Resources and Forms

Find commonly used forms and other resources

This is your go-to place for FCI's commonly used forms for employees, students, faculty, and others associated with our organization. 

Business Office Forms

Check Request Form

The Check Request Form should be completed by authorized individuals incurring an expense that will be paid from FCI funds. The form must be signed and submitted with supporting documentation.

W-9 Form

The Form W-9 should be completed by any vendor and any non-employee who will be paid for services provided to Five Colleges, Incorporated. FCI employees should not complete Form W-9, but must submit a signed Form W-4 before their first paycheck can be issued.

Forms for FCI Employees

FCI Payroll Forms

These forms should be completed by anyone on FCI's payroll.

Health Insurance Forms

Upon hire, benefits-eligible FCI employees are expected to enroll in health and/or dental insurance or to waive insurance coverage. Employees with a spouse/domestic partner and/or dependent children are expected to certify eligibility for dependent benefits.

Flexible Spending Account Forms

FCI employees who want to set up a health or dependent care Flexible Spending Account should self-enroll using these instructions.

Health Reimbursement Account Forms

Employees who are enrolled in FCI's health insurance and have established a Health Reimbursement Account may use this form to request reimbursement of eligible expenses.

Life Insurance Benefits Forms

Massachusetts Paid Family and Medical Leave (MA PFML) Acknowledgement Form

At the start of employment, employees are expected to review and acknowledge the MA PFML benefits and wages deduction for this program. Individual employees and Five Colleges, Incorporated and contribute to the program cost. The contribution rate is set annually by the Commonwealth of Massachusetts. These documents provide employees notice of the benefit and of the effective rate.

COVID-19 Vaccination Certification and Exemption Forms

All FCI employees are expected to certify their vaccination status or certify their eligibility for an exemption as described in the how to comply with the COVID-19 vaccination policy document.

Tuition Benefit Forms

These forms are for FCI employees seeking tuition support for themselves or their dependents.

Leave Request Forms

These forms are for FCI employees applying for leave.

Retirement Plan Forms

Request for Accommodations Forms

In accordance with the ADA, FCI will provide reasonable accommodations (unless doing so would cause significant difficulty or expense) for job applicants and employees. A reasonable accommodation is any change in the work environment (or in the way things are usually done) to help a person with a disability apply for a job, perform the duties of a job, or enjoy the benefits and privileges of employment. Employees may request a reasonable accommodation using this form.

Flexible Work Arrangement Forms

An FCI employee who would like to apply for a flexible work arrangement should review and complete these forms with their supervisor.

Transportation Subsidy Form

Eligible FCI employees who elect to receive the transportation subsidy should submit this application.

Other Benefits-Related Forms