Forms and Documents
For your convenience, the Human Resources Department has made most of its forms, documents and publications available online in Portable Document Format (PDF) or Microsoft Word format.
- PDF files
are created using Adobe Acrobat and can be read by downloading a free copy of Adobe Reader. - Fillable PDF files
have been created to allow you to fill out the document online and either print or save the completed form. - Word files
denote word-processing documents that can be used as templates for electronically completing documents.
| Benefits | |
|---|---|
| Flex Spending Account Enrollment Form | FSA enrollment form |
| FloridaBlue Enrollment Application Form | HMO/PPO enrollment form |
| FloridaBlue Change Application Form | HMO/PPO change form |
| FRS Retirement Certification | FRS Employment Certification form |
| Humana Vision Enrollment Form | Vision plan enrollment form |
| UCCI Dental Enrollment Form | Dental plan enrollment form |
| Dependent Reimbursement Form With Instructions | Instructions and Form for Filing a Request for Refund of Matriculation Fees for Dependents of College Employees |
| Verification of Eligibility for Certain Dependent Children | Form for verifying the eligibility of certain dependent children for Blue Cross and Blue Shield insurance coverage |
| Domestic Partner Affidavit | Affidavit of Domestic Partnership |
| GRAMM-LEACH-BLILEY Document | GRAMM-LEACH-BLILEY Act Privacy Notice |
| Standard Insurance Company Enrollment Form | Medical history statement |
| Compensation | |
|---|---|
| Position Classification Review Request Form | Position Classification Review Request |
| Job Description Components | Common Job Description Components |
| HR-230 Job Description Template | Job Description Template |
| Employment Forms | |
|---|---|
| Form Type | Type of Applicant |
| HR-200 Approval of Screening Committee | Admin, Professional, Faculty, Tech |
| HR-200A Approval of Review Panel | Career Service |
| HR-120 Committee Checklist | All Positions |
| HR-130 Selection of Candidates | All Positions |
| HR-135 Interview Invitation Letter Template | All Positions |
| HR-150 Selection of Finalists | All Positions |
| HR-155 Regret Letter Template | All Positions |
| HR-140 Applicant Travel Reimbursement Request/Guidelines | As needed |
| Supervisor Forms | |
| HR-210 Reference Checks Form | All Positions |
| HR-215 Manager's New Employee Checklist | All Positions |
| Employee EXIT Checklist | All Positions |
| Employee Relations | |
|---|---|
| Supervisor's Performance Log | Supervisor's Performance Log Template and Sample Log |
| Record of Employee Counseling | Record of Employee Counseling |
| Performance Improvement Plan | Performance Improvement Plan (template) |
| Written Warning | Written Warning (template) |
| Grievance Form | Grievance Report Form for Career Service Employees |
| Mid-Year Review | Mid-Year Evaluation Form for Non-Bargaining Employees |
| Leave Administration | |
|---|---|
| TL-610 Leave of Absence Form With Instructions | Leave of Absence Form with instructions |
| Full-time Leave Entry Dates | Full-time 12 Month Employee Leave Entry Dates |
| Payroll | |
|---|---|
| Direct Deposit Form | Direct Deposit Authorization Agreement |
| Employee Time Sheet | Time Sheet for Seminole State Hourly Employees |
| Payroll Calendar | 2023 Payroll Calendar |
| Records and Processing | |
|---|---|
| HR-310 Recommendation for Employment Part-Time (CS, professional, student) - Additional Jobs | Recommendation for Part-Time Employment (CS, professional, student) - Additional Jobs |
| HR-320 Recommendation to Hire Part-Time Instruction - Additional Jobs | Recommendation to Hire Part-Time Instruction - Additional Jobs |
| Instructions: HR-320 Recommendation to Hire Part-Time Instruction - Additional Jobs | Instructions: Recommendation to Hire Part-Time Instruction - Additional Jobs |
| HR-340 HR Action Form for Full-Time Employees | HR Action Form for Full-Time Employees |
| HR-350 HR Action Form for Bargaining Unit Supplemental Duties | HR-350 HR Action Form for Bargaining Unit Supplemental Duties |
| HR-370 Recommendation for Contingent Worker/Person of Interest | Recommendation for Contingent Worker/Person of Interest |
| Change of Address | Change of Address Form |
Change of Name Form | |
Request for Advanced Education Plan Form | |
| Training/Development | |
|---|---|
| Fee Waiver Form | Employee Fee Waiver Form |
| Fee Waiver Form | Employee Fee Waiver Form |
| Bargaining Unit Tuition Reimbursement Degree Seeking Form | Bargaining Unit Tuition Reimbursement Degree Seeking Form and instructions |
| Bargaining Unit Tuition Reimbursement Non-Degree Seeking Form | Bargaining Unit Tuition Reimbursement Non-Degree Seeking Form and instructions |
| Bargaining Unit Sabbatical Leave Form | Bargaining Unit Employee Sabbatical Leave Application Form |
| Non-Bargaining Unit Sabbatical Leave Form | Non-Bargaining Unit Employee Sabbatical Leave Application Form |