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A
Absence and Addition Time Worked Report (PDF)Arrow for Offsite Links
Affidavit of Marriage (PDF)Arrow for Offsite Links
Affidavit for Employees-Gender Verification of Married Persons and Imputed Tax (PDF)
Application for University Vehicle Operation Authorization (PDF)
Application for Work Study or Student Assistant (PDF)
Application Review Evaluation (PDF)
Authorization for Extra Hours (Overtime) (PDF)
Authorization to Use and/or Disclose Personal Health Plan Information (PDF)Arrow for Offsite Links
Authorization to Use Privately Owned Vehicles on State BusinessArrow for Offsite Links
B
Buckley Amendment (PDF)
C
Cancellation of Payroll Deduction (PDF)
Catastrophic Leave Medical Certification (PDF)
Certification of Health Care Provider for Employee's Pregnancy Disability (PDF)
Certification of Qualifying Exigency for Military Family Leave Form (PDF)
Certification of Serious Injury or Illness of Covered Service Member Military Family Leave (PDF)
Classification and Compensation Review Form (MPP) (PDF)
Classification and Compensation Review Form (Staff) (PDF)
COBRA Continuation Election (PDF)
Confidentiality Agreement (PDF)
Confidentiality Statement (Recruitment Selection Process) (PDF)
Continuing Staff Career Development Update Application (PDF)
CSU SSA-1945: Statement Concerning Your Employment in a Job Not Covered by Social Security (PDF)Arrow for Offsite Links
D
Data Request (PDF)
Declaration of Domestic Partnership (PDF)Arrow for Offsite Links
Designation of Person Authorized to Receive Warrants (PDF)Arrow for Offsite Links
Difference in Pay Military Worksheet (PDF)
Direct Deposit Enrollment Authorization (PDF)Arrow for Offsite Links
Disclosure of Privacy Information Worksheet (PDF)
Discrimination Complaint Form (PDF)
Domestic Partner Dependent Certification (PDF)Arrow for Offsite Links
Duplicate W2 Wage and Tax Statement Request Form (PDF)Arrow for Offsite Links
E
eBenefits Self-service Electronic Signature Form (PDF)
Election to Continue Direct Pay for Employees on Leave of Absence (PDF)
Emeritus Faculty Appointment (PDF)
Employee Action Request EAR (PDF)Arrow for Offsite Links
Employment Appointment Form (PDF)
Employee Clearance Instructions, Guideline and Form (PDF)
Employee Medical Certification (PDF)
Employee Profile (PDF)Arrow for Offsite Links
Employer Zip Code Election (PDF)Arrow for Offsite Links
Employer's Report of Occupational Injury or Illness (.doc)
Equal Employment Opportunity Statement (PDF)
Ergonomic Self Evaluation Worksheet (PDF)
Essential Duties and Responsibilities Checklist (PDF)
Evaluator Letter for Staff Pre-Performance Review Input Template (PDF)
Exit Survey (PDF)
F
Family Medical Certification (PDF)
FCML Departmental Checklist (PDF)
Furlough Alternate Day Employee Request Form (PDF) August 2009 through December 2009
Furlough Alternate Day Employee Request Form (PDF) January 2010 through June 2010
G
General Safety Inspection Checklist (PDF)
H
Hazard Assessment Survey and Analysis Personal Equipment (PDF)
Hourly Time Sheet (.xls)
I
Indoor Air Quality Questionnaire (PDF)
Injury and Illness Prevention Program Checklist (PDF)
Interview Evaluation On-Site (PDF)
Interview Evaluation Telephone (PDF)
I-9 Lists of Acceptable Documents (PDF)Arrow for Offsite Links see last page of document
L
Leave Request Form (PDF)
Live Scan Memo to Finalists Template (PDF) | Live Scan Fingerprinting Process and Responsiblities (PDF)
M
MPP Position Description Template (PDF)
MPP/Confidential Performance Review Process and Forms (PDF) Must have Acrobat Professional to save typed data in this form. Otherwise, use .doc form below!
MPP/Confidential Performance Review Process and Forms (.doc) Use this form for reviews if you have MicroSoft Word.
