Employee Forms

Academic Divisions

• • Academic integrity violation (Maxient)
  • Early Alert
  • eLearning ticket
  • Textbook requisition

Bookstore

• • Course pack coversheet

Business Services

• • 2024 mileage reimbursment
  • 2024 travel expense form
  • Contractor determination worksheet (PDF)
  • Equipment loan agreement (PDF)
  • Hardware/software request
  • Independent contractor addendum (PDF)
  • Independent contractor agreement (PDF)
  • IRS W9 form (PDF)
  • Pre-approval travel request
  • Purchase requisition (xlsx)
  • Requisition for non-travel expenses (xls)
  • Return authorization (doc)
  • Sole source justification (xls)
  • Speaker agreement (PDF)

Center for Organizational Success (COS)

• • Catching You at Your Best nomination
  • COS class registration
  • NEO class registration
  • Professional development tracking (xls)

Coordinated Care Network

• • Student emergency assistance request

Disability Resources

• • Agreement for recording lectures (PDF)

Facilities

• • Key request
  • Facilities Management project concept and approval form
  • Work order request

Faculty Center for Teaching Excellence (FCTE)

• • Adjunct faculty grant form
  • Full-time faculty tuition waiver (PDF)

Finance

• • 403(b) Salary Reduction Agreement (PDF)
  • Budget transfer form (PDF)
  • Direct deposit form (PDF)
  • Tuition waiver (PDF)
  • W4 federal withholding change (PDF)
  • W4 Michigan withholding change (PDF)
  • W4 Saginaw cancellation (PDF)
  • W4 Saginaw withholding change (PDF)

Foundation

• • Computer/technology student request
  • Delta College covered bridge employee giving (PDF)
  • Fundraising by employees (PDF)
  • Group travel scholarship request (PDF)
  • Individual travel student scholarship request (PDF)
  • Non-monetary donation (PDF)
  • Payroll deduction (PDF)
  • Student special assistance

Health & Wellness

• • CPR equipment request

Honors

• • Honors Option instructor verification
  • Honors Option Project proposal
  • New Honors course proposal (PDF)

Human Resources

• • Academic adjunct intake form
  • (Non academic) adjunct intake form
  • Benefits enrollment form (PDF)
  • BCBS medical, vision or hearing claim
  • Certification of health care provider forms
  • Corporate Service - non-disclosure agreement (PDF)​
  • Corporate Services overtime request (PDF)
  • Adjunct teaching exception request
  • Emergency information form (PDF)
  • Employee COMP form
  • Faculty Association grievance form (PDF)
  • Flex spending - Navia claim (PDF)
  • Flex spending - Navia direct deposit authorization (PDF)
  • HR action form
  • Life insurance - beneficiary change (PDF)
  • Life insurance - statement of health  (PDF)
  • Life/LTD insurance - enrollment (PDF)
  • Name/address change (PDF)
  • Remote work request
  • Request for personnel
  • Request to end payroll deduction of union dues (PDF)
  • Request to review personnel file (PDF)
  • Retirement - MPSERS forms
  • Retirement - TIAA (ORP) application
  • Search committee acknowledgement form
  • Sick leave pool program - donation PDF)
  • Sick leave pool program - request (PDF)
  • Staff teaching approval
  • Student employee termination
  • Student evaluation (PDF)
  • Student hiring form
  • Student web time adjustment
  • Sub pay form
  • Vacation – Negative balance preauthorization
  • Vision reimbursement (PDF)
  • Web time adjustment form
  • Work study award conversion (PDF)

Instruction and Learning Services

• • Faculty overload proposal
  • Independent study and individual instruction application
  • Instructional Material Equipment Technology (IMET)
  • Load distribution form
  • Sabbatical leave financial reimbursement disclosure (PDF)
  • Sabbatical leave proposed plan and evidence of prior commitment (PDF)
  • Staff teaching approval
  • Supplementary faculty profile 

Institutional Research

• • Data request form

Instructional Support Services

• • Adjunct faculty grant form
  • Room change request

Marketing and Public Information

• • Delta News announcement
  • Marketing request
  • Multimedia request
  • Photo/video/audio release (PDF)
  • Press release request (PDF)

Office of Information Technology (OIT)

• • Audio/visual request form
  • Master schedule form
  • OIT access request

Printing Services

• • Business card order (PDF)
  • Business card order – adjuncts (PDF)
  • Envelope order (PDF)
  • Letterhead order (PDF)
  • Name plate order (PDF)
  • Printing work order (xls)

Registration

• • Grade change
  • Incomplete grades
  • Independent study and individual instruction
  • Instructor initiated never attended form
  • Substitutions and waivers

Risk management

• • Required or Voluntary Activity Participation Waiver - Off Campus Activity (Including Minors) (PDF)
  • Required or Voluntary Activity Participation Waiver - On Campus Activity (Including Minors) (PDF)

Room Scheduling

• • Room change request

Study abroad

• • Photo/video/audio release (PDF)
  • Trip proposal packet (doc)

Testing services

• • Individual academic testing request

Title IX

• • Declaration of impartiality
  • Make a report
  • Pregnancy/parenting referral
  • Pregnancy/parenting accommodation plan