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PBSC will be closed on Monday, July 4, 2022, in observance of Independence Day.

Benefits | Classification | Miscellaneous | Performance Appraisals | Talent Acquisition

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HR Forms and Documents
Name of Form/Document File Format

Benefits

 

ADA Accommodation Request (Employees can email ADARequest@palmbeachstate.edu or call 561-868-3111.)  
Health Insurance Domestic Partner Affidavit PDF
Flexible Spending Reimbursement Claim Web

FMLA Verification Employee Serious Health Condition (Employees can email benefits@palmbeachstate.edu or schedule an appointment)

 

FMLA Verification Family Member Serious Health Condition (Employees can email benefits@palmbeachstate.edu or schedule an appointment)

 
Long Term Disability Claim PDF
Short Term Disability Claim PDF
Sick Leave Pool Request PDF

Classification

 

Academic Rank Advancement Request for Faculty - Job Aid PDF
Academic Rank Advancement Request for PSAV Instructor - Job Aid PDF
Activity Dictionary  [Internal] Web
Job Analysis Questionnaire Word
Position Description Request Web
Reclassification Request Word
Salary Schedule PDF

Miscellaneous

 

Alternate Worksite Agreement PDF
Employee Information Exemption from Public Records PDF
Exit Checklist PDF
Faculty Point Banking Form PDF
Harassment, Sexual Harassment, Discrimination, and Retaliation Complaint Form PDF
Personal Career Development Plan Worksheet Guide PDF

Performance Appraisals

 

Continuing Contract Application Process PDF
Department Chair Performance Appraisal PDF   Word
Faculty Action Plan Word
Faculty Annual Compliance Check List PDF
Faculty and Instructor Comprehensive Performance Appraisal Word
Faculty and Instructor Comprehensive Performance Appraisal Guidelines PDF
Faculty and Instructor Condensed Performance Appraisal Word
Faculty and Instructor Condensed Performance Appraisal Guidelines PDF
Faculty and Instructor Guidelines for Completing the Portfolio for Continuing Contract PDF
Faculty Instructional Observation Appendix PQR Word
Faculty Instructional Observation Instrument PIE Word
Faculty Librarian Comprehensive Performance Appraisal Word
Faculty Librarian Comprehensive Performance Appraisal Guidelines PDF
Faculty Librarian Condensed Performance Appraisal Word
Faculty Librarian Condensed Performance Appraisal Guidelines PDF
Faculty Librarian Guidelines for Completing the Portfolio for Continuing Contract PDF
Performance Appraisal Manual (all performance appraisal forms are now in Workday) PDF
Talent Review, President's Cabinet (email completed signed form to Records Management) Word

Talent Acquisition

 
Employee Reference Form PDF
Talent Acquisition Manual PDF
Request for Reimbursement of Applicant Recruitment Expenses PDF
Screening Committee Forms Web
Transcript Request for Employment PDF
Veterans' Claim Form PDF  Word

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