Search CCRI 
Online Forms
The documents below are PDF files unless otherwise indicated. PDF files require Adobe Acrobat Reader to view - Download here.
- Payroll
- W-4
- Direct Deposit (Bi-Weekly Employees)
- Direct Deposit (Lecturers
Payroll Employees)
- Faculty Sick Leave Reports
- Request for
Payment of Pay Reduction "PR" Leave
- Sick Bank Access Request Form - CCRIPSA
- Sick Bank Access Request Form - ESPA
- Sick Bank Access Request Form - FACULTY
- Vacation Leave
Request
- Benefits
- Affidavit of Student Status
- Benefit Package Overview
- Dental Claim Form
- FSA Enrollment Form
- FSA Medical Reimbursement Claim Form
- FSA Dependent Reimbursement Claim Form
- FY 20 09 Co-Share CCRI
- FY2010
Co-Share CCRI
- Group Legal Enrollment Form
- Health Insurance Enroll/Change/Waive Form - †Word document
- Health Insurance Waiver Form
- Life Insurance Enrollment Form
- Life Insurance Beneficiary Form
- Medication Order Form
- Pharmacy Reimbursement Form
- Phased Retirement Form
- RIPTA Bus Pass Payroll Deduction Form
- Sabbatical/Study Leave Procedures & Form
- Savings Bonds
- Tuition Waiver and Policy for CCRI Classes
- Tuition Waiver for RIC & URI Classes
- Certification of Health Care Provider (FMLA:WH-380)
- COBRA Notification
Form
- New Employee Forms (for supervisors only)
- Position Posting Request AND Request To Fill (RF1) (two forms must be submitted together)
- Adjunct Faculty Authorization Form (for department chair use only)
- Monthly Payroll Authorization (Honorarium Payment)
- Monthly Payroll Authorization (Non-Credit Teaching)
- Monthly Payroll Authorization (Non-Teaching)
- Employment Eligibility Verification (I-9)
- Bar of Claims (CS-386)
- Drug-Free Workplace Form
- CCRI's Criminal Background Check
- Employment Application (CS-14)
- R.I. Attorney General Criminal Background Check (obtained from AG's Office)
- Retirement Forms
- 403(b) Retirement Authorization
- 457(b) Deferred Compensation Plan Authorization (for Classified Employees)
- 457(b) Deferred Compensation Plan Authorization (for NonClassified Employees)
- Catch-Up Form
- Group Supplemental
Retirement Enrollment Form
- Group Supplemental Retirement Annuity Form
- Group Supplemental Retirement Change Form
- 403(b) Retirement Authorization
- Working at CCRI
- 20-Year Statutory Status Application (NonClassified)
- Performance Evaluation - †Word document
- Classified Evaluation Form (print version) - †Word document
- Classified Evaluation Form (electronic version) - †Word document
- Non-Classified Evaluation Form (print version) - †Word document
- Non-Classified Evaluation Form (electronic version) - †Word document
- Injury Report (two forms must be completed & submitted together)
- Miscellaneous
*PDF
files require Adobe Acrobat Reader to view -
Download
here†MS Word documents require MS Word to view or print
