{"id":454,"date":"2020-01-30T15:45:29","date_gmt":"2020-01-30T15:45:29","guid":{"rendered":"https:\/\/www.wcsu.edu\/suoaf\/?page_id=454"},"modified":"2026-03-11T09:10:09","modified_gmt":"2026-03-11T13:10:09","slug":"suoaf-forms","status":"publish","type":"page","link":"https:\/\/www.wcsu.edu\/suoaf\/suoaf-forms\/","title":{"rendered":"SUOAF Forms"},"content":{"rendered":"<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-185\" src=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2019\/09\/吃瓜头条-Logo-e1568905283544-300x251.jpg\" alt=\"\" width=\"116\" height=\"97\" srcset=\"https:\/\/www.wcsu.edu\/suoaf\/wp-content\/uploads\/sites\/122\/2019\/09\/吃瓜头条-Logo-e1568905283544-300x251.jpg 300w, https:\/\/www.wcsu.edu\/suoaf\/wp-content\/uploads\/sites\/122\/2019\/09\/吃瓜头条-Logo-e1568905283544.jpg 320w\" sizes=\"auto, (max-width: 116px) 100vw, 116px\" \/><span style=\"font-size: 24pt;\">吃瓜头条 SUOAF-AFSCME<\/span><\/h2>\n<blockquote><p><span style=\"font-size: 12pt;\">Below are the forms to apply for, and take advantage of, the benefits of the collective bargaining agreement.<\/span> <span style=\"font-size: 12pt;\">If you have any questions, please do not hesitate to contact one of your <a style=\"background-color: #ffffff;\" href=\"https:\/\/www.wcsu.edu\/suoaf\/wcsu-chapter-executive-board\/\">Executive Board members.<\/a><\/span><\/p><\/blockquote>\n<hr \/>\n<h1>SUOAF Employee Forms<\/h1>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/afscme_c4_fillable_nosignature_rev_1.7.19-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">SUOAF Membership Card<\/a><\/span><\/h1>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: disc;\">\n<li>Completed membership cards should be scanned and emailed to the <a href=\"mailto:maria.veilleux@suoaf.org\">SUOAF Secretary<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/SUOAFEvaluationForm.pdf\">SUOAF Performance Evaluation Form<\/a><\/span><\/h1>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: disc;\">\n<li>This is the form your supervisor will use to evaluate your performance. If you have any questions or concerns, please contact one of your <a href=\"https:\/\/www.wcsu.edu\/suoaf\/wcsu-chapter-executive-board\/\">吃瓜头条-SUOAF Officers.<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h1><span style=\"font-size: 12pt;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<a href=\"https:\/\/apps.powerapps.com\/play\/e\/default-e1622dbc-94ba-48ad-87bb-a7f28074ee3d\/a\/485ec49b-47fb-4d27-b17e-1194605fc234?tenantId=e1622dbc-94ba-48ad-87bb-a7f28074ee3d&amp;hint=8c877d89-e0f9-4a6c-b116-06a9833f58af&amp;sourcetime=1740516905016&amp;skipMobileRedirect=1\" target=\"_blank\" rel=\"noopener\">SUOAF Telecommute Request Form<\/a><\/span><\/h1>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: disc;\">\n<li>Completed forms should be emailed directly to Chief Human Resources Officer, Fred Cratty to: <a href=\"mailto:crattyf@wcsu.edu\">crattyf@wcsu.edu.<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr \/>\n<h1>SUOAF Member Forms<\/h1>\n<p>You must be a member of SUOAF-AFSCME to utilize these benefits. If you would like to join SUOAF, please fill out a membership card.<\/p>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/TuitionWaiverFormasof4.2019.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CSCU Tuition Waiver Form<\/a><\/span><\/h1>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: disc;\">\n<li>Completed applications must be submitted to <a href=\"mailto:hrassistant@wcsu.edu\">Human Resources.<\/a><\/li>\n<li>Approved applications must be submitted to the billing department at the campus of attendance.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<h1 style=\"padding-left: 40px;\"><a href=\"https:\/\/apps.powerapps.com\/play\/e\/default-e1622dbc-94ba-48ad-87bb-a7f28074ee3d\/a\/45ad6892-f4f7-4206-be5b-3af460ae80b4?tenantId=e1622dbc-94ba-48ad-87bb-a7f28074ee3d&amp;hint=ae7d72c5-d257-459f-b9fa-9258478a154d&amp;sourcetime=1755103556749&amp;skipMobileRedirect=1\"><span style=\"font-size: 12pt;\">Professional Development Funds Application &#8211; For SUOAF and MRMC<\/span><\/a><\/h1>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: disc;\">\n<li>Completed applications should be submitted to the <a href=\"mailto:favalea@wcsu.edu\">SUOAF PD Fund Committee<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/SUOAFSickLeaveBankApplicationForm.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">SUOAF Sick Leave Bank Application <\/a><\/span><\/h1>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"list-style-type: disc;\">\n<li>Completed applications should be submitted to the <a href=\"mailto:koschelk@wcsu.edu\">Sick Leave Bank.<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr \/>\n<h1>State of Connecticut Employee Forms<\/h1>\n<p>These applications for waiver can be used if you are employed by the State of Connecticut<\/p>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/CO-1315-ER-waiver-REV-10-1-2017_Final-revised-10-3-17.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Emergency Room Copay Waiver (CO-1315)<\/a><\/span><\/h1>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/CO-1331-SiteofService-Waiver.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Lab &amp; Radiology Coinsurance Waiver Request Form (CO-1331)<\/a><\/span><\/h1>\n<h1 style=\"padding-left: 40px;\"><span style=\"font-size: 12pt;\"><a href=\"\/suoaf\/wp-content\/uploads\/sites\/122\/2020\/01\/VoluntaryScheduleReductionProgramRequestForm.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Voluntary Schedule Reduction Program Request Form (CT-HT-7c)<\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>吃瓜头条 SUOAF-AFSCME Below are the forms to apply for, and take advantage of, the benefits of the collective bargaining agreement. If you have any questions, please do not hesitate to contact one of your Executive Board members. SUOAF Employee Forms &hellip;<\/p>\n","protected":false},"author":122,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_wds_title":"","_wds_metadesc":"","_wds_focus-keywords":"","_wds_meta-robots-adv":"","_wds_meta-robots-noindex":false,"_wds_meta-robots-nofollow":false,"_wds_meta-robots-index":false,"_wds_meta-robots-follow":false,"_wds_autolinks-exclude":false,"_wds_canonical":"","_wds_opengraph":[],"_wds_twitter":[],"footnotes":""},"class_list":["post-454","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/pages\/454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/users\/122"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/comments?post=454"}],"version-history":[{"count":0,"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/pages\/454\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.wcsu.edu\/suoaf\/wp-json\/wp\/v2\/media?parent=454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}