HR Forms & Procedures
- eBenefits Self-Service Authorization form
Employee authorization form to enroll or modify benefits enrollment. - Benefits - CalPERS Affidavit of Marriage
Allows certification of marriage when no marriage certificate is available. - Benny Card Application
Flexible Spending Plan Debit Card Request Form - CalPERS Beneficiary form
- Catastrophic Leave Donation Request and Certification Form
Employee request for participation. - Delta Dental Claim Form
For employees to be able to submit dental claims. - Domestic Partnership Imputed Tax Notice
- Economically Dependent Child Affidavit
Download to view form - FML - Family and Medical Leave Act
Summary of the Family and Medical Leave Act program. - Health Care Provider Certification form
For the employee - Health Care Provider Certification form
For a dependent - Leave of Absence Guide
Guide describing leaves of absence. - Leave of Absence Request
To request a leave of absence. - Life - Employer Paid Life Certificate 2005
Certificate for group life insurance. - LTD - Employer Paid Certificate 2005
Certificate for group long term disability insurance. - Return-to-Work
- Employee Information Sheet
Forms to be completed by supervisor for work related or non-work related transitional work due to work restrictions.
- Employee Information Sheet
- Report of On-Campus Inaccessibility
- The Standard Life Insurance
Beneficiary form - TSA - Tax Sheltered Annuity Company
TSA (403b) plan website - Vision - Out-of-Network Reimbursement Form
To claim vision services with an out-of-network provider. - Vision - Video Display Terminal (VDT) Claim Form
To claim VDT glasses.
- Position Description Form
To describe positions submitted for classification reviews. - Request for In-Range Salary Progression Review
- Request for Reclassification Review
To request reviewing of a position and determining an appropriate CSU classification for all staff (non-faculty) positions.
- Performance Management Guidelines
- Performance Improvement Plan (PIP)
- Attendance Written Reprimand Example
- Unacceptable Job Performance Written Reprimand Example
- Instructions for Skelly Review
- Employee Self Appraisal Form
For employee to fill in prior to evaluation. - MPP Leadership Practice Profile
- MPP Performance Assessment form
- Staff Performance Review Form
To evaluate staff employees' performance (except Unit 3 and 4). - Unit 4 Staff Performance Review Form
To evaluate Unit 4 employees' performance.
- Employee Separation Guidelines
- Separating Employee Clearance Form
- To process the resignation or retirement of employee.
- Campus Affiliation Request Form
- Sensitive Positions Table
- Compliance Training Matrix
- Professional Development Information
- Add Personal Email form
- Request to add personal email
- New Employee Checklist
- Department Checklist
- Reference Check Form
- CSUEB MPP Screening Grid
- MPP Interview Questions
- MPP Position & Salary Request
- Template - Application Screening Grid
To log scores during application screening (one per each selection committee member) - Template - Application Screening Summary
To total all scores of application screening - Template - Interview Rating Sheet
To note candidates answers and scores during interview - Template - Interview Results Summary
To log and total interview scores.