Human Resources Forms

2023 CI Summer Alternate Work Schedule

Instructions for completing the form (PDF, 376KB)
Frequently Asked Questions (FAQs) (PDF, 181KB)
Powerpoint Presentation (PDF, 1.3MB)

Table of Contents:

• Address Change
• Computer/Network Access
• Direct Deposit
• Employee Fee Waiver - (send to feewaiver@csuci.edu )
• Employment Forms
• Evaluations
• Injury Forms
• Leave of Absence
• Personal Information Changes
• Release of Liability Form
• Faculty Additional Employment and Special Consultant Forms
• Student Employment Forms
• Telecommuting Forms
  • Telecommuting Policy
  • Telecommuter's Agreement
• Volunteer Forms

Address Changes:

• Personal Data Form (PDF, 1.29MB)

Please complete the Personal Data Form, sign and submit to hr.forms@csuci.edu

[Top of page]

Computer/Network Access Forms:

• CMS Access and Compliance Form (Adobe Sign Form – view Adobe Sign instructions)
  • used for students, staff, MPP's, auxiliary employees accessing systems
• Non-Employee Access Request Form (Adobe Sign Form – view Adobe Sign instructions) 
  • This form will provide non-employees with basic access to myCI. If the individual is a vendor or volunteer, please contact the Risk Management office before completing this form.
  • Please DO NOT include social security number (SSN) or date of birth (DOB) on the form. The non-employee will be contacted to provide this information separately.
  • Please forward any questions related to this form to hr.systems@csuci.edu

[Top of page]

Employee Fee Waiver Program:

• Employee Fee Waiver Program
• Employee Fee Waiver Form (PDF, 126KB)
  • *Individual Development Plan (IDP) (PDF, 138KB) *Required Eff. 4/1/17 when used for self
• Fee Waiver Dependent Transfer Request Form (PDF, 117KB)

[Top of page]

Employment/Recruitment Forms:

• 2023 Request for Exemption to the Hiring Chill Form (PDF, 104KB) 
  • Exemption Process Workflow (PDF, 76KB)
• Employee Requisition Form (PDF, 267KB)
• Position Description - Represented Employee (MS Word, 20KB)
• Position Description - Confidential Employee (MS Word, 17KB)
• Position Description - MPP/Administrator (MS Word18KB)
• Position Description - Student Worker (MS Word, 120KB)
• Extended University Requisition Form (MS Word, 174KB)
• Supervisory Change Form (AdobeSign)
• Student Employment Application (PDF, 172KB)
• Acceptable Forms of Identity for Employment Eligibility (for I-9 Form) (PDF, 302KB)
• CSU Channel Islands Authorization & Release Form (for Ref Check) (MS Word 99 KB)
• CSU Channel Islands Reference Check Form (MS Word 38 KB)
• Nepotism Compliance Agreement Form (PDF, 157.13KB)
• Separation Clearance Form (MS Word, 97.0KB)

[Top of page]

Evaluation Forms:

• CSUEU (Units 2,5,7 & 9) Performance Evaluation Form (MS Word, 106KB) Updated 9/11/2020
• Confidential Employees Evaluation Form (Word, 98KB)
• APC (Unit 4) Performance Evaluation Form (Word, 319KB)
• Teamsters (Unit 6) Performance Evaluation Form (Word, 30KB)
• 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)

[Top of page]

Benefits Forms:

• Benefits Worksheet (for adding dependents etc.) (PDF, 252.40KB)

Injury Forms:

• Student, Visitor, Vendors - Please see: Risk Management office pages for Forms and Instructions
• Supervisor's Injury or Illness Report (revised 11/2013) - Report a work-related injury (PDF, 793KB)

[Top of page]

Leave of Absence Forms:

• Application for Leave of Absence UPDATED Feb. 2014 (MS Word, 29KB)

NOTE: For Leave of Absence questions, please contact:
Kim Sones: email: kim.sones@csuci.edu - ph: 805-437-2623

[Top of page]

Personal Information Changes:

Note regarding Name Changes: Email forms to: hr.forms@csuci.edu

Due to HR working remotely, a zoom meeting will need to be held to review your updated Social Security card. A copy of your card will be used as supporting documentation to process your request. A form of identification will also need to be presented at time of meeting. DO NOT include your social security number on submitted forms.

• Employee Action Request Form (PDF, 421KB) - Use this form to change your name, address, or tax withholding exemptions.
• Personal Data Form (PDF, 1.29MB) - Use this form to change your legal name and/or preferred name, address, phone number(s), marital status, or your emergency contact information.

[Top of page]

Release of Liability Forms:

• Please see: Risk Management office pages for Forms and Instructions

[Top of page]

Faculty Additional Employment and Special Consulting Forms:

These forms are all through Adobe Sign. Once you click on the link, you will be prompted to sign in to Adobe Sign. If you are not familiar with Adobe Sign please refer to the Adobe Sign Instruction page.

• Faculty Additional Employment Authorization - 2403
• Pre-Authorization for Special Consultant Pay - 4660 (The Pre-Authorization form must be submitted well in advance of the Authorization for Special Pay Form.)
• Special Consultant - 4660 Authorization for Special Pay (Please use one for EACH pay period. PLEASE INCLUDE the position number you used on the associated Pre Authorization.  Some faculty have more than one assignment, so this will speed up the process.  Thank you!)

Please Note: Use class code 2403 for FT Faculty doing additional work. Use class code 4660 for PT or non-faculty. All of the consulting paperwork and faculty additional appointment paperwork is forwarded to Donna Vea in Faculty Affairs. She forwards on to HR. Please do not send to Budget or Payroll.

[Top of page]

Student Employment Forms and Information:

• Please see: Student Employment pages for Forms and Instructions

[Top of page]

Volunteer Forms:

• Please see: Risk Management Office pages for Forms and Instructions

[Top of page]