Human Resources Forms

Employment | Classification And Compensation | Financial and Retirement  | HRMS | Online Resources | Payroll | Professional Development  | Temporary Lecturer/Faculty

 

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Employment

 
Form Title/ Description
Word
PDF
 
 

 

     
  Hiring & Recruitment      
  Employment Application for Staff/Administrator (Non-Faculty)   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Recruitment Approval Authority Matrix   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Recruitment Request Form   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Emergency Hire/Casual Worker Request   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Reference Check Form   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Recommendation to Hire   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Request to Appoint a Volunteer   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Request to Appoint Special Consultant   Application for Staff/Administrator (Non-Faculty) PDF Icon  
         
  New Hire Forms      
  I-9 Form   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Work Schedule   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Employee Information Form   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Employee Action Request Form   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Emergency Notification   Application for Staff/Administrator (Non-Faculty) PDF Icon  
         
  Position Descriptions      
  Position Description for Staff ms word icon Position Description for Administrator (MPP)  PDF Icon  
  Position Description for Administrator (MPP) ms word icon Position Description for Administrator (MPP)  PDF Icon  
         
  Policies      
  Conditions of Employment   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Nepotism Compliance   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Child Abuse and Neglect Acknowledgement Form Executive Order 1083   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Telecommuting Program Policy & Guidelines   Application for Staff/Administrator (Non-Faculty) PDF Icon  
  Telecommuting Program Request Form   Application for Staff/Administrator (Non-Faculty) PDF Icon  
         
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Benefits

         
 
Form Title/ Description
 
PDF
 
         
  Affidavit of Eligibility for Economically Dependent Children The needed form to add an economically dependent child or children to your health plan.   Affidavit of Eligibility for Economically Dependent Children PDF Icon  
  Affidavit of Marriage In lieu of a marriage certificate required to enroll spouse into benefit plans.   Affidavit of Marriage PDF Icon  
  Affidavit of Parent-Child Relationship   Affidavit of Parent-Child PDF Icon  
  CalPERS Beneficiary Designation Form   CalPERS Beneficiary Designation Form PDF Icon  
  COBRA Election Form    COBRA Election Form PDF Icon  
         
  Declaration of Domestic Partnership To register domestic partnership with the State of California.  

Declaration of Domestic Partnership PDF Icon

 
  Declaration of Health Coverage - HBD12A   Declaration of Health Coverage - HBD12A PDF Icon  
  Dental Plan Enrollment Authorization To enroll in the dental plan.   Dental Plan Enrollment Authorization PDF Icon  
  Employer Zip Code Selection To qualify for HMO based on employer zip code instead of residential zip.   Employer Zip Code Selection PDF Icon  
  Flexcash Program Enrollment Authorization To enroll in the Flexcash Program.   Flexcash Program Enrollment Authorization PDF Icon  
  Health/Dependent Care Reimbursement Account Enrollment Form   health dependent care form PDF Icon  
  Paid Maternity/Paternity/Adoption/Parental Leave Request Form   Medical Plan Comparison Chart PDF Icon  
  CalPERS Health Benefit Plan Enrollment Form To enroll in a Health Benefit Plan   PERS Health Benefit Plan Enrollment Form PDF Icon  
  The Standard Employer Paid Life and AD&D Beneficiary Designation Form   The Standard Employer Paid Life and AD&D Beneficiary Designation Form PDF Icon  
  VSP Out-of-Network Reimbursement Form To claim expenses for out-of-network vision services.   VSP Out-of-Network Reimbursement Form PDF Icon  
  VSP Video Display Terminal(VDT) Claim Form To claim VDT glasses.   VSP Video Display Terminal(VDT) Claim Form PDF Icon  
  Catastrophic Leave Donation Form Used to submit donations of sick or vacation leave to employees who are eligible for catastrophic leave.   Catastrophic Leave Donation Form PDF Icon  
         
  Leave of Absence Request (Faculty Only) Employee report for medical leave without pay   Leave of Absence Request (Faculty Only) PDF Icon  
  Extension of Probationary Period form (Faculty Only) Used with Faculty Leave of Absence   Extension of Probationary Period form (Faculty Only)PDF Icon  
  Leave of Absence Without Pay, Request form For staff and administrative personnel.   Leave of Absence Without Pay, Request form PDF Icon  
  MPP Administrative Leave   Leave of Absence Without Pay, Request form PDF Icon  

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Classification & Compensation

  Compensation and/or Classification Review Authorization   Salary Offer Authorization  
  Classification and Compensation Request Form   request form  
         

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HRMS

 
Form Title/ Description
 
 
WEB
  HRMS Access Request Form - Requesting for ETRAC, Absence Management, Recruiting, Time & Labor (Time Sheets), Query HRMS access     icon web
  Security Awareness (Employee/Student Information) Training     icon web

