A

• Affidavit for Employees-Gender Verification of Married Persons and Imputed Tax (PDF) 
• Affidavit of Marriage/Domestic Partnership (PDF) 
• Affidavit of Parent-Child Relationship (PDF) 
• Application Review Evaluation (PDF) 
• Application for Workstudy or Student Assistant Position (PDF)for hiring department's use only, do not forward to HR
• Authorization for Extra Hours (Overtime) (PDF) 
• Authorization to Use and/or Disclose Personal Health Plan Information (PDF) 
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B

• Buckley Amendment (PDF) 
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C

• COBRA Continuation Election Form (docx) 
• CSU Difference in Pay Military Worksheet (PDF)  
• CSU SSA-1945: Statement Concerning Your Employment in a Job Not Covered by Social Security (PDF) 
• CSU Student Payroll Action Request (PDF) 
• CSUEU Annual Performance Review (.xls)(Units 2, 5, 7, 9)
• CSUEU Pre-Performance Review Worksheet (PDF)(Units 2, 5, 7, 9)
• CSUEU Probationary Review (.xls)(Units 2, 5, 7, 9)
• 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 (PDF) 
• Certification of Serious Injury or Illness of Covered Servicemember Military Family Leave (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)  
• Child Abuse - Executive Order 1083 (PDF)  
• Classification and Compensation Review Form (Staff) (PDF) 
• Conduct Agreement (PDF) 
• Confidential Exit Survey (PDF) 
• Confidentiality Agreement (PDF) 
• Conflict of Interest Form 700-U: Statement of Economic Interests for Principal Investigators (PDF) 
• Conflict of Interest Form 700: Statement of Economic Interests (PDF) 
• Conflict of Interest Form 801: Gift to Agency (PDF) 
• Conflict of Interest Form 802: Ceremonial Role Events and Ticket/Pass Distributions (PDF) 
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D

• Data Request Form (PDF) 
• Declaration of Domestic Partnership (PDF)  
• Department Safety Inspection Checklist (PDF) 
• Designation of Person Authorized to Receive Warrants (PDF)  
• Direct Deposit Enrollment Authorization (PDF)  
• Disclosures and Privacy Information (PDF)  
• Domestic Partner Dependent Certificatiion Form (PDF)  
• Duplicate W2 Wage and Tax Statement Request Form (PDF)  
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E

• Election to Continue Direct Pay for Employees on Leave of Absence (PDF)  
• Employee Action Request (PDF)  
• Employee Clearance Form (PDF)  
• Employee Discrimination & Harassment Complaint Form (PDF)  
• Employee Medical Certification (PDF)  
• Employee Profile (PDF)  
• Employer Zip Code Form (PDF)  
• Employer's Report of Occupational Injury or Illness (PDF)  
• Employment Appointment Form (PDF)  
• Ergonomic Self Evaluation Sheet (PDF)  
• Essential Duties and Responsibilities Checklist (PDF)  
• Excess Vacation Accrual Carry-Over Request (PDF) 
• eBenefits Self-Service Electronic Signature Authorization Form (PDF)  
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F

• 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 I-9 Instructions for Employment Eligibility Verification - List of acceptable documents (PDF)see last page of document
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G

• Guidelines for Writing Effective Goals Worksheet (PDF) 
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H

• Hazard Assessment Survey and Analysis Personal Protective Equipment (PDF) 
• Hourly Time Sheet (.xls) 
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I

• Indoor Air Quality Questionnaire (PDF) 
• Injury and Illness Prevention Program Checklist (PDF) 
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L

• Leave Without Pay Request Form (PDF) 
• Leave of Absence Request Form (PDF) 
• Live Scan Fingerprint Services Template (PDF) 
• Live Scan Fingerprinting Process and Responsibilities (PDF) 
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M

• MPP Improvement Plan (.docx) 
• MPP Performance Evaluation (.docx) 
• MPP Performance Evaluation Instructions and Guidelines (.docx) 
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N

• Notice of Alternate Work Schedule (PDF) 
• Notice of Personal Chiropractor or Acupuncturist (PDF)  
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O

• On-site Interview Evaluation 
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P

• Person of Interest (PDF)  
• Position Description Instructions and Form (docx) 
• Position Description Questionnaire (PDF)  
• Position Management Action Form (PDF)  
• Pre-designation of Personal Physician Form (PDF) 
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R

• Reference and Background Check (PDF)  
• Release of Confidential Information (PDF)  
• Release of Liability Form (PDF)  
• Release of Liability Handbook (PDF)  
• Report of Employee Performance Unit 4 Academic Support (PDF)  
• Reporting Informal Leave without Pay (Docks) (PDF)  
• Request Amend 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)  
• Return to Work Certification (PDF)  
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S

• SETC Annual Performance Review (.xls) 
• SETC Pre-Performance Review Worksheet (PDF)(Unit 6)
• SETC Probationary Performance Review (.xls) 
• Salary Advance Request (PDF)  
• Salary Stipend Request for CSUEU Employees (PDF) 
• Special Consultant Payment (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 (.xls)(Units 1 and 8)
• Staff Pre-Performance Review Worksheet (PDF)(Units 1, 4, 8)
• Staff or Administrator Emeritus Recommendation Form (PDF) 
• State Driver Accident Review Form (STD 274)(PDF) 
• Student Assistant Appointment Form (PDF) (see the List of Acceptable docs, last page of DOHS Form I-9 )
• Student Assistant Orientation Checklist (PDF) 
• Student Employee Evaluation (PDF) 
• Student Travel Informed Consent (PDF) 
• Student/Applicant for Admission Discrimination/Harassment/Retaliation Complaint Form (PDF) 
• Substitute Faculty Payment Request (PDF)  
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T

• Tax Sheltered Annuity Final Settlement Deductions (PDF)  
• Telecommuting Policy and Forms (PDF)  
• Telephone Interview Evaluation 
• Temporary Support Request (PDF) 
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V

• VSP Out-of-Network Reimbursement Form (PDF) 
• VSP Video Display Terminal Confirmation Form (PDF) 
• Veteran Self Identification Form (PDF) 
• Voluntary Self-Identification Form for Employees (PDF) 
• Volunteer Request and Appointment Package (PDF)  
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W

• Warrant Release Authorization Form (PDF) 
• Workers' Compensation Benefit Information (PDF)  
• Workers' Compensation Claim Form (DWC 1) & Notice of Potential Eligibility (PDF) 
• Workers' Compensation Occupational Injury or Illness Checklist (PDF) 
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