Required Forms and Information for Full-time with Benefits: |
· New Hire Orientation Acknowledgement Form (XLS / 1.42MB) |
· KCTCS Retirement Status (PDF / 34.9 KB) |
· I-9 with supporting documentation (PDF / 407.89 KB) o The I-9 has been created by the Immigration and Naturalization Service (INS) to verify that an individual is indeed eligible to work in the U.S. Therefore, all employers are required by the government to obtain the information on this form before hiring an individual. |
· Nepotism Disclosure Form (DOC / 30 KB) |
· Personal Data Sheet (XLS / 50KB) |
· KCTCS Human Resources Policy Handbook Acknowledgement Form (PDF / 26 KB) o Before signing the above Human Resources Policy Handbook Acknowledgement Form please review the KCTCS Policy Handbook. |
· Drug-Free Policy Notification (DOC / 211KB) o See 3.3.13 of KCTCS Policy Handbook (PDF / 23.5 KB) |
· Harassment-Free Brochure Acknowledgement (DOC / 32 KB) o Before signing the above Harassment-Free Brochure Acknowledgement please review the KCTCS Harassment Fee Workplace Brochure. (PDF / 665.10 KB) |
· BCTC President's Letter |
· Harassment-Free Workplace Training |
· Employee Acknowledgement of the Workers’ Compensation Guide to Biohazards (DOC / 28K) o See sections 3.3.17 of the KCTCS Policy Handbook. (PDF / 24.08 KB) |
· Computer Account Usage Agreement (DOC / 30.5 KB) o See section 4.2.5 of the KCTCS Policy Handbook. (PDF / 176.76 KB) |
· KCTCS Workplace Violence Policy – Quick Reference (PDF / 47KB) o See section 3.3.25 of the KCTCS Policy Handbook. (PDF / 2332.48 KB) |
· Crisis Management Plan (PDF / 635 KB) |
· KCTCS Holiday Schedule (2008-2009) · KCTCS Holiday Schedule (2009-2010) (DOC / 28 KB) |
· Employee Initiated Development o Employee Tuition Waiver (PFD / 17 KB) o Spouse & Dependant Tuition Waiver (PDF / 26 KB) |
· W-4 (PDF / 223.47 KB) o The W-4 form allows your employer to withhold the correct amount of Federal income tax from your salary. |
· K-4 (PDF / 17.6 KB) o The K-4 Employee's Withholding Allowance Certificate is a legal form that shows your withholding allowances for the state of Kentucky and is required by the state for tax purposes. |
· Direct Deposit Form (DOC / 58.0KB) o Direct deposit is mandatory. Direct deposit means that your paycheck is automatically deposited into your bank account. You need to fill out this form so that the College is authorized and has the correct information to make sure your paycheck can be deposited promptly on payday. |
· Direct Deposit Reminder |
· Timesheet Earnings Codes (DOC / 76.5 KB) |
· Payroll Time Report (DOC / 121 KB) o Payday is normally the 15th and 30th day of the month. Employees are paid on an arrears basis. (Example: Time worked the 1st through the 15th are paid on the 30th of that month; time worked the 16 through the end of the month are paid on the next month.) |
· Absence Record Request (XLS/ 46.5 KB) |
Benefits Information: |
· Tuition Waiver Form (DOC / 29KB) o Tuition Waivers for eligible employees are available for up to 18 credit hours per year (six hours) in the fall, spring, and summer) at any KY postsecondary public institution. Tuition waivers are also available to your spouse and dependent children (age 23 or less, as defined by federal financial aid guidelines) for six credit hours per semester (fall, spring, and summer) at any KCTCS institution. |
· Tuition Waiver Form (Spouse /Dependent) (DOC / 27.5KB) |
· Family/Medical Leaves of Absence (DOC / 96KB) o Eligible employees who have been employed for a minimum of 1 (one) year or 1250 hours may be entitled to job protected family/medical leaves of absence for qualifying events as described under the act. |
· Sick Leave Pool Brochure (DOC / 417KB) |
· Sick Leave Pool Enrollment (DOC / 26.5KB) |
· Sick Leave Sharing Program Donor Form (DOC / 28KB) |
· Sick Leave Sharing Program Request Form (DOC / 41KB) |
· Employee Assistance Program |
· Notice about Special Enrollment Rights and Women’s Health and Cancer Rights Act (PDF / 14 KB) |
· General Notice of Right to Continue Group Health Coverage (DOC / 39 KB) |
· Health Insurance Update Form (PDF / 106 KB) |
· $50 Benefit Form (DOC / 34 KB) o Eligible employees electing single health coverage or waiving health coverage will receive a monthly $50 benefit allowance. This allowance can be used in any combination to pay for benefit premiums not to exceed $50. |
· Employee Flexible Spending Account (FSA) and Health Reimbursement Arrangement (HRA) o This reimbursement program allows employees to pay for qualified medical expenses and/or qualified childcare/dependent care expenses with tax-free earnings. Eligible employees who waive their health insurance can choose to have a portion of the employer contribution placed into their health care reimbursement account. o Chard Snyder & Associates Web site o Enrollment Materials Correction |
· Health Insurance Rates (DOC / 44KB) |
· 2008 Health Insurance Handbook (PDF / 3.33 MB)) |
· Kentucky Employees Health Plan Enrollment Application (PDF / 249.16 KB)) |
· Health Insurance Checklist (DOC / 47 KB) |
· Retirement Plan Election Guideline (DOC / 577 KB) |
· Retirement Election Form (DOC / 26 KB) |
· Salary Reduction Authorization and Distribution Form 403(b) (DOC / 33KB) |
· Kentucky Retirement Systems (KRS) Information Pamphlet (PDF / 216.12 KB) |
· Membership Information Kentucky Retirement Systems (PDF / 16.71 KB) |
· KRS Beneficiary Designation Form (PDF / 68.80 KB) |
· TIAA CREF Group Insurance Enrollment Form – Disability |
· Long Term Disability Enrollment Form (PDF / 384.01 KB) |
· Retirement Provider Information |
· Dental Rate Plans (DOC / 40KB) |
· Delta Dental Information |
· Dental Care Plus Information |
· Workers Comp Benefits Information |
· Health Resources Information |
