Employee

Category: Employee
Form Number Title/Detailssort descending Department Direct Link
3rd Annual PI Celebration! Sponsored Programs Foundation PDF icon pi_celebration_flyer_10-16-14.pdf

PR 54 Absence Excess Hours Holiday Worked Payroll PDF icon pr-54.pdf

Access Request Form (ARF) ITS Administrative Support PDF icon access_request_form.pdf

Accident Report (Non-Vehicle) Contracts and Procurement

http://www.documents.dgs.ca.gov/orim/std268s.pdf

Acknowledgement of Mandated Reporter Status and Legal Duty to Report Child Abuse and Neglect (EO 1083) PDF icon 05_acknowledgement_form_eo1083_0_0.pdf

APS Form 515 Advice of Separation: Coaches, Counselors (SSP-AR & Interns), Librarians File form515_separation-coach-sspar-librarian.xlsx

APS Form 510 Advice of Separation: Lecturer, FERP, TA & GA File form510_separation.xlsx

8 Alcohol Approval Request Contracts and Procurement PDF icon alcohol_approval_request.pdf

APS Application for Academic Employment PDF icon academic_employment_application.pdf

Application Procedures for Leave of Absence without Pay PDF icon leaveofabsencewithoutpay_procedure_0.pdf

Authorization for Off-Campus Use of Equipment Form Financial Services PDF icon authorization_off_campus_use_6.12.18.pdf

Authorization to Use Privately Owned Vehicle Financial Services PDF icon std261.pdf

Background Checks for HSU Sponsored Programs Foundation Sponsored Programs Foundation PDF icon background_checks_for_hsu_sponsored_programs_foundation_2015_0.pdf

Business Card Order Form Marketing and Communications

https://humboldt.webdeskprint.com/PSP/app/PSP_Start.asp

Career Development Plan

https://apex.humboldt.edu/ords/f?p=244:3

Casual Worker Time Voucher Payroll PDF icon pr-64.pdf

Certified Wipe Media Label Information Technology Services PDF icon certified_wipe_media_label.pdf

Coach Performance Evaluation Form PDF icon coaching_performance_evaluation_updated_9-5-17_pdf.pdf

Confidentiality Statement for Academic Professionals (Unit 4) PDF icon confidentiality_form-unit_4.pdf

Confidentiality Statement for Employees, Consultants, and Independent Contractors PDF icon confidentiality_form-staff.pdf

Controlled IT Spaces Access Authorization Form Information Technology Services PDF icon 003c-controlled-it-spaces-access-auth-form.pdf

Controlled IT Spaces Access Control List Information Technology Services Microsoft Office document icon 003d_controlled-it-spaces-access-control-list.doc

003G Controlled IT Spaces Visitor Log Information Technology Services PDF icon 003g-controlled-it-spaces-visitor-log.pdf

CSC Campus Change Report 2010-2011 Change Steering Committee PDF icon 2010-2011_csc_report_3.pdf

CSU Employee Benefits Summaries - Faculty (Unit 3) PDF icon cfa_unit_3_benefits_summary.pdf

CSU Family Medical Leave (FML) PDF icon csufamilymedicalleave-generalnotice_000_0.pdf

CSURMA High Hazard List Contracts and Procurement PDF icon csurma_high_hazard_list.pdf

Designated Positions PDF icon hr2011-02attb.pdf

Direct Deposit for Employee Reimbursements Financial Services PDF icon direct_deposit_for_reimbursement_0.pdf

STD-699 Direct Deposit Form PDF icon direct_deposit_form.pdf

Disbursement Log - Gift Cards & Certificates University Budget Office File disbursement_log_for_gift_cards_5-16-18.xlsx

http://www2.humboldt.edu/procurement/node/13

Discrimination Complaint Resources PDF icon complaint_resources.pdf

STD 436 DUPLICATE WAGE AND TAX STATEMENT REQUEST Payroll PDF icon empinfo_howto_std436.pdf

