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HR Forms 
 
 

If you have a question about the forms posted on this page, please contact Traci Morin at 214-378-1516.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Form Name PDF/HTML
A
Academic Credit for Advancement form (faculty reclassification form - 2006 version) (PDF - 8KB)

Ad Hoc Job Evaluation form

(PDF - 94KB)
Administrative Job Placement Matrix form (PDF - 81KB)
Analysis of Possibilities for ORP/TDA (2008) Intranet
Application for Leave
(Word - Intranet)
B
Bilingual Stipend, Request for Compensation form (PDF - 104KB)
Blue Cross Blue Shield Claim Form (PDF - 33KB)
Board Materials Checklist (PDF - 61KB)
C
Caremark Health Pharmacy Service — Home Delivery form (on ERS Web site) (PDF - 85KB)
Colleague Security Agreement (PDF - 51KB)

Credit Tuition Waiver form (Revised Effective: Summer II, 2003)

Non Credit Waiver form

(PDF - 10KB) 

(PDF - 11KB)
(Word - Intranet)

Criminal Background Check form For Applicants/Employees Having Contact With Minors, Security Sensitive Position, Cash Handling Positions (PDF - 102KB)
Curriculum Vitae (PDF - 59KB)
D
Death of Employee Forms:
      
Letter with Will 
Letter with no Will
Affidavit of Heirship   
Beneficiary Designation
W-9 form


(PDF - 30KB)
(PDF - 28KB)
(PDF - 48KB)
(PDF - 56KB)(HTML)

Direct Deposit Authorization form 0132-05/04 (PDF - 462KB)
District Awards (Guidelines and Forms):
  Administrator of the Year Award (guidelines)
  
  Administrator of the Year Award (form)
 
  Excellence in Teaching Award for Part-time Faculty (guidelines)

(PDF - 16KB)

(Word - 35KB)

(PDF - 18KB)



  Excellence in Teaching Award for Part-time Faculty (form only) (Word - 35KB)
  Innovation of the Year Award (guidelines)  (PDF - 13KB)
  Innovation of the Year Award (form only) (Word - 35KB)
  Jean Sharon Griffith Student Development Leadership Award   (guidelines and form) (PDF - 58KB)
  Jean Sharon Griffith Student Development Leadership Award (form    only) (Word - 35KB)
  Learning Technology Innovation of the Year (guidelines / form) (PDF - 91KB)
  Learning Technology Innovation of the Year (form only) (Word - 35KB)
  Piper Nominee/Miles Production Company Award guidelines (PDF - 85KB)
  Professional Support Staff Employee of the Year Award (guidelines) (PDF - 8KB)
  Professional Support Staff Employee of the Year Award (form) (Word - 35KB)
  Professional Support Staff Part-time Employee of the Year    (guidelines) (PDF - 67KB)
  Professional Support Staff Part-time Employee of the Year (form)

(Word - 61KB)

  Hall of Honor Award guidelines (PDF - 15KB)
    Retiree Hall of Honor Nomination form — Administrator  (Word - 35KB)
    Retiree Hall of Honor Nomination form — Faculty  (Word - 35KB)
    Retiree Hall of Honor Nomination form — PSS (Word - 35KB)
E
Educational Stipend (PDF - 16KB)
Emergency Procedure Plan (PDF - 376KB)
Employee Complaints — Grievance form (PDF - 83KB)
Employee First Report of Injury or Illness (DWC Form-001) Internet
Employee's Claim for Compensation for a Work related Injury or Occupational disease (DWC Form-041) Internet
Employee/Student Privacy Election Form (PDF - 85KB)
(Word - Intranet)
Employer's Wage Statement (DWC Form-003) Internet
Employer's Supplemental Report Injury (DWC From-006) Internet
Employment Authorization Request form (PDF - 46KB)
(Word -  intranet)
Employee Development Form (PDF - 110KB)
Employment Eligibility Verification I-9 form Internet
Employee Status/Maintenance form (termination/clearance) (PDF - 58KB)
ERS TexFlex Enrollment/Change Form (PDF 377KB)

W-4 employee withholding for federal income tax

IRS Website
F
Faculty Appraisal Report Summary form (PDF - 51KB)
Faculty Evaluation System (PDF - 333KB)
Faculty Leave Banking Agreement (PDF - 17KB)
Faculty Leave Banking Frequently Asked Questions and Answers (PDF - 16KB)
Faculty Leave Banking Request for Approval (PDF - 13KB)
Faculty Teaching Position Description (PDF - 12KB)
Faculty Individual Action Plans, pages 1-4 (Faculty - Counseling/ LRC) (PDF - 99KB)
Faculty Contractual Recommendation (PDF - 80KB)
Faculty Evaluation Cycle Booklet (dated May 26, 2002) (PDF - 420KB)
Family Leave:
    FMLA Response Letter
    Health Care Provider Certification
 
