• CCRI Home
• Office of Human Resources
• Online Forms

Online Forms

The documents below are PDF files unless otherwise indicated. PDF files require Adobe Acrobat Reader to view - Download here.

• Payroll
  • Banner Payroll Web Time Entry Authorization Request Form
  • Direct Deposit (Bi-Weekly Employees)
  • Direct Deposit (Lecturers Payroll Employees)
  • Faculty Sick Leave Reports
  • FICA Exemption Form
  • Overtime Request Form (available in HR and Business Offices)
  • Request for Payment of Pay Reduction "PR" Leave 
  • Sick Bank Access Request Form - ESPA
  • Sick Bank Access Request Form - FACULTY
  • Sick Bank Access Request Form - PSA
  • Vacation Leave Request
  • W-4 Federal
  • W-4 State (RI)
• Benefits
  • Affidavit of Eligibility for Children under Age 26
  • Affidavit of Former Spouse's Eligibility for State Health Insurance
  • Certification of Tax Dependent Status (Civil Union Spouse/Children)
  • Certification of Tax Dependent Status (Domestic Partner)
  • COBRA Notification Form
  • Dental Claim Form
  • FSA Debit Card Application
  • FSA Enrollment Form
  • FSA Eligible Expenses Form
  • FSA Unpaid Leave Form
  • Group Legal Enrollment Form
  • Health Insurance Enroll/Change/Waive Form
  • Health Insurance Waiver Form (Classified Employee's)
  • Health Insurance Waiver Form (Non-Classified Employee's)
  • Life Insurance Beneficiary Form
  • Life Insurance Enrollment Form
  • Medication Order Form (MEDCO)
  • Pharmacy Reimbursement Form
  • Phased Retirement Form
  • RIPTA Bus Pass Payroll Deduction Form  
  • Sabbatical/Study Leave Policy, Procedures & Form for Non-Faculty
  • Sabbatical Leave Guidelines for Faculty
  • Treasury Direct
  • Tuition Waiver and Policy for CCRI Classes
  • Tuition Waiver for RIC & URI Classes
• New Employee Forms (for supervisors only)
  • Adjunct Faculty Authorization Form (for department chair use only)
  • Bar of Claims (CS-386)
  • Campus Domain Account Application
  • Drug-Free Workplace Form
  • Employment Eligibility Verification (I-9)
  • Intern/Interpreter/Non Employee Information Form
    
  • Monthly Payroll Authorization (Honorarium Payment)
  • Monthly Payroll Authorization (Non-Credit Teaching & Non-Teaching)
  • Monthly Payroll Authorization (Special Non-Hourly)
  • Position Posting Request & Request to Fill (RF-1)
  • Pre-Employment Background Consent Form
• Retirement Forms
  • 403(b) Retirement Authorization
  • 457(b) Deferred Compensation Plan Authorization (Classified Employees)
  • 457(b) Deferred Compensation Plan Authorization (NonClassified Employees)
  • Catch-Up Form
  • Group Supplemental Retirement Annuity Form
  • Group Supplemental Retirement Enrollment Form
• Miscellaneous
  • 20-Year Statutory Status Application (NonClassified)
  • Affirmative Action Incident Report Form
  • Alternative Work Arrangement Request
  • Certification of Health Care Provider
  • Classified Evaluation Form (electronic version)
    
  • Classified Evaluation Form (print version)
  • Disability Verification Form - Health Provider Statement
  • Emergency Contact Form
  • Employee Recognition Nominating Form - 2012
  • Exit Interview
  • Exit Survey
  • Injury Report (two forms must be completed & submitted together)
  • Non-Classified Evaluation Form (electronic version)
    
  • Non-Classified Evaluation Form (print version)
    
  • Notice of Non-Academic Disciplinary Action Form
  • Performance Evaluation
    
  • Personal Change Form
  • Public Records Request
  • Reasonable Accommodation Request Form
  • Request for Leave (FMLA)
  • Student Employment Forms - click here to be redirected to the Student Employment  web site
  • Voluntary Self-Identification Form for Employees with Disabilities

This page developed and maintained by The Office of Human Resources. Send comments and suggestions to .