Forms By Department

Department:
Form Number Title/Details Department Direct Link
APS Applicant Spreadsheet - Dean Searches

Curriculum: DCG Matrix for Certification Microsoft Office document icon dcg_matrix.doc

Event Planning Form

HSU Diversity Program Funding Grant: Signature Form PDF icon signature_2016.pdf

http://www2.humboldt.edu/diversity/sites/default/files/Signature%202016.pdf

IRB Registration Form

http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Registration.pdf

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

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

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

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

Authorization to Recruit (Form 1) PDF icon form1.pdf

Benefit Enrollment Worksheet PDF icon benefits_worksheet_with_calpers.pdf

Biometric Screening Quick Guide PDF icon maximwellness_registration_calpers_2014_2.pdf

CalPERS Beneficiary Designation Form

http://www.humboldt.edu/hsuhr/docs/benedesignee.pdf

CalPERS Member Reciprocal Self-Certification Form

https://www.calpers.ca.gov/docs/forms-publications/self-certification.pdf

Career Development Plan

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

Close Relative Disclosure Form PDF icon close_relative_disclosure_form_0.pdf

COBRA Rates for 2015 Microsoft Office document icon cobra_rates_for_2015.doc

Confidential Employee Evaluations - Permanent Employee Evaluation PDF icon permanent_employee_evaluation-confidential.pdf

Confidential Employee Evaluations - Probationary Employee Evaluation PDF icon probationaryemployeeevaluation_confidential.pdf

Confidential Employee Evaluations - Temporary Employee PDF icon temporary_employee_evaluation-confidential.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

Confidentiality Statement for Faculty PDF icon confidentiality_form-faculty.pdf

Contract Credit Registration Form - fillable PDF

http://www.humboldt.edu/extended/pdf/regform-contract-credit.pdf

Conviction Disclosure Form PDF icon conviction_disclosure_form.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

CSU Fee Waiver Program Information

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

Defense of Marriage Act Updates PDF icon defense_of_marriage_act_0.pdf

Dental Plan Enrollment Authorization PDF icon csu_dental_form.pdf

Designated Positions PDF icon hr2011-02attb.pdf

Designation of Person Authorized to Receive Pay PDF icon payrolldesignee.pdf

STD-699 Direct Deposit Form PDF icon direct_deposit_form.pdf

Discrimination Complaint Resources PDF icon complaint_resources.pdf

Domestic Partner Forms PDF icon formsdomesticpartnerbenefits_0.pdf

Domestic Partner Information PDF icon taxationofdomesticpartnershipbenefits-after11-08_0.pdf

EHOS Ergonomics Program PDF icon ergonomics_program.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's Claim Form For Worker's Compensation Benefits PDF icon ecf_0.pdf

Employment Release of Information Form PDF icon release_of_information_form.pdf

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

Every Step Counts! Campus Map PDF icon campusmap2_0.pdf

Flex Cash Enrollment Authorization Form PDF icon flexcash_enroll.pdf

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

Grant Furlough Exemption Form PDF icon furloughexemptionform_000.pdf

Health Care/Dependent/Care Reimbursement Account Claim Form PDF icon claim_form.pdf

Highlights of New Voluntary Plans PDF icon pages_from_tl-ben2011-02.pdf

Hints for completing the SPAR form PDF icon hints_for_completing_the_spar_form.pdf

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

How Service Credit is Earned PDF icon service_credit_breakdown.pdf

HSU Accommodation Request Form PDF icon accommodation_request_form.pdf

HSU Authorization to Release Medical Records PDF icon authorization_to_release_medical_records.pdf

HSU Employment Application PDF icon employment_application_packet_v16_9-2016.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 Guidelines for Evaluating Impairments PDF icon guidelines_for_evaluating_impairments.pdf

HSU Job Duty Evaluation Checklist PDF icon job_duty_evaluation_checklist.pdf

HSU Overview of Reasonable Accommodation PDF icon overview_of_reasonable_accommodation.pdf

HSU Volunteer Form PDF icon hsu_volunteer_form.pdf

HSU Volunteer Form Processing Instructions PDF icon processing_instructions_for_volunteer_forms.pdf

