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HR Forms and Guidelines
( Benefits Forms are located on the Benefits web page )
Outstanding Staff Nomination
- Nomination Procedures and Form [word]
rev. 11/07
- Reference Form [word]
rev. 11/07
Employee Information
Update
- Personal Data Changes [word]
rev. 4/02
- Employee Self Service (link)
Recruitment/Employment
- HR 120 – Position Description [word]
rev. 5/02
- HR 101 – Staff/MPP Personnel Action Request [word]
rev. 6/06
- Position Safety Training Checklist (Complete for new appointments)
[word]
- HR 101b – Appointment Recommendation Form – Selection Process
Summary [word]
rev. 4/07
- HR 101-R - Request for Rehired Annuitant Appointment - Staff/MPP
[word] [pdf]
rev. 6/06
- HR 101-S - Additional Employment Agreement [word]
rev. 8/05
- HR 400 Telecommuting/Telework Agreement [word]
rev. 6/06
- Telecommuting Guidelines [word]
rev. 6/06
- Additional Recruitment/Employment Forms available on Hiring
Department Information web page (link)
Separation/Leave of Absence/Early
Settlement
- HR 190/190a (Staff/MPP) Application for Leave w/o Pay; Election
of Direct Payment of Benefits While on Leave w/o Pay; Procedures [word]
[pdf] rev.
1/08
- HR 190a (Faculty) Election of Direct Payment of Benefits While
on Leave w/o Pay [word]
[pdf] rev. 5/06
- HR 191 Resignation Form [word]
[pdf] rev.
8/05
- PR 192 Faculty Early/Final Settlement Authorization [word]
[pdf] rev. 5/06
- PR 193 Tax Deferred Contribution from Final or Vacation Settlement
Pay [pdf]
- PR 300 Employee Separation Form [word]
[pdf]
rev. 8/05
- Timelines and information about The Retirement Process
Fee Waiver
- HR 133 Employee Fee Waiver Course Notification [word]
rev. 9/06
- HR 133a Employee Fee Waiver Program – Individual Career Development
Plan [word] [pdf]
rev. 6/02
- HR 133b Employee Fee Waiver Program – Change of Courses [word]
rev. 9/06
- HR 133c Dependent Fee Waiver [word]
rev. 3/07
- HR 133d Disabled Dependent Benefit [pdf]
- HR 133e Affidavit of Eligibility for Economically Dependent
Children [pdf]
Evaluation/Performance Appraisal
- HR 136 Performance Planning and Appraisal for Mgmt Personnel
[word] [pdf]
rev. 4/04
- HR 136a Management Employee Self-Evaluation [word]
[pdf] rev. 5/02
- HR 138 Staff Performance Appraisal [word]
[pdf] rev.
8/02
- HR 138a Staff Employee Self-Evaluation [word]
[pdf] rev. 5/00
- Annual Employee Evaluation Cycle for Staff Employees [word]
- HR 140 Unit 4 Report of Employee Performance with instructions
for completion [word]
Classification &
Salary
- HR 120 – Position Description [word]
rev. 5/02
- HR IRP Procedures and Form for Requesting In-Range Progression
CSUEU Employees [word]
rev. 6/07
Workers' Compensation
- RM 104-B Predesignation of Physician [pdf]
rev. 10/07
- RM 104-B Attachment [pdf]
- RM 104-B Instructions [pdf]
- RM 3067 Supervisor's Report of Injury[pdf]
rev. 10/07
- RM 3067 Supervisor's Instructions [pdf]
rev 10/07
- Record of Incident [pdf] Rev 1/08
- Work-Related Injury/Illness Flowchart [pdf]
- Workers' Compensation Claim Form (Form is available in Risk
Management, Building 80, room 102)
Volunteers
- RM V-1 Volunteer Identification Form [pdf]
rev. 08/07
- Read Volunteer Instructions before completing
form. [pdf]
rev. 08/07
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