EHOS Ergonomics Program PDF icon ergonomics_program.pdf

EHOS Hot Work Permit Program PDF icon hsu_hot_work_permit_program_2012.pdf

STD. 686 Employee Action Request (EAR) PDF icon ear_0.pdf

Employee Assistance Program (EAP) PDF icon eap_0.pdf

I-9 Employee Eligibility Verification

http://www.uscis.gov/files/form/i-9.pdf

Employee Fee Waiver - Frequently Asked Questions PDF icon csufeewaiverprogramfrequentlyaskedquestions_june2016_0.pdf

Employee/Student Verification - Driving for University Business Facilities Management PDF icon verification_of_employment_student.pdf

Envelope Order Form Marketing and Communications

https://humboldt.webdeskprint.com/PSP/app/PSP_Start.asp

EO 1097 Student Affirmative Action Complaints Actions Resources Table PDF icon student-applicant_complaint_resources.pdf

Establish Petty Cash or Change Fund Form Financial Services PDF icon request_change_fund_form_0.pdf

PR 11 Evening and Night Shift Differential Time Voucher Payroll PDF icon pr-11_0.pdf

Every Step Counts! Campus Map PDF icon campusmap2_0.pdf

Everyday Preventive PDF icon everyday_preventive_002.pdf

Fee Waiver - Fees Waived (Dependent) Human Resources and Academic Personnel Services PDF icon fees_waived_-_dependent_0.pdf

Fee Waiver - Fees Waived (Employee) Human Resources and Academic Personnel Services PDF icon fees_waived_-_employee_0.pdf

Fee Waiver Application-Dependent Human Resources and Academic Personnel Services

https://apex.humboldt.edu/ords/f?p=245:10

Fee Waiver Application-Self Human Resources and Academic Personnel Services

https://apex.humboldt.edu/ords/f?p=245:11

107 Form 107: Application for Leave of Absence Human Resources and Academic Personnel Services PDF icon leave_of_absence_app.pdf

http://humboldt.edu/hsuhr

Form 109 Report of Separation Approval Guide PDF icon form_109_report_of_separation_approval_guide.pdf

Form 109 Report of Separation Form Submission Guide PDF icon form_109_report_of_separation_form_submission_guide.pdf

APS Form 570 Form 570: Substitute Faculty Assignment Office spreadsheet icon form570_substitutefac_122017.xls

700 Form 700 - Form Only Human Resources and Academic Personnel Services PDF icon form_700.pdf

700 Form 700 - Full Document Human Resources and Academic Personnel Services PDF icon form_700_full.pdf

Grant Furlough Exemption Form PDF icon furloughexemptionform_000.pdf

STD 236 Hotel/Motel Transient Tax Waiver Financial Services PDF icon std236.pdf

Housing & Dining Services Separating Employee Clearance Form PDF icon separatingemployeeclearanceform_housing.pdf

HSU - Release of Liability Contracts and Procurement PDF icon rm_-_release_of_liability.pdf

HSU Accommodation Request Form PDF icon accommodation_request_form.pdf

HSU Authorization for Business-Related Wireless Device Financial Services Office spreadsheet icon hsu_auth_for_wireless_device_form.xls

HSU Authorization to Release Medical Records PDF icon authorization_to_release_medical_records.pdf

HSU Background Check Packages Human Resources and Academic Personnel Services PDF icon hsu_background_check_packages_march2017update.pdf

HSU Green and Gold Calendar for 2010-2011 PDF icon hsu_greenandgoldcalendar_2010-2011.pdf

HSU Green and Gold Calendar for 2011-2012 PDF icon greenandgoldcalendar_2011-2012.pdf

HSU Green and Gold Calendar for 2012-2013 Payroll Department PDF icon greenandgoldcalendar_2012-2013.pdf

HSU Guidelines for Evaluating Impairments PDF icon guidelines_for_evaluating_impairments.pdf

HSU Job Duty Evaluation Checklist PDF icon job_duty_evaluation_checklist.pdf

HSU Letterhead Template (MS Word) Marketing and Communications

https://brand.humboldt.edu/templates

HSU Overview of Reasonable Accommodation PDF icon overview_of_reasonable_accommodation.pdf

HSU SPF Benefit Rates July 1, 2015 Sponsored Programs Foundation PDF icon hsuspf_pi_benefit_rates_july_1_2015.pdf

