Human Resources Forms
Table of Contents:
- Address Change
- Computer/Network Access
- Direct Deposit
- Employee Fee Waiver
- Employment Forms
- Evaluations
- Injury Forms
- Leave of Absence
- Payroll Forms
- Personal Information Changes
- Release of Liability Form
- Special Consultant Forms
- Student Employment Forms
- Tax Withholding Changes
- Vehicle Use Forms
- Volunteer Forms
Address Changes:
- Employee Action Request (PDF, 421KB)
- Personal Data Form (MS Word, 61KB)
Please complete BOTH forms above (On the Employee Action Request form, complete only parts C,F & I) and submit to HR Programs.
Computer/Network Access Forms:
- HR Systems Access and Compliance Form - Staff & MPP (PDF, 521KB)
- HR Systems Access and Compliance Form - Faculty (PDF, 20KB)
- Student Access Form (PDF, 209KB)
- Non-Employee Access Form (PDF, 1016KB)
Direct Deposit Form:
- Direct Deposit Form (PDF, 57KB)
Please complete and return to HR Programs. We are currently located in Solano Hall, Room 1123.
Please keep in mind:
- You should check with your financial institution to be sure that the numbers at the bottom of your check are what they use for EFT. NOTE: A voided check is not needed for processing.
- You need at least 40 leave credits in order to enroll in Direct Deposit. (*Faculty being the exception to this rule)
- Student Assistants are not elligible (due to #2 listed above)
- There are some pay periods in which your check will not go into your account by the first day of the month, because the pay-period ends on the 1st or after; Or, due to the Winter Holiday, when the direct deposit doesn't go in to the accounts until the 4th.
Employee Fee Waiver Program:
- Employee Fee Waiver Program
- Employee Fee Waiver Form (PDF, 105KB)
- Fee Waiver Dependent Transfer Request Form (PDF, 96KB)
Employment/Recruitment Forms:
- Employee Requisition Form (MS Word, 185KB)
- Position Description - Represented Employee (MS Word, 51KB)
- Position Description - Confidential Employee (MS Word, 51KB)
- Position Description - MPP/Administrator (MS Word, 51KB)
- Position Description - Student Worker (MS Word, 120KB)
- Justification for Hiring Form (MS Word, 35KB)
- Extended University Requisition Form (MS Word, 174KB)
- Student Employment Application (PDF, 172KB)
- Acceptable Forms of Identity for Employment Eligibility (for I-9 Form) (PDF, 302KB)
Evaluation Forms:
- CSUEU (Units 2,5,7 & 9) Performance Evaluation Form (MS Word, 106KB)
- Confidential Employees Evaluation Form (Word, 98KB)
- APC (Unit 4) Performance Evaluation Form (Word, 319KB)
- SETC (Unit 6) Performance Evaluation Form (Word, 90KB)
- MPP Performance Evaluation Form - Opt 1 (Word, 75KB)
- MPP Evaluation Narrative Form - Opt 2 (Word, 44KB)
- MPP Self Evaluation Form - Optional (Word, 95KB)
- MPP Client/Peer Feedback Form (MS Word, 30KB)
Injury Forms:
- Accident Report - Student, Visitor, Vendor (PDF, 221KB)
- Supervisor's Injury or Illness Report (revised 8/2010) - Report a work-related injury (PDF, 793KB)
Leave of Absence Forms:
NOTE: For Leave of Absence questions, please contact:
Sandy Lang: email: sandra.lang@csuci.edu - ph: (805) 437-2623
Or - Diana Enos: email: diana.enos@csuci.edu - ph: (805) 437-8426
Payroll Forms:
- Staff Timesheet - STD 634 (PDF, 243KB)
- Student Assistant Timesheet (MS Word, 87KB)
- Authorization for Extra Hours Worked (MS Excel, 440KB)
- Separation/Clearance Form (MS Word, 97.0 KB)
- Please go to Payroll Services for the following:
- Paycheck Calculator
- Alternative Work Schedule
Personal Information Changes:
- Employee Action Request Form (PDF, 421KB) - Use this form to change your name, address, or tax withholding exemptions.
- Personal Data Form (MS Word, 61KB) - Use this form to change your legal name and/or preferred name, address, phone number(s), marital status, or your emergency contact information.
NOTE: Both the Employee Action Request and Personal Data forms must be completed if you are changing your legal name or address. Forms must be submitted in person to the Human Resources Programs office in Solano Hall, Room 1123
Release of Liability Forms:
- Instructions for Release of Liability Form (PDF, 700KB)
- Release of Liability (PDF, 953KB)
Special Consulting Forms:
- Request for Consulting Services (PDF, 61KB) - Academic Affairs form. Submit along with the Employee Requisition Form
- Request for Special Consultant Pay (PDF, 301KB) - Academic Affairs form.
The Request for Special Consultant Pay form is submitted directly to HR Programs. Please do not send to Budget or Payroll.
Student Employment Forms:
- Student Assistant Timesheet (MS Word, 103KB)
- Student Employment Application (MS Word, 172KB)
- Position Description - Student Worker (MS Word, 127KB)
- Student Access Form (PDF, 209KB)
Tax Withholding Changes:
- Employee Action Request (PDF, 421KB)
Please complete Sections C,E & I and submit to HR Programs.
Vehicle Use Forms:
- Authorization to Use Privately Owned Vehicle on State Business (PDF, 112KB)
- Vehicle Accident Report (PDF, 138KB)
- Driver Accident Review (PDF, 92KB)