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Online Resources

 
Form Title/ Description
 
-
WEB
  Personnel Practice Directives     icon web

 

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Payroll

 
Form Title/ Description
 
PDF
 
  Absence and Additional Time Worked Report: To report employee absences or additional time worked. (Rev Aug 2009)   Absence and Additional Time Worked Report  PDF Icon  
  Absence and Additional Time Worked Report: Instructions Instructions on how to complete the February 2006 revised Absence and Additional Time Worked Report.   Absence and Additional Time Worked Report Instructions PDF Icon  
  Authorization for Extra Hours Form: required to authorize request to work overtime.   Authorization for Extra Hours PDF Icon  
  CalPERS Reciprocal Self-Certification Form (PERS-CASD 801)   reciprocal form  
  Direct Deposit Enrollment Authorization: To enroll in direct deposit of paychecks.   Direct Deposit Enrollment Authorization PDF Icon  
  Dock Notice: To notify Payroll that an employee is being docked.   Dock Notice PDF Icon  
  Employee Action Request: To report changes of address and withholding allowance.   Employee Action Request PDF Icon  
 

Employment Verification Request

  Employment Verification  
  Honorarium Payment Request: To request payment for presenter/lecturer at a campus event.   Honorarium Payment Request PDF Icon  
  Information About Social Security Form: Statement concerning employment in a job not covered by Social Security   Information About Social Security Form  PDF Icon  
  Leave Discrepancies Reporting Form: Use this form to report discrepancies in your leave statement   Leave Discrepancies Reporting Form PDF Icon  
         
  Report of Extra Hours Worked Form: required to record extra hours worked.   Report of Extra Hours Worked PDF Icon  
  Request for Duplicate W-2: To request duplicate W-2   Request for Duplicate W-2  PDF Icon  
  Signature Authorization List   Student Payroll Action Request  PDF Icon  
  Student Payroll Voucher - Fall & Spring Student timesheet for the Fall and Spring semesters only.   Student Payroll Action Request  PDF Icon  
  Student Payroll Voucher - Summer Student timesheet for the Summer semester only.   Student Payroll Action Request  PDF Icon  
  Student Payroll Action Request: To obtain pertinent information for student employees, address changes, and withholding allowance.   Student Payroll Action Request  PDF Icon  
  Substitute Faculty Appointment: To appoint substitute faculty.   Substitute Faculty Appointment  PDF Icon  
  Timesheet Adjustment Information   Substitute Faculty Appointment  PDF Icon  
  Timesheet Update Request   Substitute Faculty Appointment  PDF Icon  
  Vacation Request     vacation request  PDF Icon  
  Warrant Designee: To designate individual to receive final pay.   Warrant Designee  PDF Icon  

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Financial & Retirement

 
Form Title/ Description
 
PDF
 
  Initiating Retirement at San Francisco State   Initiating Retirement at San Francisco State  PDF Icon  
  CalPERS Beneficiary Designation (active employees only)   CalPERS Beneficiary Designation (active employees only)  PDF Icon  
  CalPERS Service Credit Purchase Options   CalPERS Service Credit Purchase Options  PDF Icon  
  CalPERS Service Retirement Election Application   CalPERS Service Retirement Election Application  PDF Icon  
  CalPERS Disability Retirement Election Application   CalPERS Disability Retirement Election Application PDF Icon  
  CalPERS Retirement Allowance Estimate Request   CalPERS Retirement Allowance Estimate Request  PDF Icon  
  Maximum Exclusion Allowance 403(b) Request Form   Maximum Exclusion Allowance 403(b) Request Form  PDF Icon  
         
       

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Professional Development

 
Form Title/ Description
Word
PDF
 
  Employee Fee Waiver Application   Employee Fee Waiver Application  PDF Icon  
  Employee Fee Waiver Change of Course(s) Form   Employee Fee Waiver Application  PDF Icon  
  Dependent Fee Waiver Application   Dependent Fee Waiver Application  PDF Icon  
  Performance Evaluation Form ms word icon Performance Evaluation Form PDF Icon  
  Unit 4 Performance Evaluation Form ms word icon Unit 4 Performance Evaluation Form PDF Icon  
  Management Personnel Plan Performance Review   Management Personnel Plan  PDF Icon  
  Individual Career Development Plan (ICDP) - Form   Individual Career Development Plan (ICDP) - Form PDF Icon  

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Temporary Lecturer/Faculty

Form #
Form Title/ Description
 
PDF
 
FAO 112 Application for Temporary Faculty Employment   employment_PDF_Icon  
FAO 113 Application for Subsequent Temporary Faculty Appointment   Application for Subsequent Temporary Faculty Appointment PDF Icon  
  Temporary Faculty Evaluation Form   Temporary Faculty Evaluation Form PDF Icon  
         

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