FORM TITLE |
DESCRIPTION |
NAME
|
| 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) |
| 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
DIRECT DEPOSIT CONTRACT |
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) |
| 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. |
(1/2006) |
| 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
(7/2007) |
| 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) |
| Vision
(Video Display Terminal Claim Form) |
Computer Eyewear Only
|
n/a
(1/2007) |
