Forms By Department

Department: Marketing and Communications
Title/Details	Department	Direct Link
Job Submission Form	Marketing and Communications	http://www.humboldt.edu/marcom/workRequest_part1.php
Business Card Order Form	Marketing and Communications	http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...
Envelope Order Form	Marketing and Communications	http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...
Letterhead Order Form	Marketing and Communications	http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...
Model Release	Marketing and Communications	modelReleaseSingle.pdf
Model Release (4 per page)	Marketing and Communications	modelReleaseFour.pdf

Department: Sponsored Programs Foundation
Title/Details	Department	Direct Link
2012 SBIR STTR Seminar HSU	Sponsored Programs Foundation	2012 SBIR STTR Seminar HSU.pdf
Agenda for the 12-8-11 Meeting of the Board of Directors	Sponsored Programs Foundation	12-8-11 BOD Agenda.pdf
American Psychological Foundation Funding Opportunites	Sponsored Programs Foundation	APF Funding Opportunities.pdf
American Psychological Foundation Presentation	Sponsored Programs Foundation	CUR Presentation 2012-APF.ppt
Form 990 for 2010-2011	Sponsored Programs Foundation	HSUSPF990.pdf
NSF Major Research Intrumentation	Sponsored Programs Foundation	NSF-MRI-Vicki Martin.pdf
ORSP Newsletter Spring 2012	Sponsored Programs Foundation	ORSP Newsletter Spring 2012.pdf
ORSP Org Chart	Sponsored Programs Foundation	ORSP Org Chart - Color Coded.pdf
Overview of Funding Opportunities at the National Science Foundation Division of Undergraduate Education: Advanced Technological Education (ATE)	Sponsored Programs Foundation	CUR Presentation - ATE - February 24 2012.ppt
Request for Proposals: Incentives Program	Sponsored Programs Foundation	HSU Incentive Award RFP 2011-12 PDF.pdf
SeaGrant Directors Presentation September 2011 at HSU	Sponsored Programs Foundation	Eckman.CASG-presentation.Humboldt.Sept2011.pdf
SPF 700-U Form (Conflict of Interest)	Sponsored Programs Foundation	Form700_UInteractive02-03.pdf
SPF Accomodation Request Form	Sponsored Programs Foundation	Accommodation Request Form.pdf
SPF Agenda for the Annual Meeting of the Board of Directors	Sponsored Programs Foundation	9-15-11 Annual Meeting of the BOD Agenda.doc
SPF Agenda for the Business Meeting of the Board of Directors	Sponsored Programs Foundation	9-15-11 Business Meeting of the BOD Agenda.doc
SPF Alistair & Judith McCrone Graduate Fellowship Award	Sponsored Programs Foundation	McCrone Student application pkt.pdf
SPF Appointment Document	Sponsored Programs Foundation	SPF Appointment Document - 2012.pdf
SPF Appointment Process Chart	Sponsored Programs Foundation	SPF Appointment Process 2011.pdf
SPF Authorization to Release Medical Records	Sponsored Programs Foundation	Authorization to Release Medical Records.pdf
SPF BARBARA SCHWANTES MEMORIAL FUND SCHOLARSHIP	Sponsored Programs Foundation	BARBARA-SCHWANTES-Scholarship1.pdf
SPF Board Members 11/12	Sponsored Programs Foundation	11-12 BOD Members List.pdf
SPF Board of Directors Manual	Sponsored Programs Foundation	BOD Manual Revised 8-10-11.pdf
SPF Board Officers 11/12	Sponsored Programs Foundation	11-12 BOD Officers List.pdf
SPF Budget Guidebook	Sponsored Programs Foundation	Budget Guidebook updated 5-22-12.pdf
SPF Budget Template	Sponsored Programs Foundation	MASTER BUDGET TEMPLATE.xls
SPF Centers & Institutes Info Sheet	Sponsored Programs Foundation	Centers & Institutes Info Sheet PDF Fill Form 2.pdf
SPF Centers & Institutes Renewal Form	Sponsored Programs Foundation	Centers & Institutes Renewal Form PDF Fill Form.pdf
SPF Certificate of Good Standing	Sponsored Programs Foundation	Cert Good Standing HSUSPF.pdf
SPF Check Request	Sponsored Programs Foundation	SPF_Check_Request.4.pdf
SPF Committee Members 11/12	Sponsored Programs Foundation	Committee Members List 2011-2012.pdf
SPF Confidentiality Form	Sponsored Programs Foundation	Confidentiality Form-SPF.pdf
SPF Deposit Slip	Sponsored Programs Foundation	Deposit Form Fillable PDF.pdf
SPF Direct Deposit Payroll Application	Sponsored Programs Foundation	SPF Direct Deposit Payroll Application.pdf
SPF Discrimination Complaint Form	Sponsored Programs Foundation	Discrimination Complaint Form F.pdf
SPF Enterprise Car Rental Info	Sponsored Programs Foundation	Enterprise Contract 2012.pdf
SPF Excess Indirect Revenue Distribution Policy	Sponsored Programs Foundation	Excess Indirect Revenue Distribution Policy.pdf
SPF Fall 2012 Solicitation for Proposals for Assigned Time	Sponsored Programs Foundation	HSU Incentive Award RFP 2011-12 Fall.pdf
SPF Financial Statements Audit 2011	Sponsored Programs Foundation	HSUSPF Audited Financial Statements - Year Ended 06.30.2011.pdf
SPF Guidelines - Voluntary 403 (b) plan	Sponsored Programs Foundation	Guidelines-Voluntary TSA 403(b) Plans.pdf
SPF Guidelines for Evaluating Impairments	Sponsored Programs Foundation	Guidelines for Evaluating Impairments.pdf
SPF Independent Contractor Agreement	Sponsored Programs Foundation	Fillable - Independent Contractor Agreement.pdf
SPF Indirect Rate Policy	Sponsored Programs Foundation	Indirect Rate Policy.pdf
SPF Institutional Routing and Authorization Form	Sponsored Programs Foundation	IRAF.pdf
SPF International Travel Insurance	Sponsored Programs Foundation	SPF International Travel Insurance.pdf
SPF Job Duty Evaluation Checklist	Sponsored Programs Foundation	Job Duty Evaluation Checklist.pdf
SPF Level of Effort Certification	Sponsored Programs Foundation	SPF Level of Effort 2012.pdf
SPF Lost Receipt Form	Sponsored Programs Foundation	Lost Receipt Form.pdf
SPF McCrone Promising Faculty Scholars Award	Sponsored Programs Foundation	McCrone Faculty award announcement.pdf
SPF Modification Routing Form	Sponsored Programs Foundation	SPF Modification Routing Form 3-15-12.pdf
SPF Monthly Absence Report	Sponsored Programs Foundation	Monthly Absence Report 2012.pdf
SPF Multiple Projects Appointment Form Attachment	Sponsored Programs Foundation	Multiple Projects Appointment Form Attachments.xls
SPF NON-STUDENT Time Sheet	Sponsored Programs Foundation	SPF Timesheet for Non-Student 2012.pdf
SPF NSF Funding Guide	Sponsored Programs Foundation	NSF Funding.pdf
SPF Organizational Information	Sponsored Programs Foundation	Organizational Information for HSU Sponsored Programs Foundation (2).pdf
SPF Overview of the Reasonable Accomodation Process	Sponsored Programs Foundation	Overview of Reasonable Accommodation.pdf
SPF Payroll Schedule 2012	Sponsored Programs Foundation	Sponsored Programs Foundation Payroll Schedule 2012.pdf
SPF Payroll, Benefits, and HR Directory of Services	Sponsored Programs Foundation	SPF Important Contacts.pdf
SPF Personnel Manual	Sponsored Programs Foundation	5-7-12 SPF Personnel Manual.pdf
SPF Personnel Policy Summary	Sponsored Programs Foundation	Personnel Policy handout for New SPF Employees.pdf
SPF Personnel Policy Summary	Sponsored Programs Foundation	Personnel Policy handout for New SPF Employees.pdf
SPF Personnel Policy Summary	Sponsored Programs Foundation	Personnel Policy handout for New SPF Employees.pdf
SPF Pre-Award Timeline for Proposal Submission	Sponsored Programs Foundation	SPF Pre-Award Timeline Handout.pdf
SPF Predesignation of Personal Physician	Sponsored Programs Foundation	Presdesignation Form-SPF.pdf
SPF Principal Investigators and Project Directors Policy	Sponsored Programs Foundation	Principal Investigators and Project Directors Policy.pdf
SPF Purchasing Policy	Sponsored Programs Foundation	SPF Purchasing Policy.pdf
SPF Request for Release Time Form	Sponsored Programs Foundation	SPF Request for Release Time Form.xls
SPF Separating Employee Clearance Form	Sponsored Programs Foundation	SPF Separating Employee Clearance Form.pdf
SPF Special Lecturer/Honorarium Form	Sponsored Programs Foundation	Special Lecturer - Honorarium.pdf
SPF Student Funding Opportunities: How You Can Help Them Find Support	Sponsored Programs Foundation	HSU Student Research Oppor Fall 2011.ppt
SPF Student Time Sheet	Sponsored Programs Foundation	SPF Student Time Sheet 2012.pdf
SPF SUMMER Student Time Sheet 2012	Sponsored Programs Foundation	SPF Student Time Sheet Summer 2012.pdf
SPF Trust Fund Agreement Form	Sponsored Programs Foundation	Agreement for Trust Fund Fillable PDF.pdf
SPF voluntary 403 (b) salary reduction agreement	Sponsored Programs Foundation	Voluntary 403(b) Salary Reduction Agreement.pdf
SPF Volunteer Form to cover worker's comp	Sponsored Programs Foundation	SPF Volunteer Form.pdf
SPF Workers Comp Guide	Sponsored Programs Foundation	WC Process for Supv Rev 03-12 SPF.pdf
SPF: Title III and V Eligible Institution, Waiver of the Non-Federal Share Matching Requirements	Sponsored Programs Foundation	Title III and V Eligible Institution - Waiver of the Non-Federal Share Matching Requirements.pdf
Symposium: Ecological and Human Health Impacts of the Marijuana Industry in the Emerald Triangle	Sponsored Programs Foundation	Symposium Flyer 4-26-12.pdf

