Employee Forms
Leave
W-4
Name & Address Change
Direct Deposit Request
Tuition Waiver Application Form
Job Posting & Budget Request Form
Corrective Action Form
B-CU Staff Handbook
Workers Compensation Telephone Form
MetLife Retirement Application
Leave Form
ALL ORIGINAL SIGNATURES MUST BE ON FORM AND SUBMITTED TO HR IN ORDER FOR THE LEAVE TO BE VALID.
All Annual and Personal Leave must be taken before June 30th of each year. If you have questions or need your remaining balance please call x2049
Note: This form is printable.
I-9 Form
Please complete section 1 only. Do not forget to submit 2 forms of ID (acceptable forms of identification are indicated on second page) and put your current status and sign and date.
Note: This form printable.
W-4 Form
Use this form to change your federal deductions (i.e. Number of dependents claimed, exemption, additional deductions) If you have questions please call x2049
Note: This form is printable.
Name & Address Change Form
Please fill out all applicable areas. If changing your name please submit social security card showing your new name. If you have questions please call x2049
Note: This form is printable. Name change request will not be processed without the above document.
Direct Deposit Request Form
Please make your selection. If changing or adding, please submit one of the following:
Voided Check
Account information on bank letter head to indicate how to route deposit into your checking and/or savings account(s)
If you are cancelling your direct deposit, please contact payroll BEFORE you close your account.
If you have any questions contact x2049 or x2050 (faculty) or x2086 (staff)
Note: This form is printable. Direct deposit takes one full payroll cycle to become effective.
IT Access Form
If you are changing or requesting access, please fill out all applicable areas. All forms requiring your initials or signatures are to be returned to the Office of Human Resources Management. Please ensure that the department head signs in the appropriate place on the form. If you have questions please call x2049
Note:This form is printable.
B-CU Staff Handbook, click here to view
The purpose of this updated Personnel Policies Handbook is to provide general information concerning the employment policies and procedures at Bethune-Cookman University. The employment practices summarized in this handbook are in compliance with the State and Federal Fair Labor Standards Act applicable to all university employees, including faculty, unless otherwise indicated.
Questions? Please contact Human Resources
hr@cookman.edu
(386) 481-2049

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