In-Range Progression Request Form PDF icon request_for_in_range_progression.pdf

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

Form 3 Interview Request (Form 3) PDF icon form_3.pdf

Letter/Options for Sanders Voluntary Insurances PDF icon final_letter_to_covered_employees.pdf

Management Personnel Plan Performance Evaluation (MPP) - Management Personnel Plan Performance Evaluation PDF icon mpp_performance_evaluation.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 Checklist Microsoft Office document icon new_empl_check_list.doc

Offer of Appointment within 5% of Minimum Range (Form 5) PDF icon form_5_within5percent.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

Performance Pay Salary Increase Recommendation - Unit 4

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

PERS Declaration of Health Benefits PDF icon pers_declaration_of_health_hbd12a.pdf

Position Description Form PDF icon position_description_form.pdf

Position Description/Classification Guide

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

Pregnancy Disability Certification PDF icon pregnancy_disability_certification.pdf

Privacy Notice - Employee Assistance Program PDF icon october_2014_eap_notice.pdf

Quick Guide to Logging Your Steps PDF icon quick_guide_to_logging_your_steps.pdf

Rehired Annuitant Certification PDF icon rehired_annuitant_certification-ui.pdf

Form 104 Report of Appointment for Staff

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

Form 109 Report of Separation for Staff - (Electronic)

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

Request for Live Scan Service Form (Fingerprinting) PDF icon livescan_request_updated9.20.18sv.pdf

Request for Service Credit - Service Prior to Membership PDF icon request_for_service_credit_cost_information-_service_prior_to_membership.pdf

Form 5 Request to Vice President to Offer Appointment-Over 5% of Minimum Range (Form 5) PDF icon form_5_over5percent.pdf

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

Retirement Information PDF icon retirement.pdf

Saving Made Easy - 403(b) Information PDF icon saving_made_easy_brochure_2014.pdf

Screening Matrix Office spreadsheet icon application_-_screening_matrix_-_asa.xls

Form 4 Selection Committee Hiring Recommendation (Form 4) PDF icon form_4.pdf

Separating Employee Clearance Form PDF icon separatingemployeeclearanceform.pdf

Separating Management Clearance Form PDF icon management_clearance.pdf

Social Security & Your Retirement PDF icon seminarhsu.pdf

Social Security Office- Replacement card/name change application

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

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

Staff Evaluation Forms

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

Staff Recruitment Handbook PDF icon staff_recruitment_handbook.pdf

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

Student Assistant Performance Evaluation PDF icon student_assistant_evaluation.pdf

Student Payroll Action Request (SPAR) PDF icon spar_12_2006_000.pdf

Student Wage Schedule PDF icon student_salary_ranges.pdf

Understanding Your State of California Pay Warrant PDF icon understanding_your_state_of_california_pay_warrant.pdf

Unit 1 - UAPD (Union of American Physicians and Dentists) - Permanent Employee Evaluation PDF icon permanent_employee_evaluation-unit_1.pdf

Unit 1 - UAPD (Union of American Physicians and Dentists) - Probationary Employee Evaluation PDF icon probationaryemployeeevaluation_unit1.pdf

Unit 1 - UAPD (Union of American Physicians and Dentists) - Temporary Employee Evaluation PDF icon temporary_employee_evaluation-unit_1.pdf

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

Unit 4 - APC (Academic Professionals of California) - Unit 4 Employee Evaluation PDF icon employeeevaluation_unit4.pdf

Unit 6 - SETC (State Employee Trades Council) - Permanent Employee Evaluation PDF icon permanent_employee_evaluation-unit_6.pdf

Unit 6 - SETC (State Employee Trades Council) - Probationary Employee Evaluation PDF icon probationaryemployeeevaluation_unit6.pdf

Unit 6 - SETC (State Employee Trades Council) - Temporary Employee Evaluation PDF icon temporary_employee_evaluation-unit_6.pdf

Unit 8 - SUPA (Statewide University Police Association) - Permanent Employee Evaluation PDF icon permanent_employee_evaluation-unit_8.pdf

Unit 8 - SUPA (Statewide University Police Association) - Probationary Employee Evaluation PDF icon probationaryemployeeevaluation_unit8.pdf

Unit 8 - SUPA (Statewide University Police Association) - Temporary Employee Evaluation PDF icon temporary_employee_evaluation-unit_8.pdf

