UNIVERSITY OF CONNECTICUT
DEPARTMENT OF HUMAN RESOURCES
FORMS
SSN required on University employment forms:
Federal tax regulations require the University of Connecticut Department of Human Resources to collect a social security number (SSN) from every employee who is paid compensation. Employee SSN’s are maintained and used by the University for payroll and benefits purposes, to verify employment history, and where required by law or for benefits purposes, to report the employee’s SSN on Federal and state agency forms. Except as mandated by law or as required for benefit purposes, the University will not disclose an employee's SSN to any person or organization outside the University without the employee’s prior consent. Failure to provide a SSN to the University of Connecticut on required Human Resources forms may result in the withdrawal of an offer of employment and/or the denial of benefits. For more information on the use of SSN’s at the University of Connecticut, please visit http://www.ssn.uconn.edu.
SSN required by third party form (such as benefit form):
At times the University of Connecticut may provide University employees with forms on behalf of benefit providers and other organizations. Many of these forms require you to provide your social security number (SSN). As private companies it is within their rights to require you to provide your SSN in order to provide the requested service. These services typically include but are not limited to health and life insurance, retirement benefits, and employment verification. In addition, many State and Federal forms will also request your SSN. These forms may include, but are not limited to: tax and other compensation-related forms, background check forms for security sensitive positions, immigration forms, and forms for other government services. If you feel one of these third parties has misused your SSN, your first recourse is to contact the third party directly.
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MORE INFO |
| Accident Report (see First Report of Occupational Injury or Disease | |||
| Acknowledgement of Temporary Appointment | |
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| Administrative and Residual Service Rating Form - Per 127 (P-5) | |
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| Address and Name Change Form (See Personal Change Form) |
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| Address and Name Change Form (GRAD STUDENTS CLICK HERE) |
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| Advance of Sick Leave - Classified Staff | |
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| Advertising Estimate/Authorization Form | |
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| Affiliate NET ID Request Form | |
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| Alternative Work Schedule Selection Form (P-5) | |
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| American Red Cross Volunteer - Request for Governor's Paid Leave | |
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| American Red Cross Volunteer - Consent Form | |
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| Application for Employment | |
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| Bargaining Unit Change Form | |||
| Budget Certification for Employment Form | |
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| Classified Search Report | |
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| Classified Staff Recruitment - AAP-2 Card | |
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| Clerical Service Rating Form - Per 126 (NP-3) | |
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| Collective Bargaining Unit Change Form | |||
| Compensatory Time Accrual Request Form | |
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| Compensatory Time Payment Authorization Form | |
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| Domestic Partnership Affidavit | |
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| Dual Employment Form | |
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| Employment Separation Form | |
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| Essential Staffing Request for Academic Affairs | N/A |
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| Faculty Leave Request Form (Use for all leaves other than Sabbatical Leave and Family/Medical Leave) | |
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| Faculty Summer Research Certification | |
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| Family and Medical Leave Form for Faculty and Coaches | |||
| First Report of Occupational Injury or Disease | |
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| Flextime Schedule Selection Form (NP-3) | |
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| General Service Rating Form - Per 125 (NP-5, NP-6, P-2, P-4) | |
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| Genesys and Focus Access Request Form | |||
| I-9 Form | |
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| Job Change Questionnaire for Non-Teaching Professionals | |
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| Leave Without Pay - Classified Employees | |
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| Longevity | |
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| Maintenance Service Rating Form - Per 148 (NP-2) | |
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| Maternity Leave Form - Classified | N/A |
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| Maternity Leave Form for UCPEA Members | |
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| Medical and Dental Change Forms | |
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| Military Leave Request Form | |
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| Moving Expense Reimbursement Form | |
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| NP-2 Seniority Waiver | |
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| NP-3 Employee Request to Rearrange Work Schedule | |
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| Personal Change Form | |
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| Privacy Code Change Form | |
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| Professional Paid Advertising Supplement | |
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| Professional Staff Evaluation Form | |
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| Professional Staff University Merit Form | |
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| Reclassification Request for Research Assistant/Research Associate/Academic Assistant | |
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| Recommendation for Joint Appointment | |
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| Report Request Form | |||
| Request for Schedule Modification (P-5) | |
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| Request for Unpaid FMLA – UCPEA/Managerial-Confidential Exempt | |||
| Request to Carry Over Vacation into 2008 | |
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| Resignation Form | |
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| Sabbatical Leave Request Form | N/A |
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| Sabbatical Modification Form | N/A |
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| Sick Leave Request (unclassified staff) | |
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| SEBAC Rights for UCPEA End Date Nonrenewals | |
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| Separation Form | |
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| Special Payroll Authorization | |
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| Special Payroll Employee Information Sheet | |
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| Special Payroll Request for Waiver of Time or Earnings | |
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| Statement of Claim for Unpaid Wages | N/A |
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| Summer research certification - faculty | |
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| Temporary Flexible Schedule Request for Managerial/Confidential Employees | |
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| UCPEA Internship Request Form | N/A |
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| Temporary Flexible Schedule Request for UCPEA Employees | |
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| Voluntary Leave & Schedule Reduction Form | |
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| Waiver of Union Representation Form | |
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| Worker's Compensation Filing Status and Exemption Form | |
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University of Connecticut
Department
of Human Resources
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Webmaster