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Human Resources Forms

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Employment | Classification And Compensation | Financial and Retirement | HRMS | Online Resources | Payroll | Professional Development | Temporary Lecturer/Faculty You will need Adobe Reader to view PDF files on this page; it is a free download from Adobe.com (http://get.adobe.com/reader/). Please update to Adobe Reader - it has improved features for using and saving forms. 1) Ensure that Adobe Reader is installed on your computer. 2) Download the PDF to your computer. 3) Open the PDF using Adobe Reader.

Employment Form Title/ Description

Word

PDF







Hiring & Recruitment





Employment



(http://askhr.sfsu.edu) Hours: Mon. - Fri. | 8 a.m. - 5 p.m.

Application for

E-mail: [email protected] (/sites/default/files/Staff_Admin%20Application%20Form.pdf)

Staff/Administrator

(mailto:[email protected])

(Non-Faculty)

Phone: (415) 338-1872

Recruitment Approval

Fax: (415) 338-0521

Authority Matrix

Recruitment Request

(/sites/default/files/Recruitment_Authorization_Matrix.pdf) Address: 1600 Holloway Ave.



Administration Bldg, RM 252

Form

San Francisco, CA 94132

(/sites/default/files/Recruitment%20Request%20Form-%20Fillable.pdf)

Emergency Hire/Casual

HR Links

Worker Request

Background Check Program (/content/background-check) Calendar & Schedules (/calendar_launch) (/sites/default/files/Reference%20Check%20Form.pdf) Clearing Your Browser Cache (http://tech.sfsu.edu/guides/clearingyour-browser-cache) (/sites/default/files/Recommendation%20to%20Hire%20Form.pdf) Directives & Guidelines (/Labor_Compliance_ProfDev/emp_relations/direct_and_guide) (/sites/default/files/Request%20to%20Appoint%20Volunteer.pdf) Your Emergency Contact Information (/content/emergency-notification) FAQs (/content/frequently-asked(/sites/default/files/Request%20to%20Appoint%20Special%20Consultant%20%28Rev.%2010-20-17%29.pdf) questions) Forms (/forms) HRMS Sign In (https://cmsweb.sfsu.edu/psp/HSFPRD/? cmd=login&languageCd=ENG&gsmobile=0) (/sites/default/files/Form_I_9_7_17_17_fillable.pdf) Liaison Support (/content/hr-liaison support) Peer Champions (/content/peerchampions) Quick Links (/quick_links) Self Service (/sites/default/files/Work%20Schedule.pdf) (https://inside.sfsu.edu/portal/staff/employeeservices) Staff (/hrstaff) (/sites/default/files/Employee%20Information%20Form_FINAL.pdf) Tips (/HR_tips) SF State Password (https://www.sfsu.edu/online/troubletips.htm) (/sites/default/files/Employee%20Action%20Request.pdf) Voluntary Self-Identification of Disability (/content/voluntary-selfidentification-disability) (/sites/default/files/Emergency%20Notification_0.pdf) (/sites/default/files/Emerg%20Hire%20Casual%20Worker.pdf)

Reference Check Form

Recommendation to



Hire

Request to Appoint a



Volunteer

Request to Appoint



Special Consultant

New Hire Forms I-9 Form



I-9 Form Instructions



(https://www.uscis.gov/i9)

Work Schedule



Employee Information Form

Employee Action



Request Form

Emergency Notification

Position Descriptions Guide for Writing Position Description Position Description for Staff





(/sites/default/files/GUIDE%20FOR%20WRITING%20REPRESENTED%20POSITION%20DESCRIPTIO

(/sites/default/files/Position%20Description%20Template.docx)(/sites/default/files/Position%20Description%20Template.pdf)

Position Description for Administrator (/sites/default/files/MPP%20PD(MPP) %20Six%20Roles%20of%20Leader-%20Template.docx) PD Example - MPP PD Six Rolesof Leader (/sites/default/files/PD%20Example%20MPP%20PD%20Six%20Roles%20of%20Leader.docx) Policies Conditions of

(/sites/default/files/MPP%20PD-%20Six%20Roles%20of%20Leader-%20Template.pdf) (/sites/default/files/PD%20Example-%20MPP%20PD%20Six%20Roles%20of%20Leader.pdf)



Employment (/sites/default/files/Conditions%20of%20Employment.pdf)

Nepotism Compliance (/sites/default/files/Nepotism%20Compliance.pdf)

Systemwide Mandatory Reporting of Child Abuse and Neglect Executive Order 1083 - Attachment C Limited Reporters Systemwide Mandatory Reporting of Child Abuse and Neglect Executive Order 1083 - Attachment D General Reporters Systemwide Mandatory Reporting of Child Abuse and Neglect Executive Order 1083 - Attachment E (Form SS 8572, Suspected Child Abuse Report) Telecommuting

(/sites/default/files/EO%201083%20Rev%207-21-17%20Attachment%20C%20Form.pdf)

(/sites/default/files/EO%201083%20Rev%207-21-17%20Attachment%20D%20Form.pdf)

(http://www.calstate.edu/eo/EO-1083-rev-7-21-17-Attachment-E.pdf)