Units 2, 5, 7 & 9 - CSUEU - Probationary Employee Evaluation PDF icon probationaryemployeeevaluation_csueu.pdf

Units 2, 5, 7 & 9 - CSUEU - Permanent Employee Evaluation PDF icon permanentemployeeevaluation_csueu.pdf

Units 2, 5, 7 & 9 - CSUEU - Temporary Employee Evaluation PDF icon temporaryemployeeevaluation_csueu.pdf

Universal Availability Notice - 403(b) Plan Information PDF icon universal_availability_notice-_final_20121218.pdf

Universal Availability Notice 2014 PDF icon universal_availability_notice_-2014_plan_year.pdf

University Police Department (Live Scan/Fingerprinting Information)

http://www2.humboldt.edu/police/live-scan

Vice Presidents Evaluations - Administrative Review Form PDF icon vp_evaluation.pdf

Voluntary Self-Identification For Applicants PDF icon voluntary_self_id_form.pdf

VSP Out-of-Network Reimbursement Form PDF icon vsp_out-of-network_reimbursement_form.pdf

VSP Video Display Terminal (VDT) Claim Form PDF icon vsp_video_display_terminal_claim_form.pdf

VSP Vision Insurance Claim - No form required for vision services

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

Work-Related Injury Reporting Procedure PDF icon work_related_injury_reporting_procedures.pdf

Workers Compensation Pre-Designation of Physician Form Microsoft Office document icon noticetonewemployeeswebsiteonly.doc

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

EHOS Hot Work Permit Program PDF icon hsu_hot_work_permit_program_2012.pdf

Everyday Preventive PDF icon everyday_preventive_002.pdf

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

APS Form 610 Advice of Separation: Instructional Student Assistants Office spreadsheet icon form610_separation-isa.xls

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

APS Application for Academic Employment PDF icon academic_employment_application.pdf

APS Applicant Spreadsheet Office spreadsheet icon applicantss.xls

APS Applicant Spreadsheet - Temporary Faculty Pool Office spreadsheet icon tempfacpoolapplicantss.xls

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

Confidentiality Acknowledgement & Agreement for Search/Screening Committee Members and Department Support Staff (Academic Dean/Associate Dean) PDF icon confidentialityacknowledgement_deanassociatedean.pdf

APS Confidentiality Form (Faculty Unit Positions) Confidentiality Acknowledgement & Agreement for Search/Screening Committee Members and Department Support Staff (Faculty Unit Positions) PDF icon confidentialityacknowledgement_facultyunit_0.pdf

APS Form 1 - Visiting Form 1 - Request to Recruit Visiting Faculty Office spreadsheet icon form1_visitingfaculty.xls

Form 1: Authorization to Recruit (Academic Dean/Associate Dean) PDF icon form1_authorizationtorecruit_deanassociatedean.pdf

APS Form 1 - Probationary Form 1: Authorization to Recruit (Probationary Faculty) PDF icon form1_authorizationtorecruit_probationaryfaculty.pdf

APS Form 1 - Temp Fac Form 1: Request and Authorization to Recruit (Temporary Faculty Unit Employees) PDF icon form1_requestauthorizationtorecruit_tempfaculty.pdf

APS Form 200 Form 200: Position Request (Probationary Faculty) PDF icon form200.pdf

APS Form 230 Form 230 - Visiting Faculty Position Request Office spreadsheet icon form230_visitingfaculty.xls

APS Form 2 Form 2: Confidential Applicant Log Office spreadsheet icon form2_applicantlog.xls

APS Form 3 Form 3 - Interview Request File form3.xlsx

APS Form 300 Form 300 - Application for Leave Without Pay Microsoft Office document icon form300_lwop_0.doc

APS Form 3 - Dean Form 3: Interview Request (Academic Dean/Associate Dean) PDF icon form3_interviewrequest_deanassociatedean.pdf

APS Form 400 Form 400: Recommendation for Faculty Unit Appointment (Tenure-Line) PDF icon form400_recommendationforfacultyunitappointment_tenure-line.pdf

APS Form 430 Form 430: Application for Market Salary Increase PDF icon form430_market_salary_increase_app.pdf

