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Human Resource- Forms

Forms:

PLEASE NOTE: Some forms on this page are in .PDF format. If you do not have an Adobe reader, please visit the Adobe site for instructions on how to download and install the free software.

Title
   
Remarks
 
Agency
Accident Report - Supervisor     If there is an accident while on duty, the employee's supervisor must complete an accident report and submit it to HR.  
GCC
           
Accident Report - Employee     If there is an accident while on duty, the employee must complete an accident report and submit it to HR.  
GCC
           
Administrative Faculty Evaluation form     Administrative Faculty Evaluation template   GCC
           
Background Investigations     Release form.  
GCC
           
Computer Ethics Agreement     Information concerning any access and use of information technology systems.  
VCCS
           
Direct Deposit     Authorization to have check automatically placed in bank account.  
GCC
           

Employee Self
Assessment Form

    Used by Employees to document their accomplishments as well as areas of improvement to assist supervisor in completing a thorough evaluation of performance.  
DHRM
           
Employee Work Profile (EWP)     Employees duties/responsibilities  
DHRM
           
Extraordinary Contributor     Use when documenting/recognizing an extraordinary contribution made in the performance of duties.  
DHRM
           
Flexible Reimbursement
Account Handbook
    Flexible Reimbursement Accounts (FRAs) Handbook  
DHRM
           
Immediate Recognition Award Form     Form used by supervisors to recognize individuals or teams for extraordinary contributions or outstanding performance.    
           
Interim Evaluation Form     All NEW employees should have an Interim Evaluation Form completed within 90 days of hire.  
DHRM
           
I-9 Form     ALL Employees Part-time/full-time must complete  
Federal
           
Leave Requests     All leave requests must be entered into HRMS  
GCC
           
Pay Action Worksheet     Use for CLASSIFIED Staff Pay Changes.   DHRM
           

Personnel Request Form

    Use when requesting a position be opened, or when changing the number of hours applied to an existing P-14 position.  
GCC
           
Purchase of Prior Service Application     Complete the form located at VRS webpage to apply for the purchase of prior service credit.  
VRS
           
Reference Check Form  

Use when checking references on a potential hire.

 
           
Salary Reduction Agreement     Use this form when authorizing payroll deductions for supplemental insurance policies and pre-tax annuities.  
DOA
           
VCCS-10     Faculty Qualification Summary  
VCCS
           
VA-4 (Tax Form)     Virginia Personal Exemption Worksheet is used to indicate the amount of tax dollars you want withheld from your pay.  
State
           
W-4 (Tax Form)     Use to indicate the amount of tax dollars you want withheld from your pay.   Federal