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Human Resources Forms A to Z:
START HERE: Please press CTRL + F to find your form. If you require
an alternate format than the one provided below, please contact marianne.hudz@csun.edu.
FORM TITLE |
DESCRIPTION |
NAME
|
|---|---|---|
| Absence Report | Used internally by campus departments to report leave usage. | PA 634 (2/2004) |
Action Request Form  INSTRUCTIONS FOR THIS FORM GUIDELINES FOR THIS FORM |
(Combines 3 forms in 1 - Status, Emergency/Limited-Term
Appointment, & Recruitment Requisition Forms) This form is used to request changes to the current employment status of an employee; request a limited-term, temporary appointment to a position vacancy for which recruitment is not required; and to initiate recruitment to fill all vacant state positions with the exception of student assistant, work-study student, graduate assistant, and positions in Unit 3. |
(7/2007) |
| Applicant Interview Evaluation Record | Used to list criteria for evaluating interviewed candidates during a search. | OHRS-2054 (12/2000) |
| Applicant Selection Form | Used to convey final selection after completion of interviews in a search. | OHRS-205 (11/2001) |
| Application Screening Record | Used to list criteria for screening applications during a search. | OHRS-2055 (12/1000) |
| Authorization for Moving & Relocation Expense Reimbursement | Used by departments to authorize moving and relocation reimbursement for administrators, faculty and staff. | OHRS-2058 (3/2007) |
| Catastrophic Leave Donation Form | Donations of sick or vacation leave to employees of CSUN who are eligible for catastrophic leave. | OHRS-1-8 (12/2003) |
| Catastrophic Leave Donation Program | Used to request participation in the Catastrophic Leave donation Program. | OHRS-3079 (4/2004) |
| Classification Appeal | Used for Employee notice of classification appeal. | OHRS 10-2 (11/2004) |
| Confidentiality Statement, Faculty/Staff | Use this form for access to University data systems containing personal, academic, or financial information about students, faculty, staff, or alumni. | OHRS 50-15 (7/2004) |
| Delta Dental DPO Claim Form | Used for dental services rendered. Form is to be taken to dental office for completion. | DELTA 105 (7/2003) |
Direct Deposit Enrollment Authorization |
Used to enroll in or change direct deposit of pay warrants (return with signature to Payroll Administration, University Hall Room 185; questions, call x2314). Link to form takes you to State of California forms website. | STD 699 (7/2000) |
| Employee Action Request/Change Form (Faculty/Staff/Management/Employee Only) |
Employee Action Request Form is used to make changes to Federal and State Withholding and/or address changes. Remit completed form to HRIS/Payroll Administration, UN-185 with original signature and date. No photocopies accepted. Link to form takes you to State of California forms website. | STD 686 (12/2004) |
| Employee Information Change Form - State | Use for employee information changes such as address, telephone number, etc. Instructions are included with this form | OHRS 30-72 (8/1999) |
| Employment Application | Use this form to apply for employment at California State University, Northridge. | n/a (4/2006) |
| Exit Interview INSTRUCTIONS FOR THIS FORM |
Staff members are encouraged to complete and submit this form to Human Resources when separting from the university. | (4/2008) |
| Extra Hours Worked Authorization | Used by campus employees to document their overtime, CTO, or straight time worked in excess of their regular schedule. | PA 125 (4/2004) |
| Extra Hours Worked, Control Log CTO INSTRUCTIONS FOR THIS FORM |
Monthly control log used to summarize all of the CTO (Compensatory Time Off) credits earned by employees. Must be submitted with "Authorization for Extra Hours Worked" sheet(s). | OHRS PSC 60-66 (8/2005) |
| Extra Hours Worked, Control Log Straight Time
INSTRUCTIONS FOR THIS FORM |
Monthly control log used to summarize all of the overtime/straight time
cash payments due to employees. Must be submitted with "Authorization for Extra Hours Worked" sheet(s). |
OHRS PSC 60-5 (8/2005) |
| In-Range Progression Request Form |