Department: Clubs & Activities
Title/Details	Department	Direct Link
A.S. Event Funding Reimbursement Expense Report	Clubs & Activities	Reimbursement Expense Report & Instructions.pdf
AS Event Funding Application	Clubs & Activities	AS Event Funding Application Form Blank.pdf
Events: Student Event Application	Clubs & Activities	Student Event Application.pdf
Liability Release and Consent Agreement Form	Clubs & Activities	Liability Release and Consent Form.pdf
Publicity Approval Form	Clubs & Activities	Publicity Approval Form.pdf
Travel: Funding Application for Travel	Clubs & Activities	Travel Grant Application.pdf
Travel: Pretravel Release and Hold Harmless Form	Clubs & Activities	Pretravel Form Release and Hold Harmless.pdf
Travel: Request for Authorization to Travel	Clubs & Activities	Request for Authorization to Travel.pdf

Department: Payroll
Form Number	Title/Details	Department	Direct Link
PR 54	Absence Excess Hours Holiday Worked	Payroll	PR-54.pdf
PR 64	Casual Worker Time Voucher	Payroll	PR-64.pdf
STD 436	DUPLICATE WAGE AND TAX STATEMENT REQUEST	Payroll	empinfo_howto_std436.pdf
PR 11	Evening and Night Shift Differential Time Voucher	Payroll	PR-11.pdf
PR 55	Informal Leave Without Pay	Payroll	PR-55.pdf
PR8b	Instructional Student Assistant Time Voucher	Payroll	http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html
PR 8	Intermittent Hourly Time Voucher	Payroll	PR8f2010.pdf
PR 32	Overtime and Callback Hours Report	Payroll	PR 32 Overtime and Call Back Hours Report.pdf
PR 10	Payroll Signature Authorization Form	Payroll	PR-10.pdf
PR 20	PR 20 - Federal College Work Study Time Voucher	Payroll	http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html
PR 43	Special Consultant Time Voucher	Payroll	PR-43_08312010.pdf
PR 19	Student Assistant Time Voucher	Payroll	http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html
PR 42	Substitute Faculty Time Voucher	Payroll	PR-42.pdf

Department: Contracts, Procurement and Risk Management
Form Number	Title/Details	Department	Direct Link
	Accident Report (Non-Vehicle)	Contracts, Procurement and Risk Management	RM - Accident Report (Non-Vehicle).pdf
	American Express Corporate Card Application	Contracts, Procurement and Risk Management	american_express_corporate_card_application.pdf
	Change Order Request Form	Contracts, Procurement and Risk Management	Procure - Change Order Request Form.xls
	Change Order Request Instructions	Contracts, Procurement and Risk Management	Procure - Change Order Request Instructions.doc
	CSU Auto Use Policy	Contracts, Procurement and Risk Management	RM - CSU Auto Use Policy.pdf
	CSU Waiver of Liability	Contracts, Procurement and Risk Management	CSU Waiver of Liability Final.doc
	CSU Waiver of Liability for Students Under 18 Years of Age	Contracts, Procurement and Risk Management	CSU Waiver of Liability Final (multiple trips).doc
	Direct Payment Change Request Form	Contracts, Procurement and Risk Management	Procure - Direct Payment Change Request Form.xls
	Direct Payment Request	Contracts, Procurement and Risk Management	Procure - Direct Pay Request.pdf
	Event Planning Form	Contracts, Procurement and Risk Management	RM - Event Planning Form.pdf
	Field Trip Guidelines / Check List	Contracts, Procurement and Risk Management	RM - Field Trip Guidelines-Checklist.pdf
	Field Trip Medical Form (Multiple trips)	Contracts, Procurement and Risk Management	Fieldtrip Medical Form (Multiple trips) .doc
	Field Trip Policy	Contracts, Procurement and Risk Management	RM - Field Trip Policy.doc
	Field Trip Request Form	Contracts, Procurement and Risk Management	RM - Field Trip Request Form.pdf
	Guest Lecturer / Service Provider / Independent Contractor Agreement and Payment Request	Contracts, Procurement and Risk Management	Procure - Guest Lecturer-Service Provider-Independent Contractor Agreement and Payment Request.pdf
	Hold Harmless (Insurance) Request Form	Contracts, Procurement and Risk Management	RM - HH Request Letter.xls
	Invoice Form	Contracts, Procurement and Risk Management	Invoice Form.xls
STD 270	Motor Vehicle Accident Report	Contracts, Procurement and Risk Management	RM - Vehicle Accident Report Form.pdf
	Office Max Authorization Form	Contracts, Procurement and Risk Management	Procure - Office Max Authorization Form.xls
STD 204	Payee Data Record Form STD. 204	Contracts, Procurement and Risk Management	Procure - Payee Data Record Form STD 204.pdf
	ProCard Account Revision Form	Contracts, Procurement and Risk Management	procard_revision_form.pdf
	ProCard Application	Contracts, Procurement and Risk Management	procard_application.pdf
	ProCard Lost Receipt Memo	Contracts, Procurement and Risk Management	procard_lost_receipt_form.pdf
	Request for Payment of Hospitality Expenses	Contracts, Procurement and Risk Management	Procure - Request for Payment of Hospitality Expenses.xls
	Request for Use of University Facility	Contracts, Procurement and Risk Management	RM - Request for Use of University Facility.pdf
	RM - Field Trip Participant Roster	Contracts, Procurement and Risk Management	RM - Participant Roster.pdf
	RM - Field Trip Sign Out Release Agreement	Contracts, Procurement and Risk Management	RM - Sign Out Release Agreement.doc
	RM - Release of Liability	Contracts, Procurement and Risk Management	RM - Release of Liability.pdf
n/a	Signature Authority Forms 2011-12 (Operating Funds-HM500)	Contracts, Procurement and Risk Management	Procure - Signature Authority Forms 2011-12 (Operating Funds-HM500).xls
n/a	Signature Authority Forms 2011-12 (Trust Funds)	Contracts, Procurement and Risk Management	Procure - Signature Authority Forms 2011-12 (Trust Funds).xls
	Sole Source-Brand Justification	Contracts, Procurement and Risk Management	Procure - Sole Source-Brand Justification.pdf
	State Driver Accident Review	Contracts, Procurement and Risk Management	RM - Vehicle Accident Supervisors Form.pdf
261	STD 261 Authorization to Use Privately Owned Vehicle	Contracts, Procurement and Risk Management	http://www.documents.dgs.ca.gov/osp/pdf/std261.pdf
268	STD 268 Report of Non-Vehicle Accident	Contracts, Procurement and Risk Management	http://www.documents.dgs.ca.gov/osp/pdf/std268.pdf
	STD 270 Report of Vehicle Accident	Contracts, Procurement and Risk Management	http://www.documents.dgs.ca.gov/osp/pdf/std270.pdf
	Supervisor's Injury Prevention Report	Contracts, Procurement and Risk Management	SIPR.pdf
	Temporary Food Facility Permit Application	Contracts, Procurement and Risk Management	Temporary Food Facility Permit Application.pdf
	US Bank Visa Travel Card Application and Acknowledgement of Responsibilities	Contracts, Procurement and Risk Management	US Bank Visa Travel Card Application & Acknowledgement.pdf
	Vehicle Accident Guidelines	Contracts, Procurement and Risk Management	RM - Vehicle Accident Guidelines.doc