HSU Volunteer Form PDF icon hsu_volunteer_form.pdf

HSU Volunteer Form Processing Instructions PDF icon processing_instructions_for_volunteer_forms.pdf

HSU Wireless Device Reimbursement Rates Financial Services PDF icon hsu_wireless_reimbursements.pdf

PR 55 Informal Leave Without Pay Payroll PDF icon pr-55.pdf

PR 8a Instructional Student Assistant Work Study Time Voucher Payroll

http://www2.humboldt.edu/payroll/node/57

Instructions to Complete Digital Signature on Position Change Form PDF icon digital_signature_instructions.pdf

PR 8 Intermittent Hourly Time Voucher Payroll PDF icon pr8.pdf

Involuntary Separation Checklist Information Technology Services File involuntaryseparationchecklist.docx

IRB Application for Review Sponsored Programs Foundation PDF icon irb_application_for_review.pdf

IRB Consent Checklist Sponsored Programs Foundation PDF icon irb_online_informed_consent_2017_06-22.pdf

IRB Full Board Review SCHEDULE 17-18 Sponsored Programs Foundation PDF icon irb_board_schedule_2017-2018_website.pdf

IRB Full Board Review SCHEDULE 18-19 Sponsored Programs Foundation PDF icon irb_board_schedule_2018-2019_website.pdf

IRB Implementation of the Policy for Protection of Human Subjects in Research Sponsored Programs Foundation PDF icon irb_implementation_of_policy.pdf

IRB Policy for the Protection of Human Subjects in Research Sponsored Programs Foundation PDF icon exec_memo_tech._correction_12-6-17.pdf

IRB Registration Sponsored Programs Foundation PDF icon irb_registration.pdf

Job Submission Form Marketing and Communications

https://humboldt.webdeskprint.com/PSP/app/PSP_Start.asp

Letterhead Order Form Marketing and Communications

https://humboldt.webdeskprint.com/PSP/app/PSP_Start.asp

Lost Receipt Memo Financial Services PDF icon lost_receipt_memo.pdf

Manager's Digital Resources Checklist for Separating Employees Information Technology Services PDF icon managers_digital_resources_checklist_for_separating_employees.pdf

Model Release Marketing and Communications PDF icon modelreleasesingle_2016.pdf

Model Release (4 per page) Marketing and Communications PDF icon modelrelease4up_2016.pdf

STD 270 Motor Vehicle Accident Report Contracts and Procurement

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std270.pdf

MPP Outside Employment Disclosure Form (HR 2016-06 & Attachment A) PDF icon hr_2016-06_and_attachment_a_-_mpp_outside_employment_disclosure_form.pdf

New Employee Sign-Up Chain of Custody Agreement Human Resources and Academic Personnel Services PDF icon newemployeesign-upchainofcustody.pdf

Onboarding Checklist: Academic Personnel Services & Human Resources (APSHR) PDF icon onboarding_checklist_-_hraps.pdf

Onboarding Checklist: Appropriate Administrator and/or Lead PDF icon onboarding_checklist_-_aal.pdf

Onboarding Checklist: Buddy PDF icon onboarding_checklist_-_buddy.pdf

Onboarding Checklist: Complete Checklist Document (All Roles) PDF icon hsu_onboarding_checklists.pdf

Onboarding Checklist: Department Contact PDF icon onboarding_checklist_-_department_contact.pdf

Onboarding Checklist: Employee PDF icon onboarding_checklist_-_employee.pdf

Onboarding Checklist: Hiring Authority PDF icon onboarding_checklist_-_hiring_authority.pdf

Onboarding Checklist: Payroll PDF icon onboarding_checklist_-_payroll.pdf

Onboarding Checklist: Vice President PDF icon onboarding_checklist_-_vp.pdf

13 OSA Nomination Information & Questions Dean of Students PDF icon nomination_questions_2015-16_-_button.pdf

13 OSA Nomination Questions with link Dean of Students PDF icon nomination_questions_2016-17_-_button.pdf

Outgoing International Wire Request Financial Services PDF icon international_wire_request_form.pdf

Participant Application Form Risk Management & Safety Services Microsoft Office document icon participant_application_form.doc

Password Group Setup form (Aging) Information Technology Services PDF icon group_password_aging_form_and_procedure.pdf

Payment Request Form Financial Services PDF icon payment_request_form_6.12.18.pdf

PCI Application Financial Services PDF icon pci_application.pdf

http://www2.humboldt.edu/policy/PEMP11-03Policy-Compliance-Payment-Card-Indus...