APS Form 450 Form 450 - Probationary/Tenured Faculty Workload Distribution Form Office spreadsheet icon form450_workloaddistribution.xls

APS Form 4 - Probationary Faculty Form 4: Recommendation Report to Dean/Director (Probationary Faculty) PDF icon form4_recommendationtodeandirector_probationaryfaculty.pdf

APS Form 4 - Temporary Faculty Form 4: Recommendation Report to Dean/Director (Temporary Faculty Unit Employees) PDF icon form4_recommendationtodean_tempfaculty.pdf

APS Form 4 - Associate Dean Form 4: Recommendation to Provost (Academic Associate Dean) PDF icon form4_recommendationtoprovost_associatedean.pdf

APS Form 4 - Academic Dean Form 4: Recommendation to Provost (Academic Dean) PDF icon form4_recommendationtoprovost_dean.pdf

APS Form 505 Form 505 - Non-Incumbent Lecturer Justification Form PDF icon form505_lecturerjustification.pdf

APS Form 540 Form 540: Temporary Librarian Transaction Form PDF icon form540_templibappt.pdf

APS Form 560 Form 560 - Temporary Counselor Transaction Form Office spreadsheet icon form560_temp_counseling_appt.xls

APS Form 570 Form 570: Substitute Faculty Assignment Office spreadsheet icon form570_substitutefac_100918.xls

APS Form 580 Form 580: Application for Lecturer Appointment PDF icon form580_applicationlecturerappt.pdf

APS Form 585 Form 585: Request for Subsequent Lecturer Appointment PDF icon form585_requestsubsequentappt.pdf

http://www.humboldt.edu/aps/employment/pool.html

APS Form 590 Form 590: Application for Temporary Appointment - Coaches/Counselors/Librarians PDF icon form590_application_athl-caps-lib_1.2.18.pdf

http://www.humboldt.edu/aps/employment/pool.html

APS Form 595 Form 595: Request for Subsequent Appointment - Coaches/Counselors/Librarians PDF icon form595_requestsubsequent_athl-caps-lib.pdf

http://www.humboldt.edu/aps/employment/pool.html

APS Form 5 - Probationary Faculty Form 5: Request to Offer Appointment (Probationary Faculty Unit Employees) PDF icon form5_requesttoofferappointment_probationaryfaculty.pdf

APS Form 5 - Temp Fac Form 5: Request to Offer Appointment (Temporary Faculty Unit Employees) PDF icon form5_requesttoofferappointment_tempfaculty_0.pdf

APS Form 5 (Dean/Associate Dean) Form 5: Request to Offer Appointment - Dean/Associate Dean PDF icon form5_requesttoofferappointment_deanassociatedean.pdf

APS Form 600 - ISA Form 600: Instructional Student Assistant (ISA) Appointment Form

https://apex.humboldt.edu/ords/f?p=246:1

APS Form 630 Form 630: Description of Duties PDF icon form630_unit11_description_of_duties.pdf

APS Form 640 Form 640: Unit 11 Evaluation Criteria Office spreadsheet icon form640_unit11_evaluation_criteria.xls

APS Form 800 Form 800 - Volunteer Faculty: Recommendation for Appointment Office spreadsheet icon form800_volunteerfacultyid.xls

APS Form 900 Form 900 - Request for Participation in Faculty Early Retirement Program (FERP) PDF icon form900_ferp_participation_request.pdf

APS Form 910 Form 910 - Visiting Faculty Request to Offer Appointment Office spreadsheet icon form910_visitingfac.xls

Instructional Observation Checklist PDF icon instructional_observation_checklist.pdf

Outside Employment Disclosure Form (Appendix G) PDF icon appendix_g_-_outside_employment_disclosure_form.pdf

http://www.humboldt.edu/aps/

APS PE & MPR Periodic Evaluation and Modified Performance Review Coverpage PDF icon pe-mpr_coverpage_probationary.pdf

RTP PDS Personnel Data Sheet (PDS) File personneldatasheet.docx

RTP PDP Professional Development Plan Form (PDP) File professionaldevelopmentplan.docx

http://www.humboldt.edu/aps/faculty/retention.html

Sabbatical/DIP Notary Pages PDF icon notary_pages-leaves.pdf

http://www.humboldt.edu/aps/policies/leaves.html

APS Strategic Advertising & Recruitment Plan Strategic Advertising & Recruitment Plan PDF icon strategicadvertisingrecruitmentplan.pdf

