Have questions about employee benefits or leave? Get started with our   Employee Guide!

Form/File Name File
Catamaran 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
403b and 457b Vendor Contact List Download
Form/File Name File
Registration Employee Grant Download
Educational Growth - Faculty and Counselors Download
Educational Growth - Professional/Administrative Employees Download
Educational Growth - Classified Employees Download
Form/File Name File
Direct Deposit Form Download
A-4 State Tax Form Download
W-4 Federal Tax Form Download
Payroll Deduction Form Download
Form/File Name File
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.

Form/File Name File
Notice of Work Injury Download
Form/File Name File
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 Download
Part-Time Employee Grant Form Download
Part-Time Employee Grant Form Download
Adjunct Faculty Registration Grant Form Download
Job Description Template Download
Safety Footwear Leave Payout Program Download

Contact Info

Phone: (928) 344-7505
Fax: (928) 317-6001
Hours:
  • Monday - Thursday: 7:00am - 5:00pm