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.
• Report of On-Campus Inaccessibility
• The Standard Life Insurance
  Beneficiary form
• The Standard’s new Enrollment and Change 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.

• Special Consultant Appointment Form
• Student Assistant Employment Guide

• Performance Management Guidelines
• Performance Improvement Plan (PIP)
• Attendance Written Reprimand Example
• Unacceptable Job Performance Written Reprimand Example
• Instructions for Skelly Review

Self Assessments

• Employee Self Appraisal Form - For employee to fill in prior to evaluation.
• MPP Leadership Practice Profile

Performance Evaluations

• 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.

• Adobe Sign Instructions (short videos):
  • MPP Performance Assessment instructions; password: 6n%#49?1
  • Staff Performance Review instructions; password: 7S@o+%b2
  • Unit 4 Staff Performance Review instructions; password: 4Q!t*=.Q

• Employee Separation Guidelines
• Separating Employee Clearance Form
  • To process the resignation or retirement of employee.
• Campus Affiliation Request Form
  • To appoint a CSUEB Volunteer                                                                                                                  
• 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.

 The forms below can now be submitted online through Adobe Sign. Please click on the desired link to begin the process. Additional information regarding how to login and use Adobe Sign can be found in our Knowledge Base.