Vacancy Announcement Template - Graduate Assistant (GA) PDF icon unit11_ga_vacancyannouncement_template.pdf

Vac Template - Prob Fac Vacancy Announcement Template - Probationary Faculty Unit Employee File vacancy_template_201920.docx

TA Vacancy Vacancy Announcement Template - Teaching Associate (TA) PDF icon unit11_ta_vacancyannouncement_template.pdf

Vac Template - Temp Fac Vacancy Announcement Template - Temporary Faculty Unit Employee Microsoft Office document icon vacancytemplate_temporaryfacultyunitemployee.doc

APS RTP WPAF1 WPAF Coverpage - Probationary PDF icon wpaf_coverpage_probationary.pdf

http://www.humboldt.edu/aps/faculty/retention.html

RTP WPAF2 WPAF Coverpage - Tenured PDF icon wpaf_coverpage_tenured.pdf

http://www.humboldt.edu/aps/faculty/retention.html

Executive Summary - 2012 Campus Dialogue on Race PDF icon executivesummary-2012campusdialogueonrace.pdf

Department: Human Resources and Academic Personnel Services
Form Number Title/Details Department Direct Link
2016 Monthly Premiums for Health Human Resources and Academic Personnel Services PDF icon 2016_calpers_health_benefit_premiums_use.pdf

2016 Open Enrollment - Health Plan Change Only Form Human Resources and Academic Personnel Services PDF icon calpers_hbe_form_2016_oe_editable.pdf

2016 Open Enrollment Benefits Communication Human Resources and Academic Personnel Services PDF icon open-enrollment-cummunication_2016.pdf

2016 Open Enrollment Notice to Campus Human Resources and Academic Personnel Services PDF icon oe_for_2016_notice_to_campus.pdf

2017 CalPERS Health Benefit Premiums Human Resources and Academic Personnel Services PDF icon 2017_calpers_health_benefit_premiums.pdf

Authorization to Transport Form Human Resources and Academic Personnel Services PDF icon authorization_to_transport_form.pdf

Benefits Fair Flyer Human Resources and Academic Personnel Services PDF icon oe_and_benefit_fair_flyer2.pdf

CAL-ORE Life Flight Membership Form Human Resources and Academic Personnel Services PDF icon cal-ore_application.pdf

CalPERS Health Benefit Plan Enrollment Form Human Resources and Academic Personnel Services PDF icon calpers_hbe_form_2017_oe.pdf

CalPERS Health Plan Benefit Comparison Human Resources and Academic Personnel Services PDF icon calpers_health_plan_benefit_comparison_1_sheet_0.pdf

CalPERS Retirement Refund Application Form Human Resources and Academic Personnel Services PDF icon calpers_refund_election_package.pdf

Catastrophic Leave Donation Form - Family Care Human Resources and Academic Personnel Services PDF icon cat_leave_donation_form_family_care.pdf

Catastrophic Leave Donation Form - Self Human Resources and Academic Personnel Services PDF icon cat_leave_donation_form_self.pdf

CSU Employee Benefits Summaries - Academic Student Employees (Unit 11) Human Resources and Academic Personnel Services PDF icon uaw-unit-11-benefits-summary.pdf

DCRA-HRCA Enrollment Form Human Resources and Academic Personnel Services PDF icon dcra-hcra-2018-enrollment-form.pdf

Dependent Verification Affidavit Human Resources and Academic Personnel Services PDF icon dep_verification_affidavit.pdf

e-Benefits Self-Service Electronic Signature Authorization Form Human Resources and Academic Personnel Services PDF icon e-benefits_electronic_sig_auth_form.pdf

Employment History Form Human Resources and Academic Personnel Services PDF icon employment_history.pdf

Executive Order 1083: Attachment C Human Resources and Academic Personnel Services PDF icon attachment_c_-_limited_reporters_acknowledgment.pdf

Executive Order 1083: Attachment D - Child Abuse Reporting Form Human Resources and Academic Personnel Services PDF icon attachment_d_-_general_reporters_acknowledgment.pdf

