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COUNTER: 20157 accesses since 3/30/2005

Office of Human Resources

Commonly Used HR Forms

Application for Employment (487k)
CIRS Report Request Form (13k)

CSU Confidential Information Requirements (232k)
1. Non-Faculty Access and Compliance Form (81k)
2. Faculty Access and Compliance Form(124k)

Direct Deposit Authorization Form (56k)

Employee Action Request (67k)

Excess/Deficit Hours Calculation form (PDF 258k)

Fee Waiver Enrollment/Change Forms
1. Fee Waiver Application (47k)
2. Change in Fee Waiver Course(s) (34k) (required for changes/adds/drops)
3. Individual Career Development Plan (22k)
4. Dependent Fee Waiver - CSUEU Units (667k)
5. Dependent Fee Waiver - Units 1,3,4,6,8 and MPP/Confidential (59k)

FlexCash Authorization Form (732k)

HCRA/DCRA Combined Enrollment Form (1.3MB)

HCRA/DCRA Claim Form (ASI) (250k)

Health and Dental Benefits Enrollment Worksheet (49k)

In-Range Progression Forms

Labor Cost Distribution -

Medical Monitoring Requistion Form

New Hire Forms
1. General Information Form
2. Employee Action Request
3. DHS I-9 Form
4. Health Questionnaire
5. Ethnicity Survey
6. Disablity Status Survey
Position Reclassification Form

Reclassification Analysis - Supervisor Supplemental Questionnaire

Recruitment Processing Forms

Savings Bond Deduction Authorization (62k)
Separation Clearance Form
Supervisor Report of Injury (575k)
Telecommuting Policy Bundle (160k)

TSA 403(b) Enrollment/Change Forms (both the SRA and TSA Certification Form are required for new accounts or re-enrollments into prior accounts)
1. Salary Reduction Agreement (403b) (192k)
2. TSA 403(b) Certification Form (517k)

Workers Compensation Claim Form (206k)

Workers' Compensation and Industrial Disability Leave Pamphlet

Vision Claim Forms
1. Vision Claim (453k)
2. VDT Claim (426k)

Volunteer Forms
1. Volunteer Acknowledgement Form
2. Health Questionnaire
Staff Performance Evaluation Forms

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