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
• 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)
• 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)
• 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)
  • 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)
• 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)
  • 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)
• Direct Deposit Form  (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)
• 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.

Librarian Forms

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