The Families First Coronavirus Response Act (FFCRA or Act) requires certain employers to provide their employees with paid sick leave and expanded family and medical leave for specified reasons related to COVID-19. These provisions will apply from April 1, 2020 through December 31, 2020.
Have questions about employee benefits or leave?
Get started with our Employee Handbook!
| 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 |
| Remote Work Procedure Form | 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 |