Department: Office of the Registrar
Title/Details	Department	Direct Link
Advisor Change	Office of the Registrar	http://www.humboldt.edu/registrar/forms/AdvisorChng.lc.pdf
Audit Petition	Office of the Registrar	http://www.humboldt.edu/registrar/forms/Audit.lc.pdf
Authorized Incomplete ("I") Grade Conditions	Office of the Registrar	http://www.humboldt.edu/registrar/forms/Incomplete.lc.pdf
Bachelor's Degree Application for Graduation	Office of the Registrar	http://www.humboldt.edu/registrar/forms/BAappGrad.lc.pdf
Build New Class Request	Office of the Registrar	BuildNewClassRequest.xls
Certificate of Study Application	Office of the Registrar	http://www.humboldt.edu/registrar/forms/CertStudyAp.lc.pdf
Class Time/Room Change Request	Office of the Registrar	ClassChangeRequest.xls
Classroom Swap Request	Office of the Registrar	ClassRoomSwapRequest.xls
Combined Section Request	Office of the Registrar	CombinedSectionRequest.xls
Computer Lab Request	Office of the Registrar	ComputerLabRequest.xls
Course Title Change Request for Independent Academic Work (IAW)	Office of the Registrar	http://www.humboldt.edu/registrar/forms/documents/CourseTitleChngIAW.lc.pdf
CSU Application for Intrasystem Concurrent or Visitor Enrollment	Office of the Registrar	http://www.humboldt.edu/registrar/forms/IVapplication.pdf
Diploma Replacement	Office of the Registrar	http://www.humboldt.edu/registrar/forms/DipRepl.lc.pdf
Disabled Faculty Room Request	Office of the Registrar	DisabledFacultyRequest.xls
Educational Leave Request - Fifth Year Credential Candidate	Office of the Registrar	http://www.humboldt.edu/registrar/forms/EdLeave_Cred.lc.pdf
Educational Leave Request - Undergraduate	Office of the Registrar	http://www.humboldt.edu/registrar/forms/EdLeave.lc.pdf
Enrollment Status Change Request	Office of the Registrar	http://www.humboldt.edu/registrar/forms/EnrollStatusChg.lc.pdf
Large Lecture Room Request >72	Office of the Registrar	LargeLectureRequest.xls
Major Academic Plan (MAP) Template	Office of the Registrar	http://www.humboldt.edu/reg/forms/4-yrPlan.lc.pdf
Major Change Request	Office of the Registrar	http://www.humboldt.edu/registrar/forms/MajorChng.lc.pdf
Minor Declaration/Update	Office of the Registrar	http://www.humboldt.edu/registrar/forms/MinorDeclaration.lc.pdf
Name Change	Office of the Registrar	http://www.humboldt.edu/registrar/forms/NameChange.lc.pdf
Official Grade Change Form	Office of the Registrar
Petition of the Student	Office of the Registrar	http://www.humboldt.edu/registrar/forms/PetitionOfTheStudent.lc.pdf
Petition to Purchase Honors Cord for Commencement	Office of the Registrar	http://www.humboldt.edu/reg/forms/documents/HonorsCord.lc.pdf
Petition to Waive or Substitute	Office of the Registrar	http://www.humboldt.edu/registrar/forms/PetitionToWaiveOrSub.pdf
Registration Petition for Adds with Time Conflicts	Office of the Registrar	http://www.humboldt.edu/registrar/forms/documents/AddTimeConflict.lc.pdf
Release of Information	Office of the Registrar	http://www.humboldt.edu/reg/forms/ReleaseInfo.lc.pdf
Second Major Request	Office of the Registrar	http://www.humboldt.edu/registrar/forms/documents/2ndMajorReq.lc.pdf
Social Security Number Change	Office of the Registrar	http://www.humboldt.edu/registrar/forms/SSnumberChange.lc.pdf
Student Petition to Raise Unit Cap	Office of the Registrar	http://www.humboldt.edu/reg/forms/RaiseUnitCap.lc.pdf
Transcript Requst Form - Official	Office of the Registrar	http://www.humboldt.edu/registrar/transcripts/
Verification of Enrollment Request	Office of the Registrar	http://www.humboldt.edu/registrar/forms/VerifiEnroll.lc.pdf
Withdraw from Summer Courses	Office of the Registrar	http://www.humboldt.edu/registrar/forms/Withdraw_Summer.lc.pdf
Withdrawal from Classes	Office of the Registrar	https://www.humboldt.edu/withdraw/sites/withdraw/files/withdraw/index.ph...

