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Employee Forms

Expand each section below to access the appropriate area/forms.

File Name Downloads
MagellanRx Mail Order Form - Prescriptions Download
Flexible Spending Account Claim Form Download
YABC Health Claim Form Download
Dental Claim Form Download
Family Medical Leave Act (FMLA) Information Download
Departmental Leave Form Download
Leave Donation Download
Request for Leave Donation Download
Request for Reasonable Accommodation - Americans with Disabilities Act (ADA) Download
Request for Reasonable Accommodation - Americans with Disabilities Act (ADA) Download
Remote Work Procedure Form Download
403b and 457b Vendor Contact List Download
File Name Downloads
Registration Employee Grant Download
Educational Growth - Faculty Download
Educational Growth - Classified/PA Employees Download
File Name Downloads
Direct Deposit Form Download
A-4 State Tax Form Download
W-4 Federal Tax Form Download
Voluntary Payroll Deduction Form Download
403B Deferred Compensation Form Download
457B Deferred Compensation Form Download
AR Payroll Deduction Form Download
File Name Downloads
Classified Employee Appraisal Procedure Download
Professional/Administrative Employees Appraisal Program Download

Any employee and/or work study student that is injured, due to and in the course of their employment at Arizona Western College, is required to notify Human Resources Department/Benefits Manager of the incident by way of the Notice of Injury form. Failure to report injuries or incidences in a timely manner can affect the validity of the claim and delay treatment. Unless life threatening, treatment shall be sought at an Urgent Care.

File Name Downloads
Notice of Work Injury Download
File Name Downloads
I-9 Form Download
Part-Time Requisition Download
Stipend Request Download
Adjustment to Pay Form Download
Substitute Request Download
Proctor Request Download
Separation from Employment Download
Volunteer Application and Agreement Forms Download
Title IX Grievance Form Website
Employee Grant Form Download
Job Description Template Download
Job Description Template (Faculty) Download
Part-Time Posting Request Download
Cabinet Recommendation Download
Safety Footwear Leave Payout Program Download
Sponsored Service Contract Download
Sponsored Service Claim Download
Sponsored Service General Information  Download