Performance Pay Salary Increase Recommendation - Unit 4

http://www.humboldt.edu/hsuhr/employee/information/unit4.html

Pool Vehicle Request Form Facilities Management

https://facilitymgmt.humboldt.edu/sites/default/files/facilitymgmt/pdf/pool_v...

Position Change Form University Budget Office PDF icon position_change_form.pdf

Position Description Form PDF icon position_description_form.pdf

Position Description/Classification Guide

http://www.humboldt.edu/hsuhr/employee/position/description.html

Pre-Designation of Physician Human Resources and Academic Personnel Services PDF icon noticetoemployeespre-des.pdf

Receipting Instruction for Deposits at the Cashier’s Office Financial Services

http://www2.humboldt.edu/businessservices/node/54

Reference Check Information for Recommended Candidate Human Resources and Academic Personnel Services PDF icon referencecheckinfoforrecommendedcandidate.pdf

Rehired Annuitant Certification PDF icon rehired_annuitant_certification-ui.pdf

Rental Vehicle Request Form Facilities Management PDF icon rental_vehicle_request.pdf

Form 104 Report of Appointment for Staff

https://apex.humboldt.edu/ords/f?p=247:1

HSU 71 Report of Missing Property Form Financial Services PDF icon hsu_form_71.pdf

Form 109 Report of Separation for Staff - (Electronic)

https://apex.humboldt.edu/ords/f?p=248:1

Request for Authorization to Travel (Domestic travel) Financial Services PDF icon request_for_domestic_travel_02.19.18.pdf

http://www.humboldt.edu/risksafety/Travel

Request for International Travel Financial Services PDF icon request_for_intl_travel_081117.pdf

http://www.humboldt.edu/risksafety/Travel

Request For Record Information University Police Department PDF icon records_request_form.pdf

Required Notification for Employees Not Covered by Social Security (SSA-1945 Form) PDF icon ssa-1945_0_0-3_0.pdf

001 Reservation Request for the Native American Forum (BSS162) Center for Indian Community Development PDF icon nativeforumreservationrequest2012.pdf

RM - Field Trip Participant Roster Contracts and Procurement PDF icon rm_-_field_trip_participant_roster.pdf

RM - Field Trip Sign Out Release Agreement Microsoft Office document icon rm_-_sign_out_release_agreement.doc

Secure Destruction E-Waste Collection and Chain of Custody Form Financial Services PDF icon secure_e-waste_form.pdf

Separating Employee Clearance Form PDF icon separatingemployeeclearanceform.pdf

Separating Management Clearance Form PDF icon management_clearance.pdf

Signature Authority Form Contracts and Procurement PDF icon signature_authority_form.pdf

Smoking Approval Request Risk Management & Safety Services PDF icon smoking_approval_request_form.pdf

Social Security: Replacement card/name change application.

http://www.ssa.gov/online/ss-5.html

Special Consultant Request PDF icon special_consultant_form.pdf

Special Consultant Request Instructions PDF icon specconsreq_instructions.pdf

PR 43 Special Consultant Time Voucher Payroll PDF icon pr-43_08312010.pdf

SPF 403(b) defined contribution (DC) plan summary Sponsored Programs Foundation PDF icon spf_403b_summary_plan_information_for_employees.pdf

SPF 700-U Form (Conflict of Interest) Sponsored Programs Foundation PDF icon form700-u-11-12-csu.pdf

SPF Accomodation Request Form Sponsored Programs Foundation PDF icon spf_accommodation_request_form.pdf

SPF Administrative Manual Sponsored Programs Foundation PDF icon spf_administrative_manual_updated_5-2-16.pdf

SPF Alistair & Judith McCrone Graduate Fellowship Award Sponsored Programs Foundation PDF icon mccrone_graduate_student_fellowship_award_16-17.pdf

SPF Appointment Document Sponsored Programs Foundation PDF icon spf_appointment_document_2018.pdf

