HR Forms

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
Credential Certification (PDF)
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 & General HR Forms

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)
I-9 (Employment Eligibility Verification) (PDF)
- I-9 Tip Sheet (PDF)
- I-9 Instructional Video (Video - external website)
Interview Rating-Weighted Approach (PDF)
Interview Schedule (PDF)
New Employee Orientation Paperwork Checklist (PDF)
Retirement Participation Information
W-4 Form (PDF)

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)
I-9 (Employment Eligibility Verification) (PDF)
- I-9 Tip Sheet (PDF)
- I-9 Instructional Video (Video - external website)
Interview Rating--Weighted Approach (PDF)
Interview Schedule (PDF)
Request for Specialty Advertising (PDF)
Retirement Participation Information
W-4 Form (PDF)

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)
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)
- I-9 Instructional Video (Video - external website)
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)
Criminal Background Check Contact 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)
- I-9 Instructional Video (Video - external website)

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)
I-9 (Employment Eligibility Verification) (PDF)
- I-9 Tip Sheet (PDF)
- I-9 Instructional Video (Video - external website)

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

High school Instructors Dual-Credit Teaching Checklist (PDF)

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 with ACCeID)
Educational Recognition Award (PDF)
Employee Leave Request (You must login to eApps with ACCeID)
Employee Separation (*Must use ACCeID credentials to login)
Name Change Notification (PDF)
Supervisor's Exit Checklist (PDF)

Faculty Evaluation Forms

Please visit the Faculty Evaluation Office for up to date forms and procedures.

Observation Checklists

Please visit the updated Faculty Evaluation Forms Inventory

Portfolio/ Input Forms

Please visit the updated Faculty Evaluation Forms Inventory

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.

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)

Counselor Forms

Please visit the updated Counselor Forms under Faculty Evaluation webpage.

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.

Librarian Forms

Please visit the updated Librarian Forms under Faculty Evaluation webpage.

Annual Performance Review Form (PDF)
Evaluation Summary Form (PDF)