Forms

Employment

• Position Fill Request Form

Payroll

• W-4, Federal Income Tax Withholding Form
• K-4, Kansas Income Tax Withholding Form
• Direct Deposit Form
• ICC Foundation Faculty & Staff Giving Form

Other

• ADA Accommodation Request Form
• ADA Medical Certification Form
• Alternate Work Agreement Form
• Sick Leave Donation Form

Time Off

• FMLA Request Form WH-381
• FMLA Employee Certification Form WH-380-E
• FMLA Family Member Certification Form WH-380-F
• FMLA Military Certification Form WH-384
• FMLA Miliary Caregiver for Military Member WH-385
• FMLA Veteran Caregiver Form WH-385