Department: Office of the Vice President, Student Affairs
Form Number	Title/Details	Department	Direct Link
	Alcohol Approval Request	Office of the Vice President, Student Affairs	alcohol_approval_request.pdf

Department: Financial Services
Form Number	Title/Details	Department	Direct Link
Form 107	Application for Leave of Absence for Support Staff - Please print on Pink paper	Financial Services	form107_leaveOfAbsence.pdf
	Authorization for Off-Campus Use of Equipment Form	Financial Services	authorization_off_campus_use.pdf
STD 261	Authorization to Use Privately Owned Vehicle	Financial Services	std261.pdf
	Direct Deposit for Employee Reimbursements	Financial Services	direct_deposit_reimbursements.pdf
	Establish Petty Cash or Change Fund Form	Financial Services	request_change_fund_form.pdf
	Faculty Absence Class Coverage	Financial Services	complete_class_schedule.pdf
	General Checking Check Request	Financial Services	check_request.pdf
STD 236	Hotel/Motel Transient Tax Waiver	Financial Services	std236.pdf
	HSU Authorization for Business-Related Wireless Device	Financial Services	HSU Auth for wireless device form.xls
	HSU Wireless Device Reimbursement Rates	Financial Services	HSU Wireless Reimbursements (2).pdf
HSU 106	Petty Cash Reimbursement Request	Financial Services	hsu_form_106.pdf
	Property Management Transaction Form	Financial Services	property_management_transaction.pdf
	Receipting Instruction for Deposits at the Cashier’s Office	Financial Services	Deposit Slip.pdf
HSU 71	Report of Missing Property Form	Financial Services	hsu_form_71.pdf
	Request for Authorization to Travel	Financial Services	Travel Authorization form.pdf
	Secure Destruction E-Waste Collection and Chain of Custody Form	Financial Services	secure_e-waste_form.pdf
	Special Consultant Request Instructions	Financial Services	specconsreq_Instructions.pdf
	Student Electronic Funds Transfer Authorization	Financial Services	EFT.pdf
	Travel Estimator Worksheet	Financial Services	travel_estimator_worksheet.xls
STD 262	Travel Expense Claim	Financial Services	std262.pdf
	University-owned Wireless Devices	Financial Services	univ_owned_wireless_devices.pdf

