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Forms

Acting Appointment

Word PDF
Available Staff for Labor Pool PDF

Background Check Authorization / Release

Word

PDF
Bi-weekly Payroll Calendar 2009
PDF   
Bi-weekly Payroll Calendar 2010   PDF   
Committe Agenda Template Word     
Committee Meeting Minutes Template
Word     
CTO Agreement - Clerical and Allied Services Unit (CX)

PDF

 
CTO Agreement - Health Care Professional Unit (HX)

PDF

 

CTO Agreement - Research Support Professionals Unit (RX)

PDF

 
CTO Agreement - Service Unit (SX)

PDF

 
CTO Agreement - Technical Unit (TX)

PDF

 
Designation of Physician's Form PDF   
Direct Deposit Election Form

PDF  
Emergency Payroll Advance Request

PDF  
Employee Development Worksheet

Word PDF  
Employee Emergency Loan Fund Request 
PDF  
Employee Emergency Loan Fund Policy and Procedure 380-56       

Employee Engagement Survey Action Plan

Word     
Employee Performance Appraisal (EPAR) (CUE, AFSCME, UPTE)

Word   
Employee Performance Appraisal (EPAR) (PPS, CNA)

Word  PDF   
Employee Performance Appraisal (CNA - Patient Care Services Division Only) Word  PDF   
Employee Separation

Word PDF  
Flexible Work Agreements

PDF  
Flexible Work Arrangements

PDF   

Gift Card Log

    Excel 
In-service Roster   PDF   
Investigation Report Template Word     
Kronos Clock Locations

PDF

 
Kronos Employee Add Form

PDF  
Kronos Employee Change Form

PDF  
Kronos Manager/Supervisor/Timekeeper Add Form

PDF   
Kronos Manager/Supervisor/Timekeeper Change Form   PDF   
Kronos Timecard Adjustment Request
PDF  

Leave of Absence (Employee Completes and Submits to Manager)


Word

PDF   
Leave of Absence Form for Extended Time Off (Manager Completes)      
Leave of Absence Form for Intermittent Absences (Manager Completes)      
Manager and Senior Processoinal (MSP) Program Employee Performance Appraisal Report

Word

 

Manager and Senior Professional (MSP) Program Physician Contract

Word   
Manager and Senior Professional (MSP) Program Position Description

Word

 
Medical Certification Forms

 
Meeting Agenda Template Word     
Meeting Minutes Template

Word     
Near Relative Request Template Word     
No-Smoking Policy: Corrective Action Template Word     
Notice of Intent to Change Conditions of Employment

Word PDF  
Online Earnings Statement Exception Form PDF   
Payroll Address Change Form

PDF

 
Payroll Checks Through US Mail

PDF

 
Personal Data Form (UPAY 544)

Word

PDF

 
Personal Data Form (UPAY 544A) - Bargaining Units RX / TX (UPTE), EX / SX (AFSMCE), CX (CUE)

PDF

 
Photo Identification Badge and Cardkey Request Form Word  PDF   
Position Closure Proposal--Indefinite Word  PDF   
Position Closure Proposal--Temporary Word  PDF   
Position Description

Word   
Position Description - "How To" Word     
Position Description Addendum for Customer Service Standards

Word

 

 
Position Description Customer Service Addendum Examples

Word

PDF

 
PSS Interface Schedule (2009)

PDF   
Probationary Period Report
Word  PDF   
Property Recovery and Access Termination

PDF

 
Request for Change in Authorized Staffing (RCAS)

PDF

 
Request for Classification Review Word   
Request for Labor Pool Assistance

PDF

 
Request for Reports on UC Davis Health Systems Staff Employees Form

Excel 
Request for Equity
Word   
Request for Stipend Word     
Required State and Federal Posters

 
Statement Concering Your Employment in a University Position Not Covered By Social Security

PDF

 
Verification of Licensure / Certification

PDF

 
Vocational Rehabilitation Program - Initial Intake Form 

 Word PDF  
Withholding Allowance Certificate - UC W-4/DE 4 (With Instructions

 

PDF

 
Worker's Compensation - Employee's Claim Form 

 

PDF

 
Worker's Compensation - Employee Instructions / DWC-1

PDF  
Worker's Compensation - Injury / Illness Worksheet Form  Word PDF