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Central Virginia Community College
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Human Resources Forms - Central Virginia Community College




Accident Report - Employee

***Accepted Panel of Physicians***
 Employee must immediately report work-related accident to Human Resources. Treatment can only be rendered by one listed on the Accepted Panel of Physicians
Address or Name Change Submit to HR if changes have NOT been made Employee Self Service in HRMS

Administrative & Professional Faculty Performance Evaluations and Mid-year Feedback form


Annual Performance Review for Administrative & Professional Faculty; and Mid-year Feedback for newly hired Admin & Professional Facutly. Under the VCCS Model Plan & Forms tab at bottom of page.

Alternate Work Schedule Agreement Agreement needed to be completed to work an Alternate Schedule
Alternate Work Schedule/Telework Policy CVCC's policy for Aternate Work and Telework options
Applicant Data Form Contains pertinent information to complete new hire process
Background Check Authorization Condition of employment at CVCC - required for all new hires
Classified Self-Assessment Form (Voluntary) Annual Voluntary Self-Assessment form for Classified staff
Classified Staff Performance Evaluations Annual Performance Evaluation form for Classified staff
Classified Staff Professional Development Achievement Award Request Form Used by Classified Staff in recognition of completing various forms of higher education
Direct Deposit

EPPI Card Enrollment

All employees (excluding work-study students) must participate in direct deposit or the EPPI Card Program
Educational Assistance & Continuous Learning Request Request educational aid for coursework
Employee Work Profile (EWP) Template for employee's duties and responsibilities
Employment Certification PT Hours Manpower Control Program that limits how many hours part-time employees and instructors may work or teach.
EMS Stipend Form used by payroll for one-time payment of EMS staff for assisting with student training
Extraordinary Contributor Document and recognize an extraordinary contribution in performance of duties
Faculty Promotion Form  
Family Medical Leave Request (FMLA)
FBMC Salary Reduction Form 403(b) Begin, change, stop payroll deducted payments for 403(b) voluntary contributions
Health Insurance Enrollment/Change Form Open Enrollment, New Hire, Mid-Year Qualifying Event
I-9 (Employment Eligibility Verification) Must be completed no later than the first day of employment
Leave Sharing - Annual Leave Recipient completes first page only. Classified Staff Donor completes second page only
Notetaker Stipend Form used by payroll for one-time payment to students for notetaking services for ADA students
Notice of Improvement Needed Employees needing improvement in job performance
Part-Time Staff Education Achievement Award

Part-Time Staff Education Achievement Award Policy and Form

Part-Time Employment Form For new hire of part-time employee
Part-time Job Description/Performance Plan
Part-time Performance Evaluation
Position Request Form Complete for newly created or restructured positions
Probationary Progress Review Six-Month/Probationary Period End Progress Review
Professional Development Request Conference Workshops/Professional and Personal Growth
Professional Development Additional Funding Request Policy and Form  
Recommendation for New Hire Interview Chair to complete with recomnedation of selected applicant of open position
Reference Check Questionnaire Reference check for potential new hires
Tax Form Virginia - VA-4  
Tax Form Federal - W-4  
TeleWork Agreement Work-from-home agreement
VRS - Virginia Retirement System Forms The link to where all forms related to Virginia Retirement System are kept


Click one of the following links:

Contact the Human Resources Office:
Central Virginia
Community College

3506 Wards Road
Lynchburg VA 24502-2498

Phone: 434.832.7611
FAX: 434.832.7626
Email: click here

Located in Appomattox Building, 1103