Department: Human Resources
Form Number	Title/Details	Department	Direct Link
	Application Procedures for Leave of Absence without Pay	Human Resources	LeaveOfAbsenceWithoutPay_ Procedure.pdf
Form 1	Authorization to Recruit	Human Resources	Form_1_2008_001.pdf
	CAL-ORE Life Flight Membership Form	Human Resources
	Cal-Ore Life Flight Membership Program	Human Resources	CAL-ORE Life Flight-2010.pdf
	CalPERS Beneficiary Designation Form	Human Resources	http://www.humboldt.edu/hsuhr/docs/benedesignee.pdf
	Career Development Plan	Human Resources	Career Development Plan.pdf
	Confidential Employee Evaluations - Permanent Employee Evaluation	Human Resources	Permanent Employee Evaluation-Confidential.pdf
	Confidential Employee Evaluations - Probationary Employee Evaluation	Human Resources	confProb04_2010.pdf
	Confidential Employee Evaluations - Temporary Employee	Human Resources	Temporary Employee Evaluation-Confidential.pdf
	Confidentiality Statement for Academic Professionals (Unit 4)	Human Resources	Confidentiality Form-Unit 4.pdf
	Confidentiality Statement for Faculty	Human Resources	Confidentiality Form-Faculty.pdf
	CSU Family Medical Leave (FML)	Human Resources	CSUFamilyMedicalLeave-GeneralNotice_000.pdf
	CSU Fee Waiver Program Information	Human Resources	http://www.humboldt.edu/hsuhr/employee/waiver/index.html
HR 2005-26	CSU Volunteer Policy	Human Resources	Volunteer Policy.pdf
STD-692	Dental Plan Enrollment Authorization	Human Resources	std692.pdf
	Dependent Fee Waiver - Staff	Human Resources	Dependent Fee Waiver-Staff.pdf
	Designated Positions	Human Resources	HR2011-02AttB.pdf
STD-699	Direct Deposit Form	Human Resources	http://www.documents.dgs.ca.gov/osp/pdf/std699.pdf
	Discrimination Complaint Resources	Human Resources	Complaint Resources.pdf
	Domestic Partner Forms	Human Resources	FormsDomesticPartnerBenefits.pdf
	Domestic Partner Information	Human Resources	TAXATIONOFDOMESTICPARTNERSHIPBENEFITS-AFTER11-08.pdf
	EHOS Ergonomics Program	Human Resources	Ergonomics Program.pdf
STD. 686	Employee Action Request (EAR)	Human Resources	ear.pdf
I-9	Employee Eligibility Verification	Human Resources	http://www.uscis.gov/files/form/i-9.pdf
105	EMPLOYEE INFORMATION FORM (EIF)	Human Resources	Employee Information Form.pdf
	Employee's Claim Form For Worker's Compensation Benefits	Human Resources	ECF.pdf
W-4	Employee's Witholding Allowance Certificate	Human Resources	fw4.pdf
	Employment Release of Information Form	Human Resources	HSU_MPP_Release_1_10.pdf
	EO 1045 Student Affirmative Action Complaints Actions Resources Table	Human Resources	EO 1045 Student AA Complaints Actions Resources Table.pdf
	Flex Cash Enrollment Authorization Form	Human Resources	Flexcash_enroll.pdf
	Grant Furlough Exemption Form	Human Resources	FurloughExemptionForm_000.pdf
	HCRA/DCRA Enrollment Form-2012	Human Resources	HCRA-DCRA Enrollment Form.pdf
HBD-12	Health Benefits Enrollment Form - (Medical Benefits worksheet)	Human Resources	Health Benefits worksheet.pdf
	Health Care/Dependent/Care Reimbursement Account Claim Form	Human Resources	Claim Form.pdf
	Highlights of New Voluntary Plans	Human Resources	Pages from TL-BEN2011-02[2].pdf
	Hints for completing the SPAR form	Human Resources	Hints for completing the SPAR form.pdf
	Housing & Dining Services Separating Employee Clearance Form	Human Resources	housingclear_080608.pdf
	How Service Credit is Earned	Human Resources	Service Credit Breakdown.pdf
	HSU Accommodation Request Form	Human Resources	Accommodation Request Form.pdf
	HSU Authorization to Release Medical Records	Human Resources	Authorization to Release Medical Records.pdf
	HSU Confidentiality Agreement for Employees, Consultants, and Independent Contractors	Human Resources	Confidentiality Form-Staff.pdf
	HSU Discrimination Complaint Form	Human Resources	Discrimination Complaint Form.pdf
	HSU Employment Application	Human Resources	Employment Application Packet.pdf
	HSU Green and Gold Calendar for 2010-2011	Human Resources	HSU_GreenAndGoldCalendar_2010-2011[1].pdf
	HSU Green and Gold Calendar for 2011-2012	Human Resources	greenAndGoldCalendar_2011-2012[1].pdf
	HSU Guidelines for Evaluating Impairments	Human Resources	Guidelines for Evaluating Impairments.pdf
	HSU Job Duty Evaluation Checklist	Human Resources	Job Duty Evaluation Checklist.pdf
	HSU Overview of Reasonable Accommodation	Human Resources	Overview of Reasonable Accommodation.pdf
	HSU Volunteer Form	Human Resources	HSU Volunteer Form 8-11.pdf
	HSU Volunteer Form Processing Instructions	Human Resources	Volunteer Forms Processing Instructions.pdf
	Instructions to Complete Digital Signature on Position Change Form	Human Resources	digital signature instructions.pdf
Form 3	Interview Request	Human Resources	Form_3_2008.pdf
	IRS W-4 worksheet	Human Resources	fw4_0.pdf
	Letter/Options for Sanders Voluntary Insurances	Human Resources	FINAL_Letter to Covered Employees.pdf
	Management Personnel Plan Performance Evaluation (MPP) - Management Personnel Plan Performance Evaluation	Human Resources	MPP Performance Evaluation.pdf
	New Employee Checklist	Human Resources	new_Empl_check_list.doc
Form 5	Offer of Appointment within 5% of Minimum Range	Human Resources	Form 5 within 5 percent.pdf
	Open Enrollment Letter for 2012	Human Resources	OE Letter to Campus 2011-2.pdf
