| Title/Description of Form |
Format(s) |
How-To |
| Benefits: BELI Form (Benefits Eligibility Level Indicator ) |
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| Benefits: COBRA Continuation Notification |
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On the form |
| Benefits: Request to Continue/Cancel Coverage |
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On the form |
Benefits: Forms and Publications:
Resources for Departments |
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| CALS Project Monthly Tutoring Report |
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| Compensatory Time Off Election Form for
Clerical Unit Employees |
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| Compensatory Time Off Election Form for PPSM Employees |
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| Criminal Background Check: Sample letters |
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Demographic Data Transmittal Form
(formerly Affirmative Action Data Form) |
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| Direct Deposit Form (UPAY 544A-1) Note: On the page linked at right, this form is officially called "Payroll Earnings Distribution Authorization" form. |
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| Employee Organization Membership Payroll Deduction Authorization Form (UPAY 669) |
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| Family and Medical Leave of Absence Request |
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| Family and Medical Leave Certification Form |
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| Family and Medical Leave -
Return to Work Certification |
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| Family and Medical Leaves (FMLA/CFRA/PDL) – Departmental Worksheet |
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| Family and Medical Leave Benefits Checklist |
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| Required Forms Checklist-Hire and Rehire |
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On the form |
| I-9 (Employment Eligibility Verification Form) |
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| I-9 (Handbook for Employers) |
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| Interview Data Form (IDF) |
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On the form |
| Job Description Template (including an Addendum for Information Technology Positions) |
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| Layoff: Sample Letters |
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| Leave Time Report Form |
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| Oath of Allegiance/Patent Agreement |
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| Payroll Earnings Distribution Authorization (Direct Deposit) |
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| Performance Evaluation and Planning (PEP) forms for the 2008 Evaluation Cycle (non-represented staff) |
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| Performance Evaluation Forms for represented staff (sample forms) |
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Physical, Environmental, and
Mental Demands (PEM) |
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| PPSM Grievance Form |
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| Proof of Service Sample Form: Delivery by US Mail |
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| Proof of Service Sample Form: Personal Delivery |
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| Retirement Gift Request Form |
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| Retirement Plan Waiver and Release |
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| Service Award Request Form |
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| SRA Evaluation Form |
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| UCRS 419 Position not covered by Social Security |
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| UAW Grievance Form |
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| UAW Membership Form |
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| W-4 Federal Withholding (Form UC W-4/DE 4) - This form can be filled in electronically. Read notes on form about privacy. |
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On the form |
| W-4 Federal Withholding Form - Nonresident (Form UC W-4NR/DE 4) - This form can be filled in electronically. Read notes on form about privacy. |
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