Executive Order 1083: Attachment E - Suspected Child Abuse Report Human Resources and Academic Personnel Services PDF icon attachment_e_-_suspected_child_abuse_report.pdf

Executive Order 1096 Complaint Form Human Resources and Academic Personnel Services PDF icon eo-1096_att_a_complaint_form.pdf

Executive Order 1097: Student Complaint Form Human Resources and Academic Personnel Services PDF icon eo_1097_attachment_a_complaint_form.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

105 Form 105 - Employee Information Form Human Resources and Academic Personnel Services PDF icon form_105-eif.pdf

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

APS Form 310 Form 310 - Difference in Pay (DIP) Leave Application Human Resources and Academic Personnel Services PDF icon form310_dip_leave_app-interfolio.pdf

http://www.humboldt.edu/aps/policies/leaves.html

APS Form 320 Form 320 - Sabbatical Leave Application Human Resources and Academic Personnel Services PDF icon form320_sabb_leave_app-interfolio.pdf

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

HCRA/DCRA 2016 Open Enrollment Form Human Resources and Academic Personnel Services PDF icon drca_hcra_oe_form.pdf

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

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

Policy List Receipt Form Human Resources and Academic Personnel Services PDF icon policy_list_receipt_form.pdf

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

APS RTP REP Range Elevation Portfolio (REP) Coverpage Human Resources and Academic Personnel Services PDF icon rep_coverpage_lecturers.pdf

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

Savings Plus Benefits Payment Booklet Human Resources and Academic Personnel Services PDF icon savingsplus_benefitpaymentbooklet.pdf

APS Form 3T Matrix Screening Matrix: Minimum Qualification & Application Material Review Human Resources and Academic Personnel Services File 3t_minimum_quals_screening_matrix_template.xlsx

Self Service Guide: My Benefit Enrollments Human Resources and Academic Personnel Services PDF icon self-service_guide.pdf

Student Assistant Completion Sheets Template Human Resources and Academic Personnel Services PDF icon paperwork_completion_sheet.pdf

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

Summer Bridge - Employee Action Request Human Resources and Academic Personnel Services PDF icon ear_summer_bridge.pdf

Summer Bridge - Employee Information Form Human Resources and Academic Personnel Services PDF icon summer_bridge_employee_information_form_17_v2.pdf

Summer Bridge - Header Form Human Resources and Academic Personnel Services PDF icon summer_bridge_header.pdf

Summer Bridge - Time Voucher, July Human Resources and Academic Personnel Services PDF icon july_bridge_2018.pdf

Summer Bridge - Time Voucher, June Human Resources and Academic Personnel Services PDF icon june_bridge_2018.pdf

Summer Bridge Student Assistant Appointment Form Human Resources and Academic Personnel Services Office spreadsheet icon bridge_appointment_form_2018.xls

Supervisor's Report of Injury Human Resources and Academic Personnel Services PDF icon supervisors_report.pdf

Temporary Faculty Coach Justification Form Human Resources and Academic Personnel Services PDF icon coach_justification_form.pdf

TSA Information Human Resources and Academic Personnel Services PDF icon saving_made_easy_brochure_2016_final.pdf

Vacancy Announcement Template - Instructional Student Assistant (ISA) Human Resources and Academic Personnel Services PDF icon unit11_isa_vacancyannouncement_template.pdf

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

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

Workers' Comp Quick Guide Human Resources and Academic Personnel Services PDF icon wcprocessforsupvrev04-15.pdf

Department: Information Technology Services
Form Number Title/Details Department Direct Link
Certified Wipe Media Label Information Technology Services PDF icon certified_wipe_media_label.pdf

CMS PeopleSoft Modification Request Information Technology Services Microsoft Office document icon hsu_modification_request_design_form.doc

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

Data Center Security Training Check-Off Information Technology Services Microsoft Office document icon data_center_security_training_check-off.doc

Involuntary Separation Checklist Information Technology Services File involuntaryseparationchecklist.docx

ITS Project Request Information Technology Services

http://humboldt.teamdynamix.com/TDClient/Requests/ProjectRequests/ProjectForm...

