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 PDF format are created using Adobe Acrobat and can be read by downloading a free copy of Adobe Reader.
  • Fillable PDF files Fillable Acrobat PDF Document have been created to allow you to fill out the document online and either print or save the completed form.
  • Word files Microsoft Word Format denote word-processing documents that can be used as templates for electronically completing documents.
Flex Spending Account Enrollment FormFSA enrollment form
FloridaBlue Enrollment Application FormHMO/PPO enrollment form
FloridaBlue Change Application FormHMO/PPO change form
FRS Retirement Certification
FRS Employment Certification form
Humana Vision Enrollment FormVision plan enrollment form
UCCI Dental Enrollment FormDental plan enrollment form
Dependent Reimbursement Form With InstructionsInstructions and Form for Filing a Request for Refund of Matriculation Fees for Dependents of College Employees
Verification of Eligibility for Certain Dependent ChildrenForm for verifying the eligibility of certain dependent children for Blue Cross and Blue Shield insurance coverage
Domestic Partner AffidavitAffidavit of Domestic Partnership
Standard Insurance Company Enrollment Form
Medical history statement
Position Classification Review Request FormPosition Classification Review Request
Job Description Components 
Common Job Description Components
HR-230 Job Description Template
Job Description Template
Employee Relations
Supervisor's Performance LogSupervisor's Performance Log Template
and Sample Log
Record of Employee CounselingRecord of Employee Counseling
Performance Improvement PlanPerformance Improvement Plan (template)
Written WarningWritten Warning (template)
Grievance FormGrievance Report Form for Career Service Employees
Mid-Year ReviewMid-Year Evaluation Form for Non-Bargaining Employees
Leave Administration
TL-610 Leave of Absence Form With InstructionsLeave of Absence Form with instructions
Full-time Leave Entry Dates 
Full-time 12 Month Employee Leave Entry Dates
Direct Deposit FormDirect Deposit Authorization Agreement
Employee Time SheetTime Sheet for Seminole State Hourly Employees
Payroll CalendarPayroll Calendars
Records and Processing
HR-340 HR Action Form for All EmployeesHR Action Form for All Employees
HR-350 HR Action Form for Bargaining Unit Supplemental DutiesHR-350 HR Action Form for Bargaining Unit Supplemental Duties
HR-370 Recommendation for Contingent Worker/Person of InterestRecommendation for Contingent Worker/Person of Interest
Change of AddressChange of Address Form
Change of Name Form
Request for Advanced Education Plan Form
Fee Waiver FormEmployee Fee Waiver Form
Fee Waiver FormEmployee Fee Waiver Form
Bargaining Unit Tuition Reimbursement Degree Seeking FormBargaining Unit Tuition Reimbursement Degree Seeking Form and instructions
Bargaining Unit Tuition Reimbursement Non-Degree Seeking FormBargaining Unit Tuition Reimbursement Non-Degree Seeking Form and instructions
Bargaining Unit Sabbatical Leave FormBargaining Unit Employee Sabbatical Leave Application Form
Non-Bargaining Unit Sabbatical Leave FormNon-Bargaining Unit Employee Sabbatical Leave Application Form


Human Resources
Seminole State College
100 Weldon Boulevard
Sanford, FL 32773-6199
Phone: 407.708.2195
Fax: 407.708.2425