dean
Sabbatical Report		Completed during the first semester after returning to regular duties.	Employee, Chair, Dean
Scope of Work		PSC Form. Used to support a payment for services from a consultant/independent contractor. Reviewed by HR to determine whether payment should be made through the PSC or processed in HRMS. Not to be used for payments to University employees. HR/PBS review must be completed prior to any work being performed. Please refer to the IRS Guidelines for Determing Independent Contractor Status, and the IRS 20 Factor Test - Independant Contractor or Employee? Form is to be approved by HR Dept prior to work being started.	Service Provider (must sign before HR review), Unit Authorizing, HR
Search Committees Checklist	See "Checklist - Search Committees"
Search Waiver		Completed by the Payroll Liaison. The required documentation must be attached to this form when submitting for signatures.	Dean/Director, Compliance, Vice Chancellor, Chancellor
Social Security Card Application		External link to the Social Secuirty Administration. The nearest Social Security office is located at 1049 N. Academy. (719)574-9279	Card Requestor
SSA-1945		Statement Concerning Employment in a Job Not Covered by Social Security. Must be signed by all Classified and Temporary hires.	Employee
State of Colorado Application Form		This form is filled out by Temporary Hires only. All other Classified positions are filled through JobsatCU.	Job Applicant
State of Colorado Leave/Absence Request and Authorization		Please refer to Technical Assistance - Time Off for help.	Employee, Supervisor/Appointing Authority
Student Faculty - Letter of Offer - Graduate Assistants	see "Letter of Offer - Student Faculty - Graduate Assistants"
State Personnel Consolidated Appeal/Dispute Form	See "Colorado State Personnel System Consolidated Appeal/Dispute Form"
T
Tenure Track Review Schedule		Use this table to calculate pre-tenure and tenure reviews for new tenure track faculty
Termination Letter Template (end of funding)		Use this template ONLY for terminations due to end of sponsored programs funding.
Termination Letter Template (at-will appointments)		You MUST contact Human Resources before this process begins.	Director/Chair, Dean, Chancellor
Time Reporting Roster (TRR)		Used to report hours every two weeks for Students, Temporary Employees, and other Hourly Employees. This form is submitted by e-mail to HR in accordance with Payroll Due Dates.	Department Approver
Tuition Benefit - UCCS Employee Attending PPCC		This form is for information only. Please see HR for the original form. Tution can be waived for up to six undergraduate credit hours per academic year for permanent employees and up to three credits for those employed between 50% to 99% of a full appointment. The academic year begins with the summer term.	Human Resources
U
UCDF-7 Reappointment, Promotion & Tenure		For Faculty Appointments. Summary of Recommendation & Notification of Reappointment, Promotion and Tenure. Please refer to the Reappointment, Promotion and Tenure Policy, UCCS Policy 200-001 .	Department, Dean, Vice Chancellor, Chancellor
V
Vita Format			N/A
W
W-4		Instructions This form is sent directly to Payroll and Benefit Services. A copy is not retained in HR.	Employee
Waiver, Classified Staff to Exempt Professional	See "Classified Staff to Exempt Professional Waiver"
Waiver, Search	See "Search Waiver"
Welcome Letter - for new, benefits eligible employees	For benefits eligible employees
Welcome Letter - for new, non-benefits eligible employees	For non-benefits eligible employees
Whistleblower Complaint Form		The State Employee Protection Act (Whistleblower) prohibits discipline agains a state employee in retaliation for the employee's disclosure of state agency actions that violate the public interest.	None
X
None
Y
None
Z
None