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

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

Portal Change Request Form Information Technology Services PDF icon portal_change_request.pdf

ProCard Account Revision Form Information Technology Services PDF icon procard_revision_form_7.11.18.pdf

Protected Information Rescan Survey Information Technology Services Microsoft Office document icon protectedinformationrescansurvey.doc

Security Incident Response Long Form Information Technology Services Microsoft Office document icon security_incident_response_long_form.doc

Security Incident Response Short Form Information Technology Services Microsoft Office document icon secincidentrespshortform.doc

Department: International Programs
Form Number Title/Details Department Direct Link
Academic Training Application and Academic Advisor Recommendation Form International Programs PDF icon j-1_application_for_academic_training.pdf

Address Change Form International Programs PDF icon address_change_form.pdf

Alternate Health Insurance Petition International Programs PDF icon alternativeinsurancepetition.pdf

Certificate of Finances - Graduate International Programs PDF icon certification_of_financial_support_-_graduate.pdf

Certificate of Finances - Graduate MBA International Programs PDF icon certification_of_financial_support_-_graduate_mba.pdf

Certificate of Finances - IELI International Programs PDF icon certification_of_financial_support_-_ieli_.pdf

Certificate of Finances - Undergraduate International Programs PDF icon certification_of_financial_support_-_ugrad.pdf

Change of Status Instructions to F-1 International Programs PDF icon changing_status_to_f-1.pdf

Change of Status Instructions to F-2 International Programs PDF icon changing_status_to_f-2.pdf

Curricular Practical Training (CPT) Information Packet International Programs PDF icon cpt_info_packet_and_instructions.pdf

Departure Survey International Programs PDF icon departure_survey.pdf

Extension of Time to Complete Program International Programs PDF icon extension_of_immigration_form_i-20_or_ds_2019.pdf

F-1 Model Employer Letter International Programs PDF icon model_employment_letter_f-1.pdf

How to apply for a Social Security Number International Programs PDF icon how_to_apply_for_a_ssn.pdf

I-20-DS2019 Request form International Programs PDF icon i-20_ds_2019_request_form.pdf

Leave of Absence or Withdrawal Request International Programs PDF icon leave_of_absence_suspension_or_withdrawal_request.pdf

On-Campus Employment for J-1 Students International Programs PDF icon on-campus_employment_for_j-1_students.pdf

Optional Practical Training (OPT) Information Packet International Programs PDF icon opt_info_packet_and_instructions.pdf

Reduced Course-Load (RCL) Authorization International Programs PDF icon reduced_course-load_rcl_authorization.pdf

ROUTING FORM for Center for International Programs International Programs

STEM OPT Extension International Programs PDF icon stem_opt_extension_request_form.pdf

Transfer from HSU Information International Programs PDF icon transferring_from_hsu.pdf

Travel Request Form International Programs PDF icon travel_request_form.pdf

Department: Financial Services
Form Number Title/Details Department Direct Link
Accounts Receivable Billing Request Financial Services PDF icon ar_request_form_v3_10.1.18.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

Change Request Form Financial Services PDF icon change_request_form_5.11.17.pdf

Direct Deposit for Reimbursements Financial Services PDF icon direct_deposit_for_reimbursement_8.20.18.pdf

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

Faculty Absence Class Coverage Financial Services PDF icon complete_class_schedule_0.pdf

FEE REQUEST FORM Financial Services PDF icon fee_request_form_revised_051116.pdf

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

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

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

Lost Receipt Memo Financial Services PDF icon lost_receipt_memo.pdf

Outgoing International Wire Request Financial Services PDF icon international_wire_request_form.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...

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

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

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

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

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

SFS Student Petition for Tuition and Fees Financial Services PDF icon sfs_student_petition_for_tuition_and_fees.pdf

http://www.humboldt.edu/studentfinancial/tuition_fees.html

SFS Student Request for Refund Financial Services PDF icon student_request_for_refund.pdf

http://www.humboldt.edu/studentfinancial/tuition_fees.html

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

Student Electronic Funds Transfer Authorization Financial Services

http://www.humboldt.edu/studentfinancial/funds_transfer.html

Travel Estimator Worksheet Financial Services File travel_worksheet.xlsx

Trust Fund Transfer Request Financial Services PDF icon trust_fund_transfer_request.pdf

