Benefits Forms
- ACCMPP Beneficiary Designation Form
- ACCMPP Distribution Election Form
- ADAAA Accommodation - Certification of Physician
- AFLAC
- Instructions for Filing Claim(PDF)
- Accidental Injury Claim Form (PDF)
- Sickness Claim Form (PDF)
- TRS Retirement Checklist (PDF)
- ORP Retirement Checklist (PDF)
- Retirement Participant Information
- Salary Reduction Agreement
- Sick Leave Pool Donation
- Teacher Retirement System of Texas (TRS) Designation of Beneficiary (TRS-15) (PDF)
- Funds Transfer Authorization
- Privacy Rooms Memo (PDF)
Classification & Compensation Forms
- Compensatory Time Report For Professional-Technical Employees
- Position Change and Budget Approval Form This form is not part of the Annual Budget process.
NOTE: Contact Dana Tucker, Compensation Manager at dtucker@austincc.edu, if you have any questions using this form. - Temporary Assignment Pay (TAP) Recommendation
Discipline Forms
- Probation Letter
- Suspension Letter
- Written Disciplinary Action Letter
- Performance Review Letter
- Termination Notice Letter
Employment Process Forms
Staff Employment
- ACC Application for Employment (PDF)
- Authorization for Criminal History Background Check (PDF)
- Drug Test Request Form (PDF) (Health Sciences only)
- Employment Interview Evaluation (PDF)
- Employment Reference Check (PDF)
- Hiring Committee Membership (PDF)
- Hiring Committee Chair Checklist (PDF)
- Interview Rating-Weighted Approach (PDF)
- Interview Schedule (PDF)
- New Employee Orientation Checklist (PDF)
- Retirement Participation Information
Faculty Employment Forms
- Applicant Travel Reimbursement Request (PDF)
- Authorization for Criminal History Background Check (PDF)
- Communication Log (PDF)
- Drug Test Request Form (PDF) (Health Sciences only)
- Faculty Committee Membership (PDF)
- Faculty Employment Reference Check (PDF)
- Faculty Employment Interview Evaluation (PDF)
- Faculty Credential Certification (PDF)
- Interview Rating--Weighted Approach (PDF)
- Interview Schedule (PDF)
- Request for Specialty Advertising (PDF)
- Retirement Participation Information
Adjunct Faculty Employment Forms
- Adjunct Hiring Paperwork Checklist (PDF)
- Adjunct Hiring Paperwork Tip Sheet (PDF)
- Adjunct Faculty Application Evaluation (PDF)
- Adjunct Faculty Conditions of Employment (PDF)
- Criminal Background Check Contact Form (PDF)
- Direct Deposit Form (PDF)
- Drug Test Request Form (PDF) (Health Sciences only)
- Faculty Credential Certification (PDF)
- Faculty Employment Reference Check (PDF)
- I-9 (Employment Eligibility Verification) (PDF)
- I-9 Tip Sheet (PDF)
- New Employee Information (PDF)
- PreCheck Inc. Applicant Information/Disclosure & Authorization (PDF) (Health Sciences only)
- Retirement Participation Information (PDF)
- Social Security Notice ssa-1945 (PDF)
- W-4 Form (PDF)
Hourly Employment Forms
- Hourly Hiring Paperwork Checklist (PDF)
- CE Instructor Employee Information Form (PDF)
- Criminal Background Check Contact Form (PDF)
- Direct Deposit Form (PDF)
- Drug Test Request Form (PDF) (Health Sciences only)
- Hourly Employment Application (PDF)
- I-9 (Employment Eligibility Verification) (PDF)
- I-9 Tip Sheet (PDF)
- New Employee Information (PDF)
- PreCheck Inc. Applicant Information/Disclosure & Authorization (PDF) (Health Sciences only)
- Retirement Participation Information (PDF)
- Social Security Notice ssa-1945 (PDF)
- W-4 Form (PDF)
Work Study Hourly Employment Forms
- Work Study Hiring Paperwork Checklist (PDF)
- Direct Deposit Form (PDF)
- I-9 (Employment Eligibility Verification) (PDF)
- I-9 Tip Sheet (PDF)
- New Employee Information (PDF)
- Retirement Participation Information (PDF)
- Social Security Notice ssa-1945 (PDF)
- W-4 Form (PDF)
- Work Study Criminal Background Check Contact Form (PDF)
If you have any questions about ACC's employment process, please contact Erica Breedlove or (512) 223-7015.
Dual-Credit Teaching Relations
If you have any questions about ACC's Dual-Credit Teaching checklist please contact High School Relations at (512) 223-7063.
Records Forms
- Change of Employee Information (You must login to Online Services)
- Credential Certification (PDF)
- Educational Recognition Award (PDF)
- Employee Leave Request (PDF)
- Employee Separation (*Must use ACCeID credentials to login)
- Hourly Employee Information (PDF)
- House Bill 638 (PDF)
- I-9 (Employment Eligibility Verification) (PDF)
- Name Change Notification (PDF)
- Supervisor's Exit Checklist (PDF)
- W-4 Form (PDF)
General HR Forms
- Statement of Grievance (PDF)
- Statement of Complaint (PDF)
- Request for Mediation (PDF)
- Request for Emergency Funds for Classified, Prof-Tech and Faculty (PDF)
Faculty Evaluation Forms
Observation Checklists
- Classroom Observation Checklist (PDF)
- Lab Observation Checklist (PDF)
- Clinical Observation Checklist (PDF)
Portfolio/ Input Forms
- Administrative Input Form (PDF) - This form allows input to departments regarding faculty performance. This form is optional.
- Evaluation Summary Form for Full-Time Faculty (PDF)
- Evaluation Summary Form for Adjunct Faculty (PDF)
- Faculty Input Form (PDF)
- Instructional Input Form (PDF)
Request for Evaluation - Please submit Spring and Summer Faculty Evaluation Requests as early as possible to insure sufficient time for the evaluation department to prepare and distribute the evaluation packets.
Counselor Forms
- Evaluation of Counseling Faculty (PDF) - used to complete a self-evaluation.
- Workshop Facilitator's Summary (PDF) used to summarize workshop data.
Dean of Student Services
- Evaluation of Counseling Faculty (PDF) - used to evaluate counselor performance.
- Counseling Session (PDF) - used to evaluate individual counseling session.
- Workshop Evaluation (PDF) - used to evaluate counseling workshops or other sessions.
Student
- Counseling Session (PDF) - used to evaluate the counselor’s service.
- Workshop Evaluation (PDF) - used to evaluate counseling workshops.