N
Notice of Alternate Work Schedule (PDF)
Notice of Personal Chiropractor or Acupuncturist (PDF)
Notice of Pre-designation of Personal Physician (PDF)
O
Occupational Injury or Illness Checklist (.doc)
P
Payroll Authorization Form (PDF)
Person of Interest Form for Auxiliary Organizations (pdf)
Position Description Questionnaire (PDF)
Position Description Template (Staff) (PDF)
Position Management Action (PDF)
Pre-Tax Parking Deduction Election Authorization (PDF)Arrow for Offsite Links
R
Reference and Background Check (PDF)
Release of Confidential Information (PDF)
Report of Employee Performance Unit 4 Academic Support (PDF)Arrow for Offsite Links
Reporting Informal Leave without Pay (Docks) (PDF)
Request for Access to Inspect and Copy Personal Health Plan Information (PDF)
Request for Accounting of Non-Routine Disclosures of Personal Health Plan Information (PDF)
Request for Catastrophic Leave Donations (PDF)
Request for Confidential Communications of Personal health Plan Information (PDF)
Request for Leave of Absence (PDF)
Request for Restricted Use of Personal Health Plan Information (PDF)
Request for Salary Advance (PDF)
Request for Salary Stipend CSUEU Employees (PDF)
Request for Substitute Faculty Payment (PDF)
Request for Temporary Support (PDF)
Request for Amend Personal Health Plan Information (PDF)
Request to Participate in the Catastrophic Leave Donation Program (PDF)
Return to Work Certification (PDF)
S
SETC Annual Review (.xls)
SETC Probationary Review (.xls)
Special Consultant Payment (PDF)
Special Event Report of Injury or Loss (PDF)
Special Events Liability Insurance Request (PDF)
Special Events Release Agreement (PDF)
Staff Career Development Update Application (PDF)
Staff Dependent Fee Waiver Entitlement Transfer Form (PDF)
Staff Fee Waiver Application for Change of Courses (PDF)
Staff Fee Waiver Career Development Application (PDF)
Staff Fee Waiver Job Related Application (PDF)
Staff Performance Review Guidelines for Writing Effective Goals Worksheet (PDF)
Staff Performance Review Units 1 and 8 (.xls)
Staff Performance Review Form Units 2, 5, 7, 9 (CSUEU) (.xls)
Staff Pre-Performance Review Worksheet Units 1 and 8 (PDF)
Staff Pre-Performance Review Worksheet Unit 6 (SETC) (PDF)
Staff Pre-Performance Review Worksheet Units 2, 5, 7, 9 (CSUEU) (PDF)
Staff Probationary Review Form Units 2, 5, 7, 9 (CSUEU) (.xls)
State Driver Accident Review (PDF)Arrow for Offsite Links
Student Accident Report Form (PDF)
Student Assistant Appointment Form (PDF) (see the List of Acceptable docs, last page of DOHS Form I-9 Arrow for Offsite Links)
Student Assistant Orientation Checklist (PDF)
Student Conduct Agreement (PDF)
Student Employee Evaluation (PDF)
Student Payroll Action Request (PDF)
Student Travel Informed Consent (PDF)
T
Tax Sheltered Annuity Final Settlement Deductions (PDF)
Telecommuting Policy and Forms (PDF)
Temporary Support Performance Evaluation (PDF)
U
Unit 4 Academic Professionals of California Staff Plan (PDF)
University Activity Release Agreement Guidelines (PDF)
US Savings Bonds Purchase / Payroll deduction Authorization (PDF)Arrow for Offsite Links
V
Vehicle Accident Identification Card (PDF)Arrow for Offsite Links
Vehicle Accident Report (PDF)
Veteran Self Identification Form (PDF)
Visitor Accident Report (PDF)
Volunteer Appointment (PDF)
VSP Out-of-Network Reimbursement (PDF)Arrow for Offsite Links
VSP Video Display Terminal Confirmation (PDF)Arrow for Offsite Links
W
Work Lead Assignment Designation Request - CSUEU (PDF)
Workers' Compensation Facts for New Employees (PDF)
Employer's Report of Occupational Injury or Illness (.doc)
Work Lead Cohort Application (PDF)
Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility icon: external link

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