	Performance Pay Salary Increase Recommendation - Unit 4	Human Resources	http://www.humboldt.edu/hsuhr/employee/information/unit4.html
	Position Change Form	Human Resources	position_change_form.pdf
	Position Description Form	Human Resources	Position Description.pdf
	Position Description/Classification Guide	Human Resources	http://www.humboldt.edu/hsuhr/employee/position/description.html
	Reimbursement Request	Human Resources	Form119.xls Use only when a department is paying for travel expenses of interviewed candidates.
Form 104	Report of Appointment for Support Staff	Human Resources	form104_12_08.pdf
Form 109	Report of Separation for Staff - Please print on green paper	Human Resources	Separation Form 8-2011.pdf
	Request for Live Scan Service Form (Fingerprinting)	Human Resources	Livescan Request.pdf
	Request for Service Credit - Service Prior to Membership	Human Resources	Request for Service Credit Cost Information- Service Prior to Membership.pdf
Form 5	Request to Vice President to Offer Appointment-Over 5% of Minimum Range	Human Resources	Form 5 over 5 Percent.pdf
	Required Notification for Employees Not Covered by Social Security (SSA-1945 Form)	Human Resources	SSA-1945_0.pdf
	Retirement Information	Human Resources	Retirement.pdf
	Screening Matrix	Human Resources	Application - Screening Matrix - ASA.xls
Form 4	Selection Committee Hiring Recommendation	Human Resources	Form4_2008.pdf
	Separating Employee Clearance Form	Human Resources	SepEmpClearanceForm_080608.pdf
	Separating Management Clearance Form	Human Resources	Sep_ManagementClearance_0908.pdf
	Social Security Office- Replacement card/name change application	Human Resources	http://www.ssa.gov/online/ss-5.html
SS-5	Social Security: Replacement card/name change application.	Human Resources	http://www.ssa.gov/online/ss-5.html
	Special Consultant Request	Human Resources	Special Consultant Form 11-2011.pdf
	Staff Evaluation Forms	Human Resources	http://www.humboldt.edu/hsuhr/employee/evaluation/index.html
	Staff Fee Waiver	Human Resources	Staff Fee Waiver-Self.pdf
	Staff Recruitment Handbook	Human Resources	Staff_Recruitment_Handbook_10_10_.doc
SSA-1945	Statement Concerning Your Employment in a Job Not Covered by Social Security	Human Resources	SSA-1945.pdf
	Student Payroll Action Request (SPAR)	Human Resources	SPAR_12_2006_000.pdf
	Student Wage Schedule	Human Resources	Student_Salary_Ranges_2007_000.pdf
EO 1045 CSU	Systemwide Policy Prohibiting Discrimination, Harassment,	Human Resources	EO-1045.pdf
	Unit 1 - UAPD (Union of American Physicians and Dentists) - Permanent Employee Evaluation	Human Resources	Permanent Employee Evaluation-Unit 1.pdf
	Unit 1 - UAPD (Union of American Physicians and Dentists) - Probationary Employee Evaluation	Human Resources	uapdProb04_2010_0.pdf
	Unit 1 - UAPD (Union of American Physicians and Dentists) - Temporary Employee Evaluation	Human Resources	Temporary Employee Evaluation-Unit 1.pdf
	Unit 4 - APC (Academic Professionals of California) - Unit 4 Employee Evaluation	Human Resources	APCEVAL_000.pdf
	Unit 6 - SETC (State Employee Trades Council) - Permanent Employee Evaluation	Human Resources	Permanent Employee Evaluation-Unit 6.pdf
	Unit 6 - SETC (State Employee Trades Council) - Probationary Employee Evaluation	Human Resources	setcProb-4_2010.pdf
	Unit 6 - SETC (State Employee Trades Council) - Temporary Employee Evaluation	Human Resources	Temporary Employee Evaluation-Unit 6.pdf
	Unit 8 - SUPA (Statewide University Police Association) - Permanent Employee Evaluation	Human Resources	Permanent Employee Evaluation-Unit 8.pdf
	Unit 8 - SUPA (Statewide University Police Association) - Probationary Employee Evaluation	Human Resources	supaprob04_2010.pdf
	Unit 8 - SUPA (Statewide University Police Association) - Temporary Employee Evaluation	Human Resources	Temporary Employee Evaluation-Unit 8.pdf
	Units 2, 5, 7 & 9 - CSUEU - Probationary Employee Evaluation	Human Resources	csueuprob071307.pdf
	Units 2, 5, 7 & 9 - CSUEU - Permanent Employee Evaluation	Human Resources	Permanent Employee Evaluation-Unit 2, 5, 7, 9.pdf
	Units 2, 5, 7 & 9 - CSUEU - Temporary Employee Evaluation	Human Resources	Temporary Employee Evaluation-Unit 2, 5, 7, 9.pdf
	University Police Department (Live Scan/Fingerprinting Information)	Human Resources	http://www.humboldt.edu/police/programs/live_scan.html
	Vice Presidents Evaluations - Administrative Review Form	Human Resources	VP Evaluation.pdf
	Vision Insurance - Add Dependents	Human Resources	VSP-Dependents.pdf http://humboldt.edu/hsuhr/employee/benefits/documents/VSP-Dependents.pdf
	Voluntary Self-Identification For Applicants	Human Resources	Voluntary_Self_ID_Form.pdf
	VSP Out-of-Network Reimbursement Form	Human Resources	VSP Out-of-Network Reimbursement Form.pdf
	VSP Video Display Terminal (VDT) Claim Form	Human Resources	VSP Video Display Terminal Claim Form.pdf
	VSP Vision Insurance Claim - No form required for vision services	Human Resources
	W-2 (replacement request)	Human Resources	http://www.sco.ca.gov/ppsd_empinfo_dpw-2.html
	Whistleblower Complaint Form	Human Resources	EO929.pdf
	Workers Compensation Pre-Designation of Physician Form	Human Resources	NoticetoNewEmployeesWEBSITEONLY.doc
	Workers' Compensation for Students	Human Resources	student work. comp guide_1.pdf

