HR Forms & Procedures
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- eBenefits Self-Service Authorization form
Employee authorization form to enroll or modify benefits enrollment. - Benefits - CalPERS Affidavit of Marriage
Allows certification of marriage when no marriage certificate is available. - CalPERS Beneficiary form
- Catastrophic Leave Donation Request and Certification Form
Employee request for participation. - Delta Dental Claim Form
For employees to be able to submit dental claims. - Domestic Partnership Imputed Tax Notice
- Economically Dependent Child Affidavit
Download to view form - FML - Family and Medical Leave Act
Summary of the Family and Medical Leave Act program. - Health Care Provider Certification form For the employee
- Health Care Provider Certification form
For a qualifying family member. - Leave of Absence Guide
Guide describing leaves of absence. - Leave of Absence Request
To request a leave of absence. - Employer Paid Life Insurance Certificate
Certificate for group life insurance. - LTD - Employer Paid Certificate 2005
Certificate for group long term disability insurance. - Return-to-Work
- Employee Information Sheet
Forms to be completed by supervisor for work related or non-work related transitional work due to work restrictions.
- Employee Information Sheet
- Report of On-Campus Inaccessibility
- The Standard Life Insurance
Beneficiary form - The Standard’s new Enrollment and Change form
TSA (403b) plan website- Vision - Out-of-Network Reimbursement Form
To claim vision services with an out-of-network provider. - Vision - Video Display Terminal (VDT) Claim Form
To claim VDT glasses.
- eBenefits Self-Service Authorization form
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- Position Description Form
To describe positions submitted for classification reviews. - Request for In-Range Salary Progression Review
- Request for Reclassification Review
To request reviewing of a position and determining an appropriate CSU classification for all staff (non-faculty) positions. - Required Approvals Document
- Position Description Form
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- Performance Management Guidelines
- Performance Improvement Plan (PIP)
- Attendance Written Reprimand Example
- Unacceptable Job Performance Written Reprimand Example
Self Assessments
- Employee Self Appraisal Form - For employee to fill in prior to evaluation.
- MPP Self Assessment Form (PDF) (MS Word)
Performance Evaluations
- MPP Performance Assessment form (PDF) (MS Word) Adobe Sign Instructions
- Staff Performance Review Form (MS Word) - To evaluate staff employees' performance (except Unit 3 and 4).
- Unit 4 Staff Performance Review Form (MS Word) - To evaluate Unit 4 employees' performance.
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- Campus Affiliation Request Form
- Sensitive Positions Table
- Add Personal Email form
- Request to add personal email
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