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Immigration Rights and Resources for the Campus Community

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Forms - By Department

DepartmentTitle/DetailsForm NumberLast Updated
HRDependent Verification Affidavit
HRUnit 1 - UAPD (Union of American Physicians and Dentists) - Permanent Employee Evaluation
HREO 1097 Student Affirmative Action Complaints Actions Resources Table
HRVSP Vision Insurance Claim - No form required for vision services
HR2016 Monthly Premiums for Health
HRExecutive Order 1083: Attachment E - Suspected Child Abuse Report
HREmployment Release of Information Form
HRVSP Video Display Terminal (VDT) Claim Form
HRHCRA-DCRA Enrollment Form
HRExecutive Order 1083: Attachment C
HRStudent Assistant Performance Evaluation
HREmployee Fee Waiver - Frequently Asked Questions
HRUniversal Availability Notice 2014
HRe-Benefits Self-Service Electronic Signature Authorization Form
HRStudent Payroll Action Request (SPAR)
HREmployee Assistance Program (EAP)
HRUniversal Availability Notice - 403(b) Plan Information
HREmployment History Form
HRSponsored Programs Foundation (SPF) Benefits for Eligible Employees
HREmployee Action Request - FOR UPDATES (EAR)STD. 686
HRUnderstanding Your State of California Pay Warrant
HRCatastrophic Leave Donation Form - Family Care
HRSeparating Employee Clearance Form
HREmployee Eligibility VerificationI-9
HRTSA Information
HRAdditional Work during Sabbatical or DIP Leave Approval Form
HRPregnancy Disability Certification
HRCatastrophic Leave Donation Form - Self
HRRequired Notification for Employees Not Covered by Social Security (SSA-1945 Form)
HRDomestic Partner Information
HRStatement Concerning Your Employment in a Job Not Covered by Social Security
HRMPP Justification Form
HRPrivacy Notice - Employee Assistance Program
HRAuthorization to Transport Form
HRRM - Field Trip Sign Out Release Agreement
HRDomestic Partner Forms
HRStudent Wage Schedule
HRInternational Travel Guide
HRNew Employee Checklist
HRCalPERS Health Benefit Plan Enrollment Form
HRRequest for Live Scan Service Form (Fingerprinting)
HRDiscrimination Complaint Resources
HRSupervisor's Report of Injury
HRTravel Exception Request Form
HRMPP Outside Employment Disclosure Form (HR 2016-06 & Attachment A)
HRCalPERS Retirement Refund Application Form
HRForm 104 - Report of Appointment for Special Consultants, Casual Workers and Extending Temp AppointmentsForm 104
HRDesignated Positions
HRStaff Evaluation Forms
HRLeave Without Pay (LWOP) Application (staff/management)