Used to request an increase within a salary range for a single classification, or within a sub-range of classification. | OHR 10-17 (02/2008) |
| Interview Evaluation Record (Search Form) |
Used to list criteria for evaluating interviewed candidates during a search. | OHRS 20-54 (12/2000) |
| Justification for Initiation of Search or Certain Personnel Appointments/ Actions in the General Fund for Academic Affairs | This form is to be completed and attached to the Personnel Requisition for all requests to initiate a search for management, probationary, and temporary renewable staff appointments; and extensions of temporary renewable appointments of six months or more in the General Fund for Academic Affairs. | OHRS 20-62 (01/2004) |
| Justification for Recruitment of Vacant Position | This form is to be completed and attached to the Personnel Requisition for all requests to initiate a search for management and probationary staff appointments in the General Fund. | OHRS 20-62 (01/2004) |
| Leave of Absence Request Form |
This form is used to request a Leave of Absence or request to return to work from a leave. | (07/2007) |
| Master Payroll Certification (MPC) Exception Form | Use this form to report monthly master payroll transactions missed during the regular MPC cycle. | MPC Form (1/2006) |
| New Employee Sign-In Form | Used for new employee sign in. | OHRS 20-56 (11/2007) |
| Parking, Faculty & Staff | Used to obtain a parking permit. The cost of the parking permit is determined by the employee's bargaining unit. | UCS (4/2008) |
| Pay Warrant Replacement - Lost/Stolen | Used by employees to request a duplicate pay warrant / stop payment (return with Signature to Payroll Administration, University Hall Room 185, questions, call x2314). Link to form takes you to State of California forms website. | STD 435 (9/2000) |
| Performance Evaluation Form MPP Performance Review and Assessment Tool |
Used to evaluate MPP administrators and supervisors. | n/a (7/2007) |
| Performance Evaluation Form (Unit 4) | Used to evaluate performances for employees within Unit 4. | OHRS 20-49 (12/2005) |
| Performance Review | Used to evaluate all support staff (instructions included with form). | OHRS 30-11 (8/2002) |
| Personnel Action Request Form - General | Used for general personnel action request. | n/a |
| Personnel Action Request Form - Faculty Full-Time | Used for full-time faculty personnel action request. | n/a |
| Personnel Action Request Form - Faculty Part-Time | Used for part-time faculty action request. | n/a |
| Portal Access for NEW Special Pay Faculty | Used to activate CSUN ID for access to the portal. | OHRS 50-14 (5/2006) |
| Position Description - MPP | Used to develop the Performance Program for MPP positions. | OHRS 1-9 (2/2003) |
| Position Description Form | Use this form to provide the employee with a written description of the duties for which he or she is responsible. This form replaces OHRS 10-06, 10-10, and the Position Analysis/Description Questionnaire (for I.T. Positions) | OHRS 10-09 (11/2004) |
| Position Description Form - Auxiliary | Use this form to provide the employee with a written description of the duties for which he or she is responsible. | OHRS TUC 10-11 (4/2005) |
| Prior Pay Period Adjustment Form | Used by campus departments to request adjustments to an employee's pay and/or leave balance, including sick leave, CTO, and vacation usage from a prior pay period. DO NOT USE THIS FORM FOR WORK-STUDY PRIOR PAY PERIOD ADJUSTMENTS. | PA 115 (8/2005) |
| Prior Pay Period Adjustment Form - Work-Study | Summary to report miscellaneous adjustments to Work-Study Payroll, including hours from a prior pay period. Use for on and off campus Work-Study. (Instructions included with form) | OHRS-PSC-60-10 (11/2003) |
| Relocation Declaration of Reimbursement | Used to acknowledge compliance with conditions under which moving and relocation expenses shall be repaid. | OHRS 2065 (3/2005) |
| Retirement (Part-Time, Seasonal, Temporary) Distribution Form | Used to request payment of PST retirement funds after retirement or separation from State employment. | DC-3500 (1/2005) |
| Retirement Application for CalPERS | Used by members of CalPERS to apply for service retirement. | PERS-BSD-369-S |