Program Policy & (/sites/default/files/Telecommuting%20Policy%20and%20Guidlelines.pdf)

Guidelines

Telecommuting



Program Request Form (/sites/default/files/Telecommuting%20Program%20Request%20Form.pdf)

back to the top





Benefits





Form Title/ Description

PDF



Affidavit of





Eligibility for Economically

(/sites/default/files/assets/online_forms/Benefits/economically_dep_child.pdf)

Dependent Children The needed form to add an economically dependent child or children to your health plan. Affidavit of Marriage In lieu of (/sites/default/files/assets/online_forms/Benefits/Affidavit_of_Marriage.pdf) a marriage certificate required to enroll spouse into benefit plans. Affidavit of

Parent-Child Relationship





(/sites/default/files/affidavit-parent-child-relat-form.pdf)

CalPERS Beneficiary Designation Form (http://www.calpers.ca.gov/index.jsp?bc=/about/forms-pubs/all-mbr-forms/home.xml) COBRA Election Form (/sites/default/files/assets/online_forms/Benefits/COBRA%20Election%20Form.pdf) Declaration of Domestic Partnership To (/sites/default/files/assets/online_forms/Benefits/Declaration_of_Domestic_Partnership.pdf) register domestic partnership with the State of California. Declaration of Health Coverage (/sites/default/files/assets/online_forms/Benefits/HBD12A.pdf) - HBD12A Dental Plan Enrollment Authorization To (/sites/default/files/assets/online_forms/Benefits/Dental%20Plan%20Enrollment.pdf) enroll in the dental plan. Employer Zip Code Selection (/sites/default/files/assets/online_forms/Benefits/Employer_Zip_Code_Election.pdf) To qualify for HMO based on employer zip code instead of residential zip. Flexcash Program (/sites/default/files/FlexCash_Enrollment_Form.pdf) Enrollment Authorization To enroll in the Flexcash Program. Health/Dependent Care Reimbursement (/sites/default/files/DCRA_HCRA%20Enrollment%20Form.pdf) Account Enrollment Form Family Medical Leave (/sites/default/files/Family%20Medical%20Leave%20Certification_FML_8.2017.pdf) Certification (FML) CalPERS Health Benefit Plan Enrollment Form (/sites/default/files/assets/online_forms/Benefits/HBD12.pdf) To enroll in a Health Benefit Plan The Standard Employer Paid (http://www.standard.com/eforms/1628_603267w.pdf) Life and AD&D Beneficiary Designation Form VSP Out-of Network Reimbursement (/sites/default/files/VSP_Out_of_Network_Reimbursement_Form.pdf) Form To claim expenses for outof-network vision services. VSP Video Display (/sites/default/files/CVC_Form.pdf) Terminal(VDT) Claim Form To claim VDT glasses. Catastrophic Leave Donation (/sites/default/files/CATASTROPHIC%20LEAVE%20DONATION_2016.pdf) Form Used to submit donations of sick or vacation leave to employees who are eligible for catastrophic leave. Leave of Absence Request (Faculty Only) Employee (/sites/default/files/lwop_application_June_2013.pdf) report for medical leave without pay Extension of Probationary (http://www.sfsu.edu/~academic/policies.html) Period form (Faculty Only) Used with Faculty Leave of Absence Leave of Absence Request Form (/sites/default/files/Leave%20of%20Absence%20Request%20Form_8.2017.pdf) MPP Administrative (/sites/default/files/MPP%20PAID%20ADM%20LEAVE.pdf) Leave back to the top

Classification & Compensation Compensation





and/or Classification (/sites/default/files/Classification_and_Compensation_Review_Authorization_Matrix.pdf)

Review Authorization

Classification and Compensation Request Form

back to the top

(/sites/default/files/Classification_and_Compensation_Request_Form.pdf)





HRMS Form Title/ Description

WEB

HRMS Access Request Form - Requesting for ETRAC, Absence Management, Recruiting, Time (/content/hrms-access-request& Labor (Time Sheets), Query HRMS access form) Security Awareness (Employee/Student Information) Training (http://tech.sfsu.edu/guides/skillport) back to the top

Online Resources Form Title/

-WEB





































Description Personnel Practice Directives

(/Labor_Compliance_ProfDev/emp_relations/direct_and_guide)

back to the top

Payroll Form Title/ Description

PDF



Absence and Additional Time Worked Report: To (/sites/default/files/assets/online_forms/Payroll/std_634.pdf) report employee absences or additional time worked. (Rev Aug 2009) Absence and Additional Time (/sites/default/files/assets/online_forms/Payroll/std_634_instruct.pdf) Worked Report: Instructions Instructions on how to complete the February 2006 revised Absence and Additional Time Worked Report. Authorization for Extra Hours Form: (/sites/default/files/assets/online_forms/Payroll/payroll_500.pdf) required to authorize request to work overtime. CalPERS Reciprocal Self-Certification Form (PERS-CASD (https://www.calpers.ca.gov/docs/forms-publications/self-certification.pdf) 801) Direct Deposit Enrollment (/sites/default/files/assets/online_forms/Payroll/Direct_Deposit_Enrollment_Authorization.pdf) Authorization: To enroll in direct deposit of paychecks. Dock Notice: To notify Payroll that an employee is being (/sites/default/files/Dock%20Form%20%23702%252c%20Rev%2005_16.pdf) docked. Employee Action Request: To report changes of address (/sites/default/files/assets/online_forms/Payroll/Employee_Action_Request.pdf) and withholding allowance. Employment Verification Request (/sites/default/files/VOE_Employment%20Verification%20Request_090816.pdf)



