Forms

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General Forms
Form	Format
Holiday Schedule 2009-2010	Adobe
90-day Performance Appraisal Form for New Employees	MS Word
Performance Appraisal Form	Adobe
Performance Appraisal Self Review Form	Adobe
Performance Appraisal Factors	Adobe
Rollins College COMPLAINT FORM (For Sexual Harassment and Discrimination Cases)	Adobe
Rollins College COMPLAINT FORM (For Sexual Harassment and Discrimination Cases)	MS Word 97
Biweekly Pay Schedule for 2009/2010	Adobe
Biweekly Pay Schedule for 2008/2009	Adobe
Biweekly Timesheet	MS Word
Faculty/Staff Monthly Pay Schedule for 2009/2010	MS Word
Direct Deposit/CashPay Authorization	Adobe
Options For Receiving Pay	MS Word
Cash Pay Manual	MS Word
Request for Leave Form	Adobe
Existing Position Description Form	MS Word
Student Insurance Forms	Adobe
Change of Name or Address Form	Adobe
Conflict of Interest Disclosure Form	Adobe

Employment Forms
Forms	Format
New Employee's Forms Packet (Contains all forms required for new employee)	In both Adobe and Word
Student Worker Forms Packet (Contains all forms required for new student hire)	In both Adobe and Word
Employee's Worker Compensation Acknowledgement Form	MS Word
Student Personnel Action Form	Adobe
Student Employment Application	Adobe
Student Employment Application	MS Word
Faculty/Staff Employment Request Form	Adobe
Faculty/Staff Employment Request Form	MS Word
Personnel Action Form	Adobe
Direct Deposit/CashPay Authorization	MS Word
Options For Receiving Pay	MS Word
Cash Pay Manual	MS Word
Termination/Resignation Form	MS Word

Benefits Forms
Forms	Format
Tax Savings Form (for new hires April 2009-March 2010)	Adobe
Part Time Tax Savings Form (for new hires April 2009-March 2010)	Adobe
Mid Year Benefits Change Tax Savings Program Form (April 2009-March 2010)	Adobe
Notice to ICUBA Group Plan of Qualifying Event (for health plan notification of divorce, legal separation or child losing eligibility)	Adobe
Notice to Employer of SSA Disability (for COBRA participants)	Adobe
Notice to Employer of 2nd Qualifying Event (for COBRA participants)	Adobe
Domestic Partner Affidavit	MS Word
Domestic Partner Tax Declaration	MS Word
Authorization for Release of Health Information with HR (for current vision and old health plans)	Adobe
Authorization for Release of Health Information with BCBS (for current health plans)	Adobe
Tuition Program Forms
Tuition Grant Application (for dependent children tuition)	MS Word
Employee Tuition Assistance Program (ETAP) Application (for staff only)	MS Word
Employee Tuition Assistance Program (ETAP) Reimbursement Request Form	MS Word
403(b) Retirement Plan Forms
403b Salary Reduction Agreement- Non-Maximize Contributions 2009	Adobe
403b Salary Reduction Agreement- Maximize Contributions 2009	Adobe
Enrollment Instructions for New Account- TIAA-CREF	Adobe
Enrollment Instructions for New Account- Fidelity	Adobe

Tax Forms & Information
Forms	Format
Request for IRS Form W-2	Word
W2 Notice to Employees	Word
IRS Form W-4 (2009)	Adobe
IRS Form W-5 (2009)	Adobe
IRS Form W-10 - Dependent Care Provider's Identification and Certification	Adobe
IRS Publication 502 (2006) Medical and Dental Expenses	Adobe
IRS Publication 503 (2006) Child and Dependent Care Expenses	HTML
IRS Publication 969 (2006) Health Savings Accounts and Other Tax Favored Health Plans (includes FSA & HRA information)	HTML

Kronos Documents