Forms

Title	Description
Accident Report - Employee	Report an accident that occurs during work hours. Employee must complete the report and submit to Human Resources.
Address or Name Change	Submit to HR if changes have NOT been made Employee Self Service in HRMS
Alternate Work Schedule Agreement	Alternate work schedule agreement
Alternate Work Schedule/Telework Policy	CVCC's policy for Aternate Work and Telework options
Applicant Data Form	Contains pertinent information to complete new hire process
Background Check Authorization	Condition of employment at CVCC - required for all new hires
Classified Staff Performance Evaluations	Annual Performance Evaluation form for Classified staff
Classified Self-Assessment Form (Voluntary)	Annual Voluntary Self-Assessment form for Classified staff
Direct Deposit EPPI Card Enrollment	Effective August 1, 2008, all employees (excluding work-study students) must participate in direct deposit or the EPPI Card Program
Educational Assistance & Continuous Learning Request	Request educational aid for coursework
Employee Work Profile (EWP)	Template for employee's duties and responsibilities
Employment Certification PT Hours	Manpower Control Program that limits how many hours part-time employees and instructors may work or teach.
Extraordinary Contributor	Document and recognize an extraordinary contribution in performance of duties
Family Medical Leave Request (FMLA)
Flexible Spending Account Reimbursement	Request reimbursement of FSA (medical expenses or child card)
Health Insurance Enrollment/Change Form	Open Enrollment, New Hire, Mid-Year Qualifying Event
I-9 (Employment Eligibility Verification)	Must be completed no later than the first day of employment
Notice of Improvement Needed	Employees needing improvement in job performance
Part-Time Employment Form	For new hire of part-time employee
Part-time Job Description/Performance Plan
Part-time Performance Evaluation
Position Request Form	Complete for newly created or restructured positions
Probationary Progress Review	Six Month Probationary Progress Review
Professional Development Request	Conference Workshops/Professional and Personal Growth
Reference Check Questionnaire	Reference check for potential new hires
Salary Reduction Agreement	Begin, change, stop payroll deducted payments for voluntary contributions
Tax Form Virginia - VA-4
Tax Form Federal - W-4
TeleWork Agreement	Work from home agreement
VCCS-29	VCCS criteria for faculty rank and promotion
VRS - Virginia Retirement System Forms	The link to where all forms related to Virginia Retirement System are kept

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Contact the Human Resources Office:

Central Virginia
Community College
3506 Wards Road
Lynchburg VA 24502-2498

Phone: 434.832.7611
FAX: 434.832.7626
Email: click here

Located in Appomattox Building, 1103