Forms by Category
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Child Abuse - Mandatory Reporting Classification and Compensation |
Performance Review - APC (Unit 4) Performance Review - CSUEU (Units 2,5,7,9) |
- Affidavit for Employees-Gender Verification of Married Persons and Imputed Tax (PDF)
- Affidavit of Marriage/Domestic Partnership (PDF)
- Affidavit of Parent-Child Relationship (PDF)
- CSU SSA-1945: Statement Concerning Your Employment in a Job Not Covered by Social Security (PDF)
- Disclosure of Privacy Information (PDF)
- eBenefits Self-service Electronic Signature Authorization Form (PDF)
- Employer Zip Code Election (PDF)
- Tax Sheltered Annuity Final Settlement Deductions (PDF)
- VSP Out-of-Network Reimbursement Form (PDF)
- VSP Video Display Terminal Confirmation Form (PDF)
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Child Abuse - Mandatory Reporting
- Child Abuse - Executive Order 1083 (PDF)
- Child Abuse - Executive Order 1083, Attachment A - Acknowledgment of Mandated Reporter Status (PDF)
- Child Abuse - Executive Order 1083, Attachment B - Certificate of Training Completion (PDF)
- Child Abuse - Executive Order 1083, Attachment C - Penal Code Sections 11165.7, 11166, and 11167 (PDF)
- Child Abuse - Executive Order 1083, Attachment D - Suspected Child Abuse Report Form SS 8872 (PDF)
- Child Abuse - Executive Order 1083, Attachment D - Suspected Child Abuse Report Form
SS 8872 - Definitions and General Instructions (PDF)
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Classification and Compensation
- Classification and Compensation Review Form (PDF)
- Position Description Questionnaire (PDF)
- Position Description Instructions and Form (.doc)
- Salary Stipend Request for CSUEU Employees (PDF)
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- Buckley Amendment (PDF)
- Confidentiality Agreement (PDF)
- Confidentiality Statement, Recruitment, Interview, Selection Process (PDF)
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- Conflict of Interest Form 700: Statement of Economic Interests (PDF)
- Conflict of Interest Form 700-U: Statement of Economic Interests for Principal Investigators (PDF)
- Conflict of Interest Form 801: Gift to Agency Report (PDF)
- Conflict of Interest Form 802: Agency Report of: Ceremonial Role Events and Ticket/Pass
Distributions (PDF)
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- Data Request (PDF)
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- Employee Discrimination & Harassment Complaint Form (PDF)
- Student/Applicant for Admission Discrimination/Harassment/Retaliation Complaint Form (PDF)
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- Employee Clearance Form (PDF)
- Confidential Exit Survey (PDF)
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- Ergonomic Self Evaluation Worksheet (PDF)
- Department Safety Inspection Checklist (PDF)
- Hazard Assessment Survey & Analysis Personal Protective Equipment (PDF)
- Indoor Air Quality Questionnaire (PDF)
- Injury and Illness Prevention Program Checklist (PDF)
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Health Insurance Portability And Accountability Act (HIPAA)
- Authorization to Use and/or Disclose Personal Health Plan Information (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 Confidential Communications of Personal Health Plan Information (PDF)
- Request for Restricted Use of Personal Health Plan Information (PDF)
- Request to Amend Personal Health Plan Information (PDF)
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- 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 for Serious Injury or Illness of Covered Servicemember (PDF)
- CSU Difference in Pay Military Worksheet (PDF)
- Election to Continue Direct Pay for Employees on Leave of Absence (PDF)
- Employee Medical Certification (PDF)
- Family Medical Certification (PDF)
- Family and Medical Leave Department Checklist (PDF)
- Leave of Absence Request Form (PDF)
- Leave Without Pay Request Form (PDF)
- Return to Work Certification (PDF)
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- Authorization for Extra Hours (Overtime) (PDF)
- Cancellation of Payroll Deduction (PDF)
- Designation of Person Authorized to Receive Warrants (PDF)
- Direct Deposit Enrollment Authorization (PDF)
- Duplicate Wage and Tax Statement Request (PDF)
- Employee Action Request (PDF)
- Employment Appointment Form Section A (PDF)
- Excess Vacation Accrual Carry-Over Request (PDF)
- Hourly Time Sheet (.xls)
- Notice of Alternate Work Schedule (PDF)
- Reporting Informal Leave without Pay (Docks) (PDF)
- Salary Advance Request (PDF)
- Special Consultant Payment (PDF)
- Substitute Faculty Payment Request (PDF)
- Warrant Release Authorization Form (PDF)
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- MPP Performance Evaluation Instructions and Guidelines (.doc)
- MPP Performance Evaluation (.doc)
- MPP Improvement Plan (.doc)
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Performance Review - APC (Unit 4)
- Report of Employee Performance Unit 4 Academic Support (PDF)
- Guidelines for Writing Effective Goals (PDF)
- Staff Pre-Performance Review Worksheet (PDF)
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Performance Review - CSUEU (Units 2,5,7,9)
- CSUEU Annual Performance Review (.xls)
- CSUEU Pre-Performance Review (PDF)
- CSUEU Probationary Performance Review (.xls)
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Performance Review - SETC (Unit 6)
- SETC Annual Performance Review (.xls)
- SETC Pre-Performance Review Worksheet (PDF)
- SETC Probationary Performance Review (.xls)
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Performance Review - UAPD (Unit 1) and SUPA (Unit 8)
- Staff Performance Review Units 1 and 8 (.xls)
- Staff Performance Review Guidelines for Writing Effective Goals Worksheet (PDF)
- Staff Pre-Performance Review Worksheet Units 1, 4, 8 (PDF)
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- Person of Interest Form (PDF)
- Application Review Evaluation (PDF)
- Essential Duties and Responsibilities Checklist (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)
- Live Scan Fingerprinting Process and Responsibilities (PDF)
- Live Scan Fingerprint Services Memo (PDF)
- On-Site Interview Evaluation (PDF)
- Reference and Background Check (PDF)
- Telephone Interview Evaluation (PDF)
- Temporary Support Request (PDF)
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- Release of Liability Handbook (PDF)
- Release of Liability Form (PDF)
- Conduct Agreement (PDF)
- Student Travel Informed Consent (PDF)
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- Application for Workstudy or Student Assistant Position (PDF)
- Student Assistant Appointment Form (PDF)
- Student Assistant Orientation Checklist (PDF)
- Student Employee Evaluation (PDF)
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- 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)
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- Employer's Report of Occupational Injury or Illness (PDF)
- Notice of Personal Chiropractor or Acupuncturist (PDF)
- Notice of Pre-designation of Personal Physician (PDF)
- Workers' Compensation Occupational Injury or Illness Checklist (PDF)
- Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility (PDF)
- Workers' Compensation Benefit Information (PDF)
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