| Form/File Name | File |
|---|---|
| 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 |
| 403b and 457b Vendor Contact List | 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 | Website |
| Employee Grant Form | Download |
| Job Description Template | Download |
| Safety Footwear Leave Payout Program | Download |