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A
Affidavit for Employees-Gender Verification of Married Persons and Imputed Tax (PDF)
Affidavit of Marriage (PDF)Arrow for Offsite Links
Affidavit of Parent-Child RelationshipArrow for Offsite Links
Application for Workstudy or Student Assistant Position (PDF) - for hiring department's use only, do not forward to HR
Application for University Vehicle Operation Authorization (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 Donation Program Participation Request (PDF)
Catastrophic Leave Donation Request (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 (Staff) (PDF)
Confidentiality Agreement (PDF)
Confidentiality and Equal Employement Opportunity Statements (Recruitment Selection Process) (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 and Harassment 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)
Emertius Recommendation for Staff or Administrator (PDF)
Employee Action Request EAR (PDF)Arrow for Offsite Links
Employee Clearance Instructions, Guideline and Form (PDF)
Employee Discrimination Complaint 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 (PDF)
Employment Appointment Form (PDF)
Ergonomic Self Evaluation Worksheet (PDF)
Essential Duties and Responsibilities Checklist (PDF)
Exit Survey (PDF)
F
FCML Departmental Checklist (PDF)
Family Medical Certification (PDF)
Fingerprinting and Criminal History Record Check, for Animal Care Lab Employees (PDF)
Fingerprinting and Criminal History Record Check, for Unescorted Access to Radioactive Material in Quantities of Concern (PDF)
Form 700: Statement of Economic Interests (PDF)Arrow for Offsite Links
Form 700-U: Statement of Economic Interests for Principal Investigators (PDF)Arrow for Offsite Links
Form 801: Gifts to Agency and Instructions (PDF)Arrow for Offsite Links
Form 802: Tickets Provided by Agency Reporting and Instructions (PDF)Arrow for Offsite Links
G
General Safety Inspection Checklist (PDF)
H
Hazard Assessment Survey and Analysis Personal Equipment (PDF)
Hourly Time Sheet (.xls)
I
I-9 Lists of Acceptable Documents (PDF)Arrow for Offsite Links see last page of document
Indoor Air Quality Questionnaire (PDF)
Injury and Illness Prevention Program Checklist (PDF)
Interview Evaluation On-Site (PDF)
Interview Evaluation Telephone (PDF)
L
Leave of Absence Request Form (PDF)
Leave Without Pay Request Form (PDF)
Live Scan Fingerprinting Process and Responsiblities (PDF)
Live Scan Memo to Finalists Template (PDF)
M
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.
MPP Salary Adjustment Request Form and Guideline (PDF)
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 (PDF)
P
Person of Interest Form for Auxiliary Organizations (pdf)
Person of Interest Form for Housing, Guest and Other (pdf)
Position Description Questionnaire (PDF)
Position Description Template MPP (.doc)*
Position Description Template Staff (.doc)*
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)
Release of Liability Handbook (PDF)
Release of Liability Form (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 Amend Personal Health Plan Information (PDF)
Request for Confidential Communications of Personal Health Plan Information (PDF)
Request for Restricted Use of Personal Health Plan Information (PDF)
Return to Work Certification (PDF)
S
Salary Advance Request (PDF)
Salary Stipend Request for CSUEU Employees (PDF)
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 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 Continuing Staff Career Development Update 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, 4, 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 Discrimination/Harassment Complaint Form (PDF)Arrow for Offsite Links
Student Payroll Action Request (PDF)Arrow for Offsite Links
Student Travel Informed Consent (PDF)
Substitute Faculty Payment Request (PDF)
T
Tax Sheltered Annuity Final Settlement Deductions (PDF)
Telecommuting Policy and Forms (PDF)
Temporary Support Request (PDF)
V
Vehicle Accident Identification Card (PDF)Arrow for Offsite Links
Vehicle Accident Report (PDF)
Veteran Self Identification Form (PDF)
Visitor Accident Report (PDF)
Volunteer Request and Appointment Package (PDF)
VSP Out-of-Network Reimbursement (PDF)Arrow for Offsite Links
VSP Video Display Terminal Confirmation (PDF)Arrow for Offsite Links
W
Warrant Release Authorization Form (PDF)
Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibilityicon: external link
Workers' Compensation Facts for New Employees (PDF)

*Note: .doc may not be accessible, please contact Human Resources if you have difficulty using the forms.

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