HRM Forms

Administration Building, Room 606
Monday - Friday 8 a.m. to 5 p.m.
Phone (323) 343-3651 | Fax (323) 343-3662

HRM forms are listed under each unit and then alphabetically. Click on a link below to jump to the forms used by each Human Resources Management Unit.

Commonly Used Forms

Titles

PDF

Word

Excel

Career Development Plan Form

Career Development Plan Form-PDF    

Dependent Fee Waiver

Dependent Fee Waiver-PDF    

Employee Transaction Form

Employee Transaction Form-PDF    

I-9 Employment Eligibility

I-9 Employee Eligibility-PDF    

Leave of Absence Request Form

Leave of Absense Request Form-PDF    

Promissory Note

Promissory Note-PDF    

PS Position Number Request

PS Position Number Request-PDF    

Staff/Faculty Fee Waiver

Staff/Faculty Fee Waiver-PDF    

Supervisor’s Orientation Checklist

Supervisor's Orientation Checklist-PDF    

Volunteer Appointment Form

Volunteer Appointment Form-PDF    

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Benefits

Benefits Forms

Titles

PDF

Word

Excel

Career Development Plan Form

Career Development Plan Form-PDF    

CFRA Medical Certification Form

CFRA Medical Certification Form-PDF    

Dependent Fee Waiver

Dependent Fee Waiver-PDF    

Employer Paid Life and AD&D Beneficiary Designation and Change Form

Employer Paid Life and AS&D Beneficiary Designation and Change Form-PDF    

HCRA/DCRA Claim Form

HCRA/DCRA Claim Form-PDf    

Leave of Absence Request Form

Leave of Absence Request Form-PDF    

MEDEX® Travel Assist1

MEDEX Travel Assist1-PDF    

Staff/Faculty Fee Waiver

Staff/Faculty Fee Waiver-PDF    

Voluntary Term Life Insurance Beneficiary Designation and Change Form

Voluntary Term Life Insurance Beneficiary and Change Form-PDF    

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Compensation and Classification

Compensation and Classification Forms

Titles

PDF

Word

Excel

In-Range Progression, Bonus, Stipend Form

In-Range Progression, Bonus, Stipend Form-PDF    

MPP Position Description

  MPP Position Description-DOC  

Position Description

  Position Description-DOC  

PS Position Number Request

PS Position Number Request-PDF    

Salary Recommendation

Salary Recommendation-PDF    

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Employee/Labor Relations

Employee/Labor Relations Forms

 

Titles

PDF

Word

Excel

MPP Administrative Work Plan

  MPP Administrative Work Plan-DOC  

MPP Evaluation Form

 

MPP Evaluation Form-DOC

 

MPP Outside Employment

 

MPP Outside Employment-DOC

 

Staff Performance Evaluation for Non-Represented Employees

 

Staff Performance Evaluation for Non-Represented Employees-DOC

 

Staff Performance Evaluation for Units 1, 6, 8

  Staff Performance Evaluation for Units 1, 6, 8-DOC  

Staff Performance Evaluation for Units 2, 5, 7, 9

  Staff Performance Evaluation for Units 2, 5, 7 ,9-DOC  
Staff Performance Evaluation for Unit 4 Staff Performance Evaluation for Unit 4-PDF    

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Office of Equity, Diversity and Inclusion

Office of Equity, Diversity and Inclusion Forms

Titles

PDF

Word

Excel

ADA Medical Release Form

ADA Medical Release Form-PDF    

Disabled/Veteran Documentation Form

Disabled/Veteran Documentation Form-PDF    

Executive Order 1096 Form

Executive Order 1096 Form-PDF    

Executive Order 1097 Form

Executive Order 1097 Form-PDF    

Part-Time Faculty Recruitment and Pool Analysis Report

    Part-Time Faculty Recruitment and Pool Analysis Report-XLS

Recruitment Analysis Report

    Recruitment Analysis Report-XLS

Voluntary Self Identification Form

Voluntary Self Identification Form-PDF    

Whistleblower Complaint Procedures

Whistleblower Complaint Procedures-PDF    

Working Conditions Demand Form

Working Conditions Demand Form-PDF    

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Faculty Affairs

Faculty Affairs Forms

Titles

PDF

Word

Excel

Abort or Cancelled Faculty Search Form

Abort or Cancelled Faculty Search Form-PDF    

Employee Transaction Form

Employee Transaction Form-PDF    

Promissory Note

Promissory Note-PDF    

PS Position Number Request

PS Position Number Request-PDF    

Recruitment Analysis Report

    Recruitment Analysis Report-XLS

Sabbatical Application

Sabbatical Application-PDF    

Substitute Teacher Pay Form

Substitute Teacher Pay Form-PDF    

Supervisor’s Orientation Checklist

Supervisor's Orientation Checklist-PDF    

Telephone Reference Check Form

Telephone Reference Check Form-PDF    

Working Conditions Demand Form

Working Conditions Demand Form-PDF    

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Payroll

Payroll Forms

Titles

PDF

Word

Excel

Absence Correction Form

Absence Correction Form-PDF    

Change in Work Schedule Form

Change in Work Schedule Form-PDF    

CIRS Report Request Form

CIRS Report Request Form-PDF    

Direct Deposit Request Form

Direct Deposit Request Form-PDF    

Duplicate W-2 Request Form

Duplicate W-2 Request Form-PDF    

Positive Pay Time and Attendance Report

Positive Pay Time and Attendance Report-PDF    

Special Consultant Form

Special Consultant Form-PDF    

Student Attendance Report

Student Attendance Report-PDF    

Time and Labor Payroll Adjustment Form

    Time and Labor Payroll Adjustment Form-XLS

Verbal Employment Verification Form

Verbal Employment Verification Form-PDF    

Work Location Abbreviation List

Work Location Abbreviation List-PDF    

Written Employment Verification Form

Written Employment Verification Form-PDF    

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Workers' Compensation

Workers' Compensation Forms

Titles

PDF

Word

Excel

Employee's Report of Occupational Injury or Illness

Employee's Report of Occupational Injury or Illness-PDF    

Supervisor's Report of Occupational Injury or Illness

Supervisor's Report of Occupational Injury or Illness-PDF    

Workers' Compensation Personal Physician Designation

  Workers' Compensation Personal Physician Designation-DOC  

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Workforce Planning

Workforce Planning Forms

Titles

PDF

Word

Excel

Degree Verification Form

Degree Verification Form-PDF    

Employee Transaction Form

Employee Transaction Form-PDF    

MPP Position Description

  MPP Position Description-DOC  

Personnel Requisition

    Personnel Requisition-XLS

Position Description

  Position Description-DOC  

PS Position Number Request

PS Position Number Request-PDF    

Recruitment Analysis Report

    Recruitment Analysis Report-XLS

Salary Recommendation

Salary Recommendation-PDF    

Supervisor’s Orientation Checklist

Supervisor's Orientation Checklist-PDF    

Telephone Reference Check Form

Telephone Reference Check Form-PDF    

Working Conditions Demand Form

Working Conditions Demand Form-PDF    

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