SPF Audited Financial Statements, period ending June 30, 2012 Sponsored Programs Foundation PDF icon hsuspf_audited_financial_statements_-_year_ended_06.30.2012.pdf

SPF Audited Financial Statements, period ending June 30, 2013 Sponsored Programs Foundation PDF icon hsuspf_audited_financial_statements_-_year_ended_06.30.2013.pdf

SPF Authorization to Release Medical Records Sponsored Programs Foundation PDF icon authorization_to_release_medical_records.pdf

SPF Budget Guidebook Sponsored Programs Foundation PDF icon spf_budget_guidebook_updated_6-1-16.pdf

SPF Budget Template Sponsored Programs Foundation Office spreadsheet icon master_budget_template_2018-6-21.xls

SPF Close Relative Disclosure Form Sponsored Programs Foundation PDF icon close_relative_disclosure_form.pdf

SPF Confidentiality Form Sponsored Programs Foundation PDF icon confidentiality_form-spf.pdf

SPF Discrimination Complaint Form Sponsored Programs Foundation PDF icon discrimination_complaint_form_f.pdf

SPF Financial Statements Audit 2011 Sponsored Programs Foundation PDF icon hsuspf_audited_financial_statements_-_year_ended_06.30.2011.pdf

SPF Guidelines - Voluntary 403 (b) plan Sponsored Programs Foundation PDF icon guidelines-vol_tsa_403b_plan_1-29-14.pdf

SPF Guidelines for Evaluating Impairments Sponsored Programs Foundation PDF icon guidelines_for_evaluating_impairments.pdf

SPF Health Insurance Marketplace Employee Notice Sponsored Programs Foundation PDF icon new_health_insurance_coverage_options_and_your_health_coverage.pdf

SPF Institutional Routing and Authorization Form Sponsored Programs Foundation PDF icon spf_institutional_routing_form_3-12-18.pdf

SPF International Travel Insurance Sponsored Programs Foundation PDF icon foreign_travel_insurance_program_12-13.pdf

SPF Job Duty Evaluation Checklist Sponsored Programs Foundation PDF icon spfjob_duty_evaluation_checklist.pdf

SPF Level of Effort Certification 2015 Sponsored Programs Foundation PDF icon spf_level_of_effort_2015.pdf

SPF Level of Effort Certification 2018 (NEW) Sponsored Programs Foundation PDF icon new_spf_level_of_effort_2018.pdf

SPF Lost Receipt Form Sponsored Programs Foundation PDF icon lost_receipt_form.pdf

SPF MEMO: New Sick Leave Law for California Employees Sponsored Programs Foundation PDF icon spf_memo_new_sick_leave_law_for_california_employees.pdf

SPF Monthly Absence Report Sponsored Programs Foundation PDF icon monthly_absence_report_2012.pdf

SPF Multiple Projects Appointment Form Attachment Sponsored Programs Foundation Office spreadsheet icon spf_multiple_projects_appointment_form_2016.xls

SPF Non-Student Timesheet 2015 Sponsored Programs Foundation PDF icon new_spf_non-student_timesheet_2016_3-1-16.pdf

SPF Non-Student Timesheet 2018 (NEW) Sponsored Programs Foundation PDF icon new_spf_non-student_timesheet_2018v.pdf

SPF NSF Funding Guide Sponsored Programs Foundation PDF icon nsf_funding.pdf

SPF Overview of the Reasonable Accomodation Process Sponsored Programs Foundation PDF icon spfoverview_of_reasonable_accommodation.pdf

SPF Payroll, Benefits, and HR Directory of Services Sponsored Programs Foundation PDF icon important_contacts_for_spf_human_resources_and_payroll_functions.pdf

SPF Personnel Policy Summary Sponsored Programs Foundation PDF icon personnel_policy_handout_for_new_spf_employees.pdf

SPF Position Description Sponsored Programs Foundation PDF icon spf_position_description.pdf

SPF Pre-Appointment Request for Background Check Sponsored Programs Foundation PDF icon spf_pre-appointment_request_for_background_check_2018.pdf

SPF Predesignation of Personal Physician Sponsored Programs Foundation PDF icon presdesignation_form-spf.pdf