Department: Health Center
Form Number	Title/Details	Department	Direct Link
	Charges for Acquisitions and Services	Health Center	Charges for acquisitions and services.pdf www.humboldt.edu/health
FP1	Family PACT Client Eligibility	Health Center	Family PACT Client Eligibility.pdf www.humboldt.edu/health
FP2	Family PACT Privacy Notice	Health Center	Family PACT Privacy Notice.pdf www.humboldt.edu/health
	Immunization form	Health Center	Immunization Requirements handout.pdf www.humboldt.edu/health
	Registration and Consent for Treatment	Health Center	Reg & Consent Form Sep08.pdf www.humboldt.edu/health
Rel1	Release of Records form.pdf	Health Center	Release of Records form.pdf www.humboldt.edu/health
	Travel Health History	Health Center	Travel Health History form.pdf www.humboldt.edu/health

Department: Common Management System
Form Number	Title/Details	Department	Direct Link
	CMS Access Request Form	Common Management System	Account_Request_Form.pdf
	CMS PeopleSoft Modification Request	Common Management System	HSU Modification Request & Design Form 20080625.doc

Department: Development
Title/Details	Department	Direct Link
Communication Form	Development	Communication 6-6-11_fillable.pdf
Donation Deposit Form	Development	Donation Deposit Form.pdf
Fundraising Event Registration Form	Development	Fundraising Event Registration Form - fillable 12.15.11.pdf http://www.humboldt.edu/advancement/info/
Gift Commitment Form	Development	Gift Commitment Form-fillable.pdf
In Kind Gift Proposal Form	Development	GIK.Property Proposal Form rev 01.12_fillable.pdf
Notification of Fund Form	Development	Fund Notification rev. 6-7-11_fillable.pdf
Payroll Deduction Authorization	Development	Payroll Deduction Authorization 6-6-11_fillable.pdf
Pledge Agreement	Development	Pledge Agreement_fillable.pdf http://www.humboldt.edu/advancement/

Department: Extended Education
Title/Details	Department	Direct Link
Contract Credit Registration Form - fillable PDF	Extended Education	regform-contract-credit.pdf
Contract Credit Registration Form - Printable PDF	Extended Education	regform-contract-credit-print.pdf
Extension Course Generic Registration Form - Printable PDF	Extended Education	regform-oee-print.pdf
Extension Course Generic Registration Form: Fillable	Extended Education	http://www.humboldt.edu/extended/pdf/regform.pdf
Graduate Continuous Enrollment Registration Form - fillable PDF	Extended Education	regform-gce.pdf
Graduate Continuous Enrollment Registration Form - Printable PDF	Extended Education	regform-gce-print.pdf
High School Concurrent Enrollment Form - fillable PDF	Extended Education	http://www.humboldt.edu/extended/pdf/regform-over60.pdf
High School Concurrent Enrollment Form - Printable PDF	Extended Education	regform-hsce-print.pdf
Open University Registration Form - fillable PDF	Extended Education	http://www.humboldt.edu/extended/pdf/regform-ou.pdf
Open University Registration Form - Printable PDF	Extended Education	regform-ou-print.pdf
Osher Lifelong Learning Institute (OLLI) Registration Form - fillable PDF	Extended Education	http://www.humboldt.edu/olli/pdf/ollireg.pdf
Osher Lifelong Learning Institute (OLLI) Registration Form - Printable PDF	Extended Education	regform-olli-print.pdf
Over 60 Program Registration Form	Extended Education	regform-over60-print.pdf