Honorarium Payment Request: To request payment (/sites/default/files/Honorarium%20Payment%20Request%20Form%202017.04.27.pdf) for presenter/lecturer at a campus event. Information About Social Security (/sites/default/files/assets/online_forms/Payroll/Information_About_Social_Security_Form.pdf) Form: Statement concerning employment in a job not covered by Social Security Leave Discrepancies (/sites/default/files/assets/online_forms/Payroll/hrleave.pdf) Reporting Form: Use this form to report discrepancies in your leave statement Report of Extra Hours Worked (/sites/default/files/assets/online_forms/Payroll/payroll_501.pdf) Form: required to record extra hours worked. Request for Duplicate W-2: To (/sites/default/files/STD%20436%20-%20Duplicate%20W2%20Request_0916_0.pdf) request duplicate W-2 Signature Authorization List (/sites/default/files/assets/online_forms/Payroll/Signature_Authorization_List.pdf) Student Payroll Voucher - Fall & (/sites/default/files/assets/online_forms/Payroll/students/Student_Voucher_Fall-Spring.pdf) Spring Student timesheet for the Fall and Spring semesters only. Student Payroll Voucher - Summer Student timesheet (/sites/default/files/assets/online_forms/Payroll/Student_Voucher_summer_reader.pdf) for the Summer semester only. Student Payroll Action Request: To (/sites/default/files/assets/online_forms/Payroll/Student_Payroll_Action_Request.pdf) obtain pertinent information for student employees, address changes, and withholding allowance. Substitute Faculty Appointment: To (/sites/default/files/subfac_pd_105d.pdf) appoint substitute faculty. Timesheet Adjustment





































Information (/sites/default/files/Timesheet_Adjustment_info.pdf)

Timesheet Update





Request (/sites/default/files/Timesheet_Update_Request.pdf)

Vacation Request





(/sites/default/files/Vacation%20Request%20Form.pdf) Warrant Designee: To designate individual to receive (/sites/default/files/assets/online_forms/Payroll/Designation_of_Person_Authorized_to_Receive_Warrants.pdf) final pay. back to the top

Financial & Retirement Form Title/ PDF Description



Initiating Retirement at (/sites/default/files/assets/online_forms/retirement/Initiating_Retirement_SFSU.pdf) San Francisco State CalPERS Beneficiary Designation (http://www.calpers.ca.gov/index.jsp?bc=/about/forms-pubs/all-mbrforms/home.xml) (active employees only) CalPERS Service (http://www.calpers.ca.gov/index.jsp?bc=/about/forms-pubs/all-mbrCredit forms/home.xml) Purchase Options CalPERS Service (http://www.calpers.ca.gov/index.jsp?bc=/about/forms-pubs/all-mbrRetirement forms/home.xml) Election Application CalPERS Disability (http://www.calpers.ca.gov/index.jsp?bc=/about/forms-pubs/all-mbrRetirement forms/home.xml) Election Application CalPERS Retirement (http://www.calpers.ca.gov/index.jsp?bc=/about/forms-pubs/all-mbrAllowance forms/home.xml) Estimate Request Maximum Exclusion (http://calstate.edu/benefits/carrier.materials/2009_MaximumCatchUpPaperV.pdf) Allowance 403(b) Request Form back to the top

Professional Development Form Title/ Word Description

PDF



Employee Fee Waiver (/sites/default/files/emp_fw_app_2015.pdf) Application Employee Fee Waiver (/sites/default/files/assets/online_forms/AEIOU/course_ch_fw_100609.pdf) Change of Course(s) Form Dependent Fee Waiver (/sites/default/files/dep_fw_app_2015.pdf) Application Performance Evaluation (/sites/default/files/perfeval.doc) (/sites/default/files/perfeval.pdf) Form Unit 4 Performance (/sites/default/files/unit4eval.doc)(/sites/default/files/unit4eval_accessible.pdf) Evaluation Form Management Personnel (/sites/default/files/MPPPR_accessible.pdf) Plan Performance Review Individual Career (/sites/default/files/assets/online_forms/AEIOU/ICDP_100609.pdf) Development Plan (ICDP) Form back to the top

Temporary Lecturer/Faculty FormForm Title/ PDF # Description



FAO Application 112 for Temporary Faculty Employment FAO Application 113 for Subsequent Temporary Faculty Appointment Temporary Faculty Evaluation Form



(/sites/default/files/assets/forms/../online_forms/emprels/FAO112.pdf)



(/sites/default/files/assets/forms/../online_forms/emprels/FAO113.pdf)



(/sites/default/files/TemFacEvalJun16.pdf)





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