| Salary Reduction Form/Tax-Sheltered Annuity Salary Reduction Agreement | Used when enrolling and/or making a change to a 403(b) Tax-sheltered Annuity plan. | (2007) |
| Selection Form | Used to convey final selection after completion of interviews in a search. | OHRS 205 (11/2001) |
| Separation/Clearance Designee Election Form | Used to designate an employee responsible for completing all department separation/clearance processes. | OHRS 30-73 (3/1999) |
| Separation/Clearance Form | For all faculty and staff who are separating employment from CSUN. Full and part-time faculty members who are expected to return during the following semester may be exempt from this process, at the discretion of the Dean of the College. | OHRS 30-23 (3/2004) |
| Signature Authorization, Payroll Documents | Used by campus departments to notify HRIS/Payroll Administration of persons authorized to sign payroll documents. | OHRS PSC 60-16 (2/2004) |
| SOLAR HRMS Access Request Form | Use this form to request access to the HR system for an individual employee. | OHRS 50-12 (4/2005) |
| Special Pay Authorization INSTRUCTIONS FOR THIS FORM |
Used by campus departments to request payments for hours, units, or days worked on projects falling under the "Special Pay" classifications. | PA 120 (3/2005) |
| Student Action Request/Change Form | CSU Student Payroll Action Request Form is used to make changes to Federal and State Withholding and/or address changes. Remit completed form to HRIS/Payroll Administration, UN-185 with original signature and date. No photocopies accepted. Link to form takes you to State of California forms website. | STD 457 (9/2004) |
| Student Assistant Payroll Summary INSTRUCTIONS FOR THIS FORM |
Monthly payroll summary for Student Assistant workers in campus departments. Will accommodate up to 25 students. | OHRS PSC 60-1 (8/2005) |
| Student Assistant Hire Form | Use this form to document the hire of a new Student Assistant. | OHRS 20-60 (10/2001) |
| Student Employee Job Data Change Form | This form is used to document and authorize requests for additional appointment or change to the current employment status of a student assistant or work-study student. | OHRS 20-57 (4/2008) |
| Summer Session YRO Pay, Authorization | Used by campus departments to request payments for faculty involved in the year-round operations. | PA 110 (8/2005) |
| Summer Session, 1/30th Pay Rate | Used by campus departments to report summer session pay for faculty that worked the previous fall or spring. | PA 130 (6/2005) |
| Summer Session, 2357 Salary Schedule | Used by campus departments to report faculty teaching summer only. | PA 135 (6/2005) |
| Timesheet | Used by Student Assistant, Work-Study, and Hourly employees to track their hours worked. | PA 100 (1/2002) |
| Transfer of Leave Balance from Position to Position, Authorization | When an employee has multiple positions and is earning vacation or sick leave in more than one job, the employee may transfer hours between positions. This transfer is allowed when there is an insufficient balance in the second position and the employee needs a specific amount to cover a time off for a specific time period. | N/A (7/2002) |
| U.S. Savings Bond Purchase/Payroll Deduction Authorization | Used to request automatic payroll deduction of funds for the purpose of purchasing US Savings Bonds. | STD 242 (12/2005) |
| Vehicle Monthly Usage Report | Used by employees to report mileage on their state or third-party vehicles. | OHRS-PSC-60-7 (10/2004) |
| Vision (Video Display Terminal Claim Form) | Computer Eyewear Only | n/a (1/2007) |
| Volunteer Form CSU VOLUNTEER POLICY |
Used for processing CSUN Volunteer workers. Volunteer Sign-In Process Instructions |
OHRS 20-64 (6/2005) |
| W-2 Duplicate Request | Used to request a duplicate copy of a W-2 for up to 4 prior tax years. | STD 436 (9/1997) |
| Waiver of Recruitment & Appointment Requisition Form - Auxiliary | The Waiver of Recruitment & Appointment Requisition Form is used when requesting an emergency hire appointment to a position vacancy for which recruitment is not required. | OHRS TUC-WVR (9/2005) |
California State University, Northridge at 18111 Nordhoff Street, Northridge, CA 91330 / Phone: 818-677-1200
/ © 2007 CSU Northridge
Last Updated 4/27/2008
Last Updated 4/27/2008