HR Forms and Documents



FY25 Compensation Guide
COTC and United Faculty Contract 2022-2025
COTC Organizational Chart

Benefits Forms

2023 Open Enrollment Website
Adoption Assistance Reimbursement Request
Affiliated Groups Health Election
Affiliated Groups VGTLI-Dependent Coverage Rates
Affliated Group Voluntary Group Term Life Insurance Enrollment
Annual 403(b) and 457(b) Retirement Plan Universal Availability Notice
Benefits Eligibility Chart
Certificate of Domestic Partnership
COTC Scholarship Agreement for Dependents of Ohio State-paid Cost-shared Employees
Dependent Fee Remission Application
Employee Fee Reimbursement Application
Employee Fee Reimbursement Policy Request for Course Enrollment During Work Hours
Health Equity HRA Directions
FSA Dependent Care Qualifications
FSA Flexible Spending Account Enrollment Form
FSA Flexible Spending Account Eligible Expenses
FSA Participant Benefits
Group Term Life Insurance Waiver
Life Insurance Beneficiary Designation Form
OPERS Personal History
Retirement Plan Election

Temporary Out of Area Plan Election

Employment-Related Forms

Acknowledgement of Receipt of Auditor of State Fraud-reporting System Information
Background Check Authorization
Departmental Sign-out
Direct Deposit Online Instructions
Form I-9 employment eligibility verification
Managers Guide to Onboarding
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 Form: Employee’s Withholding 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 | Application for Leave - Instructions
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

Address Change Instructions Using Employee Self-Service
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