Forms

Hiring Documents

*Denotes a required form for all new faculty/staff employees.

• Form to use when posting open positions on Campbell.edu Employment Account Form
• Outside Publication Posting Form
• Background Check Consent Form*
  • Electronic Submission
• Notice of Termination/Delete Account Request Form (for department completion)
  • Electronic Submission
• Notice of Employment (NOE) **FILLED OUT BY HIRING DEPARTMENT ONLY**
  • Electronic Submission
• Employee's Withholding Allowance Certificate (Form W-4)*
• Withholding Form for North Carolina State Tax (NC-4)*
• Direct Deposit Form*
• Fair Credit Disclosure Form*
• Confidentiality Agreement*
• Substance Abuse Policy*
• Employee Information
• Employment Application (pdf)

Current Employees

• Hiring Supervisor Interview Form
• Create/Update User Account
• Delete a User Account
• New/Update Full-time Faculty or Staff Online Directory Entry
• Changes in Payroll Deduction
• Dental Claim Form
• Faculty/Staff Exit Procedure Form
• Flex Spending Account (2012 forms - can file up till  02/28/2013)
  • Medical Reimbursement
  • Dependent Reimbursement
• BB&T Flex Spending Account
  • Flex Spending Account Form
• Receipt Of Personnel Manual
• Fitness for Duty to Return From Leave Certification
• Salary Reduction Agreement
• Sick & Vacation Leave
• Staff Appraisal Form
• Travel Expense Form
• Tuition Assistance Request
• Employee Banking Forms (Please note the SunTrust offer has been extended)
• Call Pilot Voice Messaging User Guide

FMLA (Family and Medical leave Act) Forms

• Certification of Health Care (FMLA)
• Serious Health Conditions (FMLA)
• Notice of Eligibility and Rights & Responsibilities
• Certification of Qualifying Exigency For Military Family Leave
• Certification for Serious Injury or Illness of a Current Servicemember - for Military Family Leave
• Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

Student Employment

• Student Employment Form

I-9 Form

Who must complete an I-9 Form:

• All new CU employees (regular, temporary, and student).
• Any former CU employee (United States citizens only) returning to the University after 1 year.
• Non-citizens of the United States who return to employment with the University after any period of separation.
• CU retirees returning to CU in a post- retirement appointment or in any other CU paid capacity (e.g. Through an HR Temporary Employment assignment).
• Individuals beginning a Fellowship assignment.

Acceptable I-9 Document Lists:

One document from:
List A - Documents that establish both identity and employment eligibility

OR

One document each from:
List B - Documents that establish identity and List C - Documents that establish employment eligibility

List A: Documents that Establish Both Identity and Employment Authorization

• Unexpired U.S. Passport
• Permanent Resident Card OR Alien Registration Receipt Card with photograph (INS Form I-551)
• Unexpired foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine readable immigrant visa
• Unexpired Employment Authorization Document that contains a photograph (Form I-766)
• In the case of a nonimmigrant alien authorized to work for a specific employer incident status, an unexpired foreign passport with Form I-94 or Form I-94A bearing the same name as the passport and containing an endorsement of the alien's nonimmigrant status, as long as the period of endorsement has not yet expired and the proposed employment is not in conflict with any restrictions or limitations identified on the form
• Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with form I-94 or Form I-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI

List B: Documents that establish identity

• Unexpired driver's license or ID card issued by a state or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
• Unexpired ID card issued by federal, state, or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
• School ID card with a photograph
• Voter's registration card
• US Military card or draft record
• Military dependent's ID card
• US Cost Guard Merchant Mariner Card
• Native American tribal document
• Unexpired driver's license issued by a Canadian government authority

NOTE: for persons under age 18 who are unable to present a document listed above one of the following is required:

• School record or report card
• Clinic, doctor or hospital record
• Day-care or nursery school record

List C: Documents that establish employment eligibility

• Social Security Account Number card other than one that specifies on the face that the issuance of the card does not authorize employment in the United States (card must NOT be laminated)
  NOTE: The University cannot accept a metal, plastic, or a blue laminated Social Security card.
• Certification of Birth abroad issued by the Department of State (Form FS-545)
• Certification or Report of Birth issued by the Department of State (Form DS-1350)
• Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal
• Native American tribal document
• US Citizen ID Card (INS Form I-197)
• Identification Card for use of Resident Citizen in the United States (INS Form I-179)
• Unexpired employment authorization document issued by the Department of homeland Security