Department: Information Technology Services
Form Number	Title/Details	Department	Direct Link
003C	Controlled IT Spaces Access Authorization Form	Information Technology Services	003C-Controlled-IT-Spaces-Access-Auth-Form.pdf
003D	Controlled IT Spaces Access Control List	Information Technology Services	003D Controlled-IT-Spaces-Access-Control-List.doc
003G	Controlled IT Spaces Visitor Log	Information Technology Services	003G-Controlled-IT-Spaces-Visitor-Log.pdf
	Data Center Security Training Check-Off	Information Technology Services	Data Center Security Training Check-Off.doc
	ITS Project Request	Information Technology Services	ITS_ProjectRequest.pdf
	Protected Information Rescan Survey	Information Technology Services	ProtectedInformationRescanSurvey.doc
	Security Incident Response Long Form	Information Technology Services	Security Incident Response Long Form.doc
	Security Incident Response Short Form	Information Technology Services	SecIncidentRespShortForm.doc
	Separating Employee Checklist for Digital Resources	Information Technology Services	Separating Employee Checklist for Digital Resources.pdf

Department: Change Steering Committee
Form Number	Title/Details	Department	Direct Link
	CSC Campus Change Report 2010-2011	Change Steering Committee	2010-2011 CSC Report (3).pdf

Department: Facilities Management
Title/Details	Department	Direct Link
CSU Volunteer Identification Form	Facilities Management	http://www.humboldt.edu/forms/node/350
Employee/Student Verification of University Employment	Facilities Management	verification_of_employment_student.pdf
Pool Vehicle Request Form	Facilities Management	pool_vehicle_request.pdf
Rental Vehicle Request Form	Facilities Management	rental_vehicle_request.pdf
Work Request Form	Facilities Management	work_request_form.pdf

Department: Academic Programs
Title/Details	Department	Direct Link
Curriculum: HSU Course Change	Academic Programs	CourseChange02_2012.pdf
Curriculum: HSU New Course Proposal	Academic Programs	NCP_02_2012.pdf
Curriculum: HSU New Major/Degree Program	Academic Programs	NewMajorDegreeProg07_2011.pdf
Curriculum: HSU Program Change	Academic Programs	ProgramChange03_2012.pdf
Graduate Student Federal Work Study Program 2011-2012	Academic Programs	Graduate Student Federal Work Study Program 2011-2012.pdf
Graduate: Addendum to Advancement to Candidacy	Academic Programs	AddendumCandidacy2012.pdf
Graduate: Advancement to Candidacy	Academic Programs	AdvancementCandidacyForm2012.pdf
Graduate: Documentation of Examination for Currency for Extension of the Seven-Year Limit	Academic Programs	ExamCurrency7yr02_2012.pdf
Graduate: Educational Leave Agreement	Academic Programs	EdLeave09_11.pdf
Graduate: Master's Degree Application for Graduation	Academic Programs	MastersDegreeApGrad_03_2012.pdf
Graduate: Petition for Graduate Credit	Academic Programs	GradCreditSrYear.pdf
Graduate: Request for Program Variation or Waiver	Academic Programs	RequestProgramVariation03_2012.pdf
Graduate: Thesis or Project Submission Form	Academic Programs	ThesisProjectSubmission032012.pdf
Graduate: Unbound Project Approval	Academic Programs	UnboundProjectApproval10_2011.pdf

Department: Environmental Health and Occupational Safety
Form Number	Title/Details	Department	Direct Link
	EHOS Hot Work Permit Program	Environmental Health and Occupational Safety	HSU HOT WORK PERMIT PROGRAM.pdf

Department: Advising Center
Form Number	Title/Details	Department	Direct Link
	Grievance Level 1	Advising Center	Grievance_Level_1_form_revised.pdf
	Grievance Level 2	Advising Center	Grievance_Level_2_form_revised.pdf

Department: Office of Diversity and Inclusion
Form Number	Title/Details	Department	Direct Link
	HSU Diversity Program Funding Grant: Signature Form	Office of Diversity and Inclusion	dpfg_signature form_fall_2011.pdf http://www.humboldt.edu/diversity/Download/dpfg_signature%20form_Sp_2012...

Department: Human Subjects - Institutional Review Board (IRB)
Form Number	Title/Details	Department	Direct Link
	IRB Application for Review	Human Subjects - Institutional Review Board (IRB)	http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Application_for_R...
	IRB Registration Form	Human Subjects - Institutional Review Board (IRB)	http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Registration.pdf

Department: ITEPP: Indian Teacher and Educational Personnel Program
Form Number	Title/Details	Department	Direct Link
	ITEPP Aplication for Student Retention and Professional Development Program	ITEPP: Indian Teacher and Educational Personnel Program	https://humboldt.edu/forms/node/505

Department: University Police Department
Form Number	Title/Details	Department	Direct Link
	Request For Record Information	University Police Department	records_request_form.pdf

Department: Center for Indian Community Development
Form Number	Title/Details	Department	Direct Link
001	Reservation Request for the Native American Forum (BSS162)	Center for Indian Community Development	NativeForumReservationRequest2012.pdf http://www.humboldt.edu/cicd/forum.htm

About Forms

Forms By Department