Administration  Business Office  Calendar  CCS Foundation  Directory  Emergency     Management & Security  Facilities  Forms A - Z  Human Resources  Information Systems  Marketing &     Publications/Graphics  Payroll and Benefits  Professional Development  School & College     Relations/Recruitment  Web Applications  Wellness  A - Z Index		Forms A - Z Many of the following documents are PDF files. You must have Adobe Acrobat Reader to view these documents. Download now if you do not have it. Instructions for printing PDF documents. Most of these forms are inter-campus only.  For other CCS forms (student-related forms, evaluations, etc.),  please go to the CCS Internet. Some of the following forms can be filled-in on-line (which, unfortunately, makes the file(s) much bigger and take longer to download). Wait until the form is completely downloaded before clicking on anything, then print the form for signatures and mailing or faxing. Instructions are included with each form. District Office (Districtwide) SCC Forms SFCC Forms IEL Forms    Acknowledgement of Vehicle Operator Responsibility CCS 2140 Additional Hours (web app) Adjunct Leave (web app) Affidavit of Forged Endorsement CCS 2140 Affidavit of Lost/Destroyed Check CCS 2141 Application Security Form CCS 1436 Approval to Serve Coffee and/or Light Refreshments CCS 2119 Assessment Process: Admin/Professional Exempt Employee  CCS 1673 Assigned Schedule (web app) Authorization to Transfer Equipment CCS 2807 Bloodborne Pathogens Exposed Employee Consent CCS 1305 Bloodborne Pathogens Exposure Incident Report CCS 1295 Building Improvement Request CCS 1291 Building Self-Inspection Safety Survey Computer Support Request Form Confidential Records Destruction Authorization (see Records Shred Request) CCS 2744 Driver Safety Program Recertification Embedded Materials Form CCS 0415 Employee Address Change Form CCS 2144 Employee Name Change Form CCS 2131 Equipment Disposal CCS 2805 FAX Cover Sheet Fleet Request Form CCS 1202 Form Request CCS 1902 Foundation Forms      Foundation Pledge Form CCS 1817 (Internet)      Fund Information Sheet (Internet)      Guidelines for CCS Foundation Proposals (Internet)      Report of Non-Cash Gifts CCS 1820 (Internet)      Payroll Deduction Form CCS 1827 (Internet)      Scholarships Application, CCS CCS 1808 (Internet) Graphics Design Service Request Form CCS 1801    Print Ad Request Form CCS 1809 Grievance Report Form CCS 1645 Harassment/Discrimination Incident Notification Form CCS 1691 Hazardous Condition Report CCS 1221 Hepatitis B Vaccination (Employee Instructions) CCS 1294 Hepatitis B Vaccination Record CCC 1304 High Profile Visit Checklist CCS 1300 Hourly Timesheet (web app) Human Resources    Administrative Evaluation Part I: Class/Worksite Observation CCS 1653    Administrative Evaluation Part II: Contractual and Professional Observation CCS 1654    Annual Goal Setting & Assessment Form CCS 1694    Classroom Observation-1 CCS 1679    Classroom Observation-2 CCS 1680    Classroom Observation-3 CCS 1681    Department Chair Evaluation CCS 1644    Employment Action Notice CCS 1685    Employment Separation Clearance CCS 1669    Exit Interview CCS 1668    Flexible Work Schedule Application CCS 1688    Freeze Exception Form (see Staffing Request/Review CCS 2133)    New Employee Checklist - Admin/Professional Exempt CCS 1672    New Employee Checklist - Classified CCS 1670    New Employee Checklist - Faculty CCS 1671    Notification of Payroll Overpayment (Non-Represented Employees) CCS 2142    Notification of Payroll Overpayment (Represented Employees) CCS 2145    Part-Time Hourly Eligibility Worksheet CCS 1693    Position Request CCS 1686    Probationary Academic Employee Performance Evaluation Report CCS 1641    Professional Development Plan CCS 1699    Staffing Request/Review CCS 2133    Student Evaluation-Counselors CCS 1677    Student Evaluation - Distance Learning CCS 1687    Student Evaluation-Instructor and Course CCS 1676    Student Evaluation-Librarians CCS 1678    Telecommuter Agreement CCS 1690    Telecommuter Application CCS 1689    Tenured Academic Employee Performance Appraisal Plan CCS 1642    Tenured Academic Employee Performance Appraisal Summary CCS 1643    Tenure Review Committee Checklist CCS 1682    Tenure Review Committee Handbook (Internet)    Incident/Accident Report CCS 1220 (Internet) Intent to Apply for External Funding CCS 1509 Issue Document, Central Receiving CCS 2803 Key Check-out CCS 1438 Leadership Development Program Application (Internet) Leave Slip (web app) Life Insurance Booklet (11/03) Life Insurance Enrollment/Change Form  HCA 50-402 Life Insurance Evidence of Insurability Form  HCA 50-645 Life Insurance Nonsmoker Certification  HCA 50-504 Life Insurance, Change of Beneficiary Form  (7384m-1) Long Term Disability Booklet Long Term Disability (LTD) Enrollment/Change Form  HCA 50-404 Long Term Disability Evidence of Insurability Form  HCA 50-407 Maintenance Work Order Request Form Meal Reimbursement Request CCS 2120 Medical/Dental Booklet HCA 50-100 Medical/Dental Coverage Enrollment Form  HCA 50-400 Medical - Declaration of Marriage/Partner Form  HCA 50-704 Medical - Extended Dependent (Foster Child) HCA 50-500 Medical - Student Certification Form  HCA 50-700 Medical - Certification of Disabled Dependent ,Request for  HCA 50-142 Model Release CCS 1816 Personal Services Contract Worksheet CCS 2728 Procedures for Moving CCS 1298 Prior Approval Travel Form (web app) Public Disclosure Report Information CCS 1823 Public Records Request CCS 2136 (Internet) Records Shred Request CCS 2744 Security Incident Report CCS 1286 (Internet) Shipping Request (all locations) CCS 2802 State Property Issue Document CCS 2811 (Rev. 6/06) Stock Record Account CCS 2814 Tax Deferred Annuity (403b) - Voluntary Salary Reduction Agreement (3/08) Tax Sheltered Annuity - Salary Reduction Agreement TIAA-CREF Basic Plan - Salary Reduction Agreement (1/97) TECC (Training & Education Coordinating Center) Computer Training Approval CCS 9401 Temporary Key Check-Out CCS 1299 Textbook Reorder Form CCS 5107 Textbook Reorder Form CCS 5107 Time and Effort Report CCS 2139 Time Sheets    Classified Employee Time Sheet CCS 1647 (Rev. 5/03)    Student Work-Study Time Report CCS 2603 (Rev. 5/03) (Internet)    Time Report Hourly Exempt, Part-time, Hourly Faculty CCS 2604 (Rev. 5/03) VEBA Enrollment Form VB16 (6/04) Vendor/Contractor Key Issuance CCS 1437 Vicinity Travel Form (web app) W-4 Form, Employee's Withholding Allowance