(PDF - 125KB)
(PDF - 6KB)
G
Goldenrod/Recommendation for Employment Summary form (PDF - 17KB)
H
I
Instructional Visitation Appraisal (face-to-face) (PDF - 69KB)
Instructional Visitation Appraisal (Online) (PDF - 34KB)
J
Job Evaluation form — ad hoc (PDF - 94KB)
Job Placement Matrix form — administrative (PDF - 81KB)
Regular Job Evaluation questionnaire (PDF - 123KB)
Regular Job Evaluation waiver (PDF - 83KB)
M
Maximum Exclusion Allowance (MEA) worksheet for tax deferred accounts HTML
Metlife 403(b) Withdrawal Request Form (PDF - 381KB)
Metlife PERC (Program for Extra Retirement Compensation) PDF - 128KB)
N
Non-Cash Compensation Calculation Sheets (Administrator) Excel
Intranet
Non-Cash Compensation Calculation Sheet (Faculty) Excel
Intranet
Non-Cash Compensation Calculation Sheet (PSS) Excel
Intranet
Notification of Employee Responsibilities Under Texas ORP (PDF - 55KB)
Notification of Non-Renewal of Temporary One Semester Contract Guidelines and Sample Letter (PDF - 83KB)
O
Optional Retirement Program Procedures Manual (PDF - 20KB)
ORP/TRS Active Carrier List (PDF - 46KB)
ORP/TRS Notification of Employees Responsibilities under Texas Optional Rertirement Program  (PDF - 9KB)
2009 Overview of ORP/TRS for Employees Eligible for ORP (PDF - 130KB)
P
Part-Time Employee Retirement Agreement (PDF - 287KB)
Payroll Schedule Election Form (PDF - 8KB)
Phased Faculty Retirement Participation Agreement (PDF - 34KB)
Professional Enhancement Post-Project Evaluation Form

(PDF - 245KB &
Word

Professional Enhancement Program Guidelines

(PDF - 109KB & Word)

Professional Enhancement Program Request Form (PDF - 127KB & Word)
Professional Support Staff Part-time Employee of the Year (form) (PDF - 58KB)
Program Discipline Review Employee Plan for Action form (PDF - 4KB)
Progress Discussion Form (support staff annual performance review) (PDF - 17KB)
Word
R
Recruitment Database Summary Form 1 (Word - Intranet)
Regular Job Evaluation questionnaire (PDF - 123KB)
Regular Job Evaluation waiver (PDF - 83KB)
Request and Justification for Reclassification (PSS/IT) (PDF - 94KB)
Request for Professor Emeritus Program Business Cards (PDF - 138KB)
S
Sabbatical Request form — Administrator (PDF - 19KB)
Sabbatical Leave Form — Faculty (PDF - 298KB)
Safe Zones in Building in Case of Tornado (PDF - 241KB)
Sample DCCCD Early Retirement Agreement (PDF - 67KB)
Search Process Acknowledgment form (PDF - 65KB)
Search Process Applicant Roster (PDF - 74KB)
Sick Leave Pool Form (Administrators and PSS) (PDF - 22KB)
Sick Leave Pool Form (Faculty Only) (PDF - 23KB)
Sick Leave Pool Request Form (PDF - 15KB)
Special Employment Agreement (extra-service contract)     (Word Intranet) (PDF - 49KB)
SSA 1945 form — Statement Concerning Your Employment in a Job Not Covered by Social Security (PDF - 406KB)
Student Surveys of Instruction (PDF - 73KB)
Strategic Performance Management System - Administrator Performance Review - Reference Guide (PDF - 133KB)

Strategic Performance Management System Information and Forms

Administrative Progress Discussion Supervisor Guidelines

(PDF - 81KB)

(PDF - 163KB)

  • Strategic Performance Management System - Administrator Annual Performance Review Report Form #1 (Required)
(PDF - 33KB)
(word)
  • Strategic Performance Management System - Administrator Performance Review Log Form #2 (0ptional)
(PDF - 12KB)
(word)
  • Strategic Performance Management System - Administrator Performance Improvement Plan Form #3 (Optional)
(PDF - 12KB)
(word)
  • Strategic Performance Management System - Administrator Optional Performance Feedback Tool Form #4 (Optional)
(PDF - 27KB)
(word)
  • Strategic Performance Management System - Administrator Performance Feedback Summary Report Form #5 (Optional)
(PDF - 28KB)
(word)
Supplemental Employment Application Form (Optional) (PDF - KB)
T
Telecommuting Agreement (PDF - 22KB)
Temporary Expanded Duties Form (T.E.D.) Stipend Request - Full-Time Adminstrators Only   (PDF - 110KB)
(Word)
Texas $aver (457 Plan) Overview and Forms Internet
Time/Effort form (Grant-Funded Employees) (PDF - 67KB)
Transcript Fax Cover Sheet         (PDF - 59KB
TSA Consulting:
Transaction Routing Request (PDF - 79KB)
Payroll Reduction Authorization from 403(b) Annuity Contract or 403(b)(7) Custodial Account (PDF - 87KB)
V
Vacation Request form (Word - Intranet)
Vesting Letter (PDF - 12KB) 
W
Waiver of Job Evaluation Opportunity
 


Can't find what you're looking for? Please contact us with your questions and concerns.