Forms

Application for Outside Employment, Consulting, or Business Activity
    (Outside Activity) (PDF) (Word)

Art on Your Own Time Registration form (PDF)

Beneficiary Designation (PDF)

Beneficiary Designation Form for Fidelity (PDF)

Beneficiary Designation Form for TIAA-CREF (PDF)

Benefits Universal Enrollment Form for Southern California (iPDF)

Blue Cross PPO Claim Form (PDF)

Childcare Assistance Program Application (CCAP) (Word) (iPDF)

Delta Dental Claim Form (PDF)

Direct Deposit (iPDF)

Direct Deposit Cancellation (iPDF)

E-Pan Access (PDF)

Employment Verification Request (iPDF)

Exit Interview (MS Excel) (PDF)

Extended Workweek Request (Word) (PDF)

Health & Dental Insurance Designation Request (PDF)

Human Resources System Responsibilities Access Request (PDF)

Leave of Absence Request (iPDF)

Make Up Time Request (PDF)

Member of the Professional Staff Recommendation Form (Word) (PDF)

Nepotism Evaluation Form (PDF)

Notary Public Approval (Word) (PDF)

Notary Public Authorization (Word) (PDF)

Personnel Information Change Notice -- P-53  (Word) (iPDF)

Predesignated Physicians Forms (HTML)

Request for Duplicate W-2 Form (iPDF)

Spending Account Claim Form(PDF)

Spending Account Direct Deposit Request Form (Word)

Spending Account Enrollment (PDF)

Staff Personnel Requisition    

Student Employee Data Sheet (MS Excel)

Take Our Children to Work Day (iPDF)

Termination Clearance Sheet (MS Excel) (iPDF)
      (for instructions, please refer to the Termination PM)

Time and Leave Report - Exempt (PDF)

Time and Leave Report - Non-Exempt (PDF)

Tuition Reimbursement

Application -- Form 15-15A (Word) (PDF)

Funds Request -- Form 15-15B (Word) (PDF)

Women at Work Nomination Form (MS Excel)

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