New Hire Processing and Forms

This page is designed for new hires of Hazard Community & Technical College.  Below are links to the necessary paperwork to place you on the payroll for the College.  The forms are fill-in forms which will allow you to enter your personal information and print out the page for signature.  You will not be able to save your information. 

Please complete and return the forms to:

ATTN:  Human Resources Department
Hazard Community & Technical College 
One Community College Drive
Hazard, KY  41701

Paper Applications:

Background Check Release Form

These forms explain your rights under the Fair Credit Reporting laws and give HCTC authorization to perform the required background check on all new hires.

  • Starting with Page 3, print your full name at the top of the form.
  • Complete the middle section on form with your signature, social security number, birthdate, and driver's license information.
  • Starting with your current address, list your address(es) for the past 7 years.

W-4 Federal Tax Withholding Form

The information on this form is required to establish your tax status for federal taxes. 

  • Enter your name, social security number and address information
  • Select a tax status (Single, Married or Married but withhold at higher Single rate)
  • On Line 5, enter the number of allowances (exemptions) you wish to claim for tax purposes.  (A rule of thumb is the more allowances claimed, the less amount of federal taxes paid. )
  • If you meet the conditions explained in Line 7, you may write the word "Exempt" on that line and be exempted from paying federal taxes.
  • Print out the form and sign and date it.

K-4 Kentucky State Tax Withholding Form

The information on this form is required to establish your tax status for state taxes.

  • Complete the name, address and social security number information at the top of form.
  • Select the appropriate status on Line 1 or Line 2.
  • Enter any additional exemptions for dependents on Line 4.
  • Enter the total number of exemptions on Line 7.
  • Print out the form and sign it.

Local Tax Form

This form is used by the payroll office to ensure that employees are paying the appropriate local occupational taxes.

Direct Deposit Form

KCTCS has mandated that all employees enroll in direct deposit.  This form is required to provide your banking information for that purpose.  You may have your funds deposited into a checking account or savings account.  If you are using a checking account, you will be required to provide a VOIDED check as supporting documentation.  If you are using a savings account, you will need a letter from the bank containing the routing number and savings account information. 

NOTE :  If you are federal work study student and do not have a checking or savings account, contact the Human Resources Office at 487-3112.

  • Enter you name at the top of form.
  • Select the type of action being taken.  For new hires, this will be "New Enrollment".
  • Enter your bank's name and address.
  • Enter your routing number and account number
  • Select "checking" or "savings" as the type of account
  • If you are using a single account, enter "100%" in the percent box.
  • If you are using multiple accounts, indicate the dollar amount to be deposited into this account and drop down to enter the next account's information.
  • Print out the form, sign and date it.
  • Attached the VOIDED check or letter from bank as supporting documentation.

Drug-Free Policy Notification Form

This form provides you with information about the drug policies of KCTCS.

  • Read the information provided on the form.
  • Enter your full name and social security number.
  • Print out the form, sign and date it.

Guide to Possible Biohazards in the Work Place

This form explains the steps that should be taken if an employee suspects that he/she is exposed to possible biohazards in the work place. 

  • Read the procedures.
  • Enter your name and social security number.
  • Print out the form, sign and date it.
  • Human Resources will secure the signature of the appropriate supervisor.

Nepotism Form

This form is to be completed in accordance with KCTCS Administrative Policy 3.3.2 (Nepotism).

Eligibility for Voluntary Retirement Participation (KTRS) Form

This form explains the voluntary retirement participation guidelines and in identifies individuals who are retirees from the Kentucky Teachers Retirement System.  NOTE:  It is not required for student employees.

  • Answer question #1.  If the answer if no, skip to #3.
  • If the answer to question #1 is yes, complete the information in question #2.
  • Print your name and social security number on the form.
  • Print out the form, sign and date it.

Harassment Acknowledgement Form

This form acknowledges receipt of the Harassment Free Workplace Brochure.

Required Trainings for Employees

All employees of KCTCS are required to have training on the prevention of harassment in the workplace, FERPA, and Employee Payroll and Timesheet Processing. These trainings are designed to provide the employee with essential information needed to be a successful employee at HCTC.