Human Resources
Forms
NC Teachers' and State Employees' State Health Plan Forms
State Health Plan Enrollment Form (CMM & PPO Plan)
NC State Health Plan Change Form (CMMP & PPO)![]()
Prior Health Coverage/Other Health Coverage Form
Optional Benefits Forms
Ameritas Dental Enrollment/Change Form ![]()
Ameritas Dental Reimbursement Form ![]()
Superior Vision Enrollment Form ![]()
SmartFlex Flexible Spending Reimbursement Form ![]()
Fort Dearborn Life Insurance Brochure &Enrollment/Change Form ![]()
NC401K Enrollment Form ![]()
NC401K Change Form ![]()
NC401K Beneficiary Designation Form ![]()
American Fidelity Disability Claim Form ![]()
Retirement Forms
Change of Beneficiary ![]()
Application for Refund of Contributions ![]()
Retirement Application Package:
- Application for Retirement

- Direct Deposit Form (Retiree)

- State Health Plan Coverage (Retiree)

- Tax Election Form (Retiree)

CFCC Personnel Forms
Employee Change of Address Form
Direct Deposit Change Form
2008 W-4 ![]()
NC-4 ![]()
Position Vacancy Announcement
Interview Form
Reference Check
CFCC Personnel Recommendation
Request for Temporary Full-Time Appointment
Evaluation for Faculty
Evaluation for Exempt Staff
Evaluation for Non-exempt Staff
Part-time Forms
Part-time Faculty Recommendation Form
Part-time Staff Recommendation Form
Part-time New Hire Paperwork Package ![]()
- indicates form is in Adobe PDF format, if you can't open it, download Adobe Reader for free.
