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Yavapai College
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Human Resources
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Forms
Human Resources Forms
Benefit Forms
Prescription Reimbursement Claim Form for non-participating pharmacy
Prescription Mail in Form
Prescription quick reference
Medical Claim Form
Dental Claim Form
Flexible Spending Account Claim Form
Full Time Employee Tuition Waiver Form
Adjunct Tuition Waiver Dependent Eligibility Declaration Form
Employee Data Form
Hiring adjunct faculty? ... if so, please contact the Office of Instruction at ext. 2310
Employment Applications
Adobe Acrobat Version
MS Word Version
MS Word Version 95-6.0
Adjunct Faculty Employment Application
Payroll Forms
Federal Tax form W-4
Arizona Tax -Payroll Withholding Form A-4
Financial System Access Form
Child Support Wage Assignment Payroll Form
Direct Deposit Form
Stipend Request Form
- The PAF may not be used for Stipend Requests
Other Miscellaneous Forms
Accident / Injury Report Form
Acceptable Use Form
Budget Appropriation Transfer Request Form
I-9
ID Form (Faculty / Staff Blackboard ID Card: Data Input Form)
ITS Software Request Form
Leave of Absence Request Form
Notice of Separation
Notice of Vacancy (MS Word)
Notice of Vacancy (MS Excel)
Oath of Office Form
Official Functions Form
Performance Appraisal
Personnel Action Form
Selective Service Certification
Volunteer Form
Retirement
403(b) Annuity Salary Reduction Form
403(b) Annuity list of approved companies
Department Navigation
Human Resources
Preventing Sexual Harassment
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Contact Us, Hours, Location
Forms
Performance Appraisal
Policy Manual Online
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