SPF Purchase Request Form Sponsored Programs Foundation PDF icon purchase_request_2013.pdf

SPF Purchasing Policy Sponsored Programs Foundation PDF icon spf_purchasing_policy.pdf

SPF Request for Release Time Form: Appendix A Sponsored Programs Foundation Office spreadsheet icon spf_request_for_release_time_form_2015.xls

SPF Restricted Use of Proprietary Information Confidentiality Agreement Sponsored Programs Foundation PDF icon intellectual_property_confidentiality_agreement_2.pdf

SPF Separating Employee Clearance Form Sponsored Programs Foundation PDF icon spf_separating_employee_clearance_form_3-2017.pdf

SPF Special Lecturer/Honorarium & Non-Student Stipend Form Sponsored Programs Foundation PDF icon spf_special_lecturer-honorarium_and_non-student_stipend_form.pdf

SPF Student Timesheet 2018 (NEW) Sponsored Programs Foundation PDF icon new_spf_student_timesheet_2018v.pdf

SPF Travel Expense Claim Sponsored Programs Foundation PDF icon spf_travel_claim_form_ca_state_std_262.pdf

SPF Travel Reimbursement Instruction Guide Sponsored Programs Foundation PDF icon spf_travel_reimbursement_instruction_guide_11-5-15.pdf

SPF voluntary 403 (b) salary reduction agreement Sponsored Programs Foundation PDF icon voluntary_403b_salary_reduction_agreement.pdf

SPF Volunteer Form to cover worker's comp Sponsored Programs Foundation PDF icon spf_volunteer_form.pdf

SPF Volunteer Form to cover worker's comp Sponsored Programs Foundation PDF icon spf_volunteer_form_2017.pdf

SPF: Title III and V Eligible Institution, Waiver of the Non-Federal Share Matching Requirements Sponsored Programs Foundation PDF icon title_iii_and_v_eligible_institution_-_waiver_of_the_non-federal_share_matching_requirements.pdf

Sponsored Programs Foundation (SPF) Benefits for Eligible Employees PDF icon spf-new_employee_handout-benefit_eligible.pdf

Staff Evaluation Forms

http://www.humboldt.edu/hsuhr/employee/evaluation/index.html

STD 274 State Driver Accident Review Contracts and Procurement

http://www.documents.dgs.ca.gov/dgs/fmc/pdf/std274.pdf

Statement Concerning Your Employment in a Job Not Covered by Social Security PDF icon ssa-1945_0_0-3.pdf

5 Student Affairs Position Justification & Budget Verification (PJBV) Instructions & Examples Student Affairs PDF icon studentaffairs_pjbv_instructions_examples_sa.pdf

6 Student Affairs Position Justification and Budget Verification Student Affairs PDF icon student_affairs_pjbv_form.pdf

Student Assistant Performance Evaluation PDF icon student_assistant_evaluation.pdf

PR 19 Student Assistant Time Voucher Payroll

http://www2.humboldt.edu/payroll/node/57

BS-FS-024A Student Award Request Form Financial Services PDF icon student_award_request_form_updated_042117.pdf

Student Wage Schedule PDF icon student_salary_ranges.pdf

APS Form 670 Substitute Teaching Associate (TA) Assignment Human Resources and Academic Personnel Services PDF icon form670_substituteta.pdf

Travel Expense Claim PDF icon travel_expense_claim_2.19.18.pdf

TRiO UB Resident Mentor Application 2015 PDF icon trio_ub_rm_packet_2015.pdf

Unit 4 - APC (Academic Professionals of California) - Annual Employee Evaluation PDF icon employee_evaluation-unit_4_annual.pdf

Voluntary Self-Identification For Applicants PDF icon voluntary_self_id_form.pdf

W-2 (replacement request) Human Resources and Academic Personnel Services

http://www.sco.ca.gov/ppsd_empinfo_dpw-2.html

W-4 W-4 - Employee's Witholding Allowance Certificate

http://www.irs.gov/pub/irs-pdf/fw4.pdf

Whistleblower Complaint Form PDF icon whistleblower_complaint_form.pdf

Workers' Compensation for Students Microsoft Office document icon student_work._comp_guide.doc