Forms
(by category)
- Affiliate/Contractor/Zero Pay
- Benefits
- Compensation
- Drug & Alcohol Policy-Related
- Employment/Hiring/Separation
- Flexible Scheduling
- Grievance
- Leave
- Other/Deductible Memberships
- Payroll and Taxes
- Personal Data
- Workers' Compensation
Important Note: Most of the forms are in Portable Document Format (PDF). The forms have fields to be filled out online using Adobe Acrobat Reader version 4.0 or later. PDF forms should then be printed using the printer icon near the upper-left corner of the form. PDF forms with data cannot be saved or e-mailed unless "Save with 7.0+" is in the description. Read the form instructions closely. Many forms require signatures and hardcopy submission.
Affiliate/Contractor/Zero Pay
For use in hiring contractors. |
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For use in appointing all unpaid affiliates and volunteers. |
Benefits
Link to ALL PEBA Insurance Forms. |
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Insurance enrollment or changes. |
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Affordable Care Act Request for Review of Healthcare Coverage Eligibility and Process |
Appeal form for ACA eligibility and process. |
Certification of Non-Tobacco/Tobacco Use. |
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SC Public Employee Benefit Authority (PEBA) Name/Address Change |
PEBA Name/Address Change form. Employees can also update their addresses for Insurance purposes by visiting MyBenefits. |
Health
State Health Plan (SHP)
State Health Plan expenses claim form. | |
Prescription Drug Reimbursement/Coordination of Benefits Claim & Form Instructions |
Express Scripts prescription drug claim form. |
Express Scripts home delivery order form. |
COBRA
For COBRA subscribers. | |
COBRA Monthly Premiums. |
Dental
State Dental Plan claim form. |
Money Plu$
See PEBA MoneyPlus information. | |
Medical Spending Account and Dependent Care Spending Account reimbursement form. |
Retirement
Link to ALL retirement forms. |
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For Use in ALL systems. |
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For use in ALL systems, except State Optional Retirement Plan. |
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For use in ALL systems, except State Optional Retirement Plan. |
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PEBA Election of Non-Membership form. |
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State Optional Retirement program (ORP) Active Group Life Beneficiary Form |
SC ORP Active Incidental Death Benefit Beneficiary Designation. |
College's Annuity Amount Change form. (401K, 457, and/or 403b) |
Compensation
State-funded bonuses:
Faculty/Staff Awards must comply with Board of Trustees' approved guidelines, and may be used for all employees. |
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Used to track compensatory time for Exempt employees. The College is not required to provide compensatory time or pay to Exempt employees. Non-Exempt employees must record all hours worked on their timesheets in BANNER. |
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Used to transition non-exempt employees' overtime accrual from Cash to Compensatory Time, or from Compensatory Time to Cash. HR cannot switch employees back and forth, depending on budgets, so please ensure that your budget can accomodate cash payouts before requesting the switch. | |
(aka RAP form) Used only for faculty dual employment, to include duties outside of teaching. | |
Used for permanent employees only.
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Used for permanent employees only. TSAs are short-term adjustments in rate of pay to compensate an employee for taking on additional duties within their own Department:
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Used for permanent employees performing internal dual employment by working for a separate department (or in isolated cases, within their primary department) to perform independent additional duties that are not related to the work performed in their primary position. |
Drug & Alcohol Policy-Related
For use in instances where alcohol/drug use is suspected, and employees are unfit to perform their duties. |
Employment, Hiring, and Separation
Used to fulfill Employment Verification Requests. | |
Used to request Background Checks for new employees. | |
Hire Authorization Form is not required for classified staff and temporary PeopleAdmin recruitments |
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Used to request authorization to fill faculty vacancies. | |
Used to request an FTE line. Please check your existing list of vacancies to see if a current vacancy can be repurposed before submitting this form. | |
Used for new adjuncts, never before employed at the College. | |
Used for hiring and employing individuals on a temporary basis to do non-teaching work that is not assigned to a permanent employee:
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Used only for renewal of existing employees actively under temporary contract with the College. |
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Request For Employee Posting/Hire Authorization |
Attach to new temporary appointment forms, unless the position is being recruited through People Admin.
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Employee Exit Checklist |
*Currently being updated. New form will be published once approved.* |
Flexible Scheduling
Used for requesting a compressed or alternative work schedule, or a rotating work week arrangement. All Flexible Work Schedule requests should be initiated by supervisors, and must be reviewed and signed by Department Heads and Human Resources prior to the schedule starting. |
Grievance
Leave
Certification of Health Care Provider for Employee's Serious Health Condition (FMLA-WH380E) |
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Certification of Health Care Provider for Family Member's Serious Health Condition (FMLA-WH380F) |
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Certification of Qualifying Exigency for Military Family Leave |
FMLA WH-384 form. |
Leave Pool Transfer Program. |
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(DocuSign only) Request for Paid Parental Leave - please refer to College's PPL FAQs and policy for questions. |
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Leave Pool Transfer Program. |
Other/Deductible Memberships
Application to join the South Carolina State Employees Association. Payroll and Pension Deductible options are available for payment. |
Payroll and Tax
- If you need a reprinted copy of your W-2 Form, please contact our Payroll Office directly.
W4 Form (federal) W4 Form (state) |
As of 1/1/2020, all new hires are required to complete both a federal and state W-4 form. Anyone wishing to change their federal withholdings should also submit a South Carolina W-4 form. |
For the protection of our employees, this form must be delivered to Human Resources in person, by the person requesting the change. ID will be required before changes are made. |
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9/12 month payment election form-IRS Code 409A |
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Non-Immigrant Forms and Explanations. |
Personal Data
For College purposes only - please see Benefits section for PEBA form. | |
For College purposes only - New Hire Data Sheet |