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Documents
Compensation Guidance for FY20
COTC and United Faculty Contract 2019-22
COTC organizational chart
Benefits Forms
FSA Dependent Care Qualifications.pdf
Adoption assistance reimbursement request
Affidavit of sponsored dependency
Affiliated Groups Health Election
Affiliated Groups VGTLI-Dependent coverage rates
Afliated Group Voluntary Group Term Life Insurance Enrollment
Alternative Retirement Plan (ARP) Vendor Change
Benefits eligibility chart
Certificate of Domestic Partnership
COTC 403(b) Universal Availability Notice
COTC Health Plan Election form
COTC scholarship agreement for dependents of Ohio State-paid cost-shared employees
Dental Chart 2020
Dependent fee remission application
Employee fee reimbursement application
Employee fee reimbursement policy request for course enrollment during work hours
FSA Flexible Spending Account eligible expenses
FSA Flexible Spending Account enrollment
FSA Participant Benefits
Group Term Life Insurance Waiver
Life Insurance Beneficiary Designation form
Medical Plan Comparison Chart 2020
Network Change Initiative 2020 Forum Presentation- Affiliated Groups (002)
OPERS personal history
OPERS request for optional exemption as a student
Prescription Chart 2020
Retirement plan election
SRA salary reduction agreement
Temporary Out of Area Plan Election
Vision Plan Chart 2020
Employment-related Forms
Acknowledgement of receipt of auditor of state fraud-reporting system information
Background check authorization
Departmental sign-out
Direct deposit authorization
Form I-9 employment eligibility verification
Managers Guide to Onboarding
Managers New Employee Onboarding Checklist
Ohio Ethics Law acknowledgement
Patient Protection and Affordable Care Act notice
Personal data record
Request for fitness-for-duty or return-to-work evaluation
SSA form 1945 statement concerning your employment in a job not covered by Social Security
Staff external work reporting
Update your COTC personal & emergency contact data (step-by-step guide)
W-4: Employee’s Withholding Allowance Certificate
Faculty-only Forms
12-month faculty timeoff exchange request
Faculty off-semester & supplemental instructional hours pre-authorization
Faculty off-semester & supplemental instructional hours timecard
Faculty salary credit
Leave Forms
Application for leave
Family and Medical Leave Act flyer
Family and Medical Leave certification for serious injury or illness for Military Family Leave
Family and Medical Leave certification of healthcare provider for employee
Family and Medical Leave certification of healthcare provider for family member
Family and Medical Leave certification of qualifying exigency for Military Family Leave
Family and Medical Leave designation notice
Family and Medical Leave notice of rights and responsibilities
Vacation donation donor agreement
Vacation donation recipient agreement
Other Forms
Alternative arrangement agreement to comply with Nepotism Policy 2.1.15
Child Abuse, Sexual Abuse, or Neglect Incident Report
Discrimination/harassment complaint
Employee's report of incident and injury
Employment dispute
Flexible work arrangement request
Incident report form for workplace violence
Injury report-Student and/or visitor
Internal supplemental compensation approval
Managing Self-disclosed Criminal Convictions Checklist
Ohio State Newark and COTC Performance Planning & Appraisal form
Self-disclosure of Criminal Convictions
Voluntary experience agreement
Whistleblower report
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