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Immigration Rights and Resources for the Campus Community

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Forms - By Department

DepartmentTitle/DetailsForm NumberLast Updated
HRVSP Vision Insurance Claim - No form required for vision services
HRCSU Family Medical Leave (FML)
HRDependent Verification Affidavit
HRHumboldt Green and Gold Calendar for 2011-2012
HRVSP Video Display Terminal (VDT) Claim Form
HRConviction Disclosure Form
HRExecutive Order 1083: Attachment E - Suspected Child Abuse Report
HRHumboldt Green and Gold Calendar for 2010-2011
HRStudent Assistant Performance Evaluation
HRUniversal Availability Notice 2014
HRCOBRA Rates for 2015
HRExecutive Order 1083: Attachment C
HRHCRA-DCRA Enrollment Form
HRHumboldt Employment Application
HRStudent Payroll Action Request (SPAR)
HRUniversal Availability Notice - 403(b) Plan Information
HRClose Relative Disclosure Form
HRe-Benefits Self-Service Electronic Signature Authorization Form
HRHumboldt Authorization to Release Medical Records
HRSponsored Programs Foundation (SPF) Benefits for Eligible Employees
HRUnderstanding Your State of California Pay Warrant
HRCareer Development Plan
HREmployment History Form
HRHumboldt Background Check Packages
HRSeparating Employee Clearance Form
HRTSA Information
HRCalPERS Beneficiary Designation Form
HRCatastrophic Leave Donation Form - Family Care
HRHow Service Credit is Earned
HRRequired Notification for Employees Not Covered by Social Security (SSA-1945 Form)
HRStatement Concerning Your Employment in a Job Not Covered by Social Security
HRCalPERS Member Reciprocal Self-Certification Form
HRAdditional Work during Sabbatical or DIP Leave Approval Form
HRCatastrophic Leave Donation Form - Self
HRHints for completing the SPAR form
HRRM - Field Trip Sign Out Release Agreement
HRStudent Wage Schedule
HRCalPERS Health Plan Benefit Comparison
HRMPP Justification Form
HRAuthorization to Transport Form
HRHealth Care/Dependent/Care Reimbursement Account Claim Form
HRRequest for Live Scan Service Form (Fingerprinting)
HRSupervisor's Report of Injury
HRCAL-ORE Life Flight Membership Form
HRInternational Travel Guide
HRCalPERS Health Benefit Plan Enrollment Form
HRHousing & Dining Services Separating Employee Clearance Form
HRForm 104 - Report of Appointment for Special Consultants, Casual Workers and Extending Temp AppointmentsForm 104
HRStaff Evaluation Forms
HRBiometric Screening Quick Guide