University-owned Wireless Devices Financial Services PDF icon univ_owned_wireless_devices.pdf

Department: Sponsored Programs Foundation
Form Number Title/Details Department Direct Link
"Some Rights Reserved: Understanding Creative Commons” Presented February 27, 2015 by Katie LaSala, HSU Reference Librarian Sponsored Programs Foundation PDF icon some_rights_reserved_-_understanding_creative_commons_2015.pdf

2012 SBIR STTR Seminar HSU Sponsored Programs Foundation PDF icon 2012_sbir_sttr_seminar_hsu.pdf

3rd Annual PI Celebration! Sponsored Programs Foundation PDF icon pi_celebration_flyer_10-16-14.pdf

Activities Requiring Humboldt State University IRB Approval Sponsored Programs Foundation PDF icon hsu_irb_approval_chart_01-18-13.pdf

American Psychological Foundation Funding Opportunites Sponsored Programs Foundation PDF icon apf_funding_opportunities.pdf

American Psychological Foundation Presentation Sponsored Programs Foundation Office presentation icon cur_presentation_2012-apf.ppt

Aquaculture Event 9/9/13 Sponsored Programs Foundation PDF icon aquaculture_open_event_9-9-13.pdf

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

Building a Budget at HSU SPF Sponsored Programs Foundation PDF icon building_a_budget_at_hsu_spf.pdf

California State University Student Research Competition Sponsored Programs Foundation PDF icon hsu_announcement_csu_student_research_competition_2015-2016.pdf

CSU guidelines for applying for a Certificate of Authorization (COA) from the FAA for Unmanned Aerial Vehicles Sponsored Programs Foundation PDF icon coa_application_guidelines_5-19_final_1.pdf

CSU Student Research Competition 2017/18 Sponsored Programs Foundation PDF icon csu_student_research_competition_guidelines_2017-2018.pdf

CSUPERB Speaker Susan Baxter October 24-25, 2013 Sponsored Programs Foundation PDF icon csuperb_funding_opportunities_open_workshops.pdf

Employee Evaluation Form - HSU SPF Staff Sponsored Programs Foundation PDF icon spfemployeeevaluation.pdf

Export Controls Manual - prepared by the Chancellors Office Sponsored Programs Foundation PDF icon export_controls_manual_final.pdf

Faculty & Staff Brown Bag Research Forums Sponsored Programs Foundation PDF icon orecd_brown_bag_flyer_2015.pdf

Financial Conflict of Interest (FCOI) for PHS, NSF, and other Federal adopters Sponsored Programs Foundation Microsoft Office document icon conflict_of_interest_template_form_for_phs_nsf_and_other_federal_adopters.doc

Form 990 for 2010-2011 Sponsored Programs Foundation PDF icon hsuspf990.pdf

Form 990 for 2011-2012 Sponsored Programs Foundation PDF icon form_990_for_2011-2012.pdf

Form 990 for FY 2012/2013 Sponsored Programs Foundation PDF icon form_990_for_fy_2012-2013.pdf

Form 990 for FY 2013/2014 Sponsored Programs Foundation PDF icon form_990_final_06.30.2014.pdf

Form 990 for FY 2014/2015 Sponsored Programs Foundation PDF icon hsuspf_irs_form_990_filing_for_year_ending_june_30_2015.pdf

Full-Time Temporary Faculty Position Request Sponsored Programs Foundation PDF icon form210_positionrequest_ftt.pdf

GMO Speaker Series - Fall 2014 Sponsored Programs Foundation PDF icon gmo_speaker_series_poster_-_fall_2014.pdf

Grants Resource Center Funding Competitiveness Conference Sponsored Programs Foundation File grc_feb_2016_conference_presentations_and_web_recordings.xlsx

GRC Conference Agenda February 19-22, 2014 Sponsored Programs Foundation PDF icon grc_conference_summary.pdf

GRC Consulations Summary February 19-22, 2014 Sponsored Programs Foundation PDF icon grc_consultations_summary.pdf

HSU Centers & Institutes Annual Renewal Form Sponsored Programs Foundation PDF icon centers_institutes_annual_renewal_form.pdf

HSU Centers & Institutes Five Year Renewal Form Sponsored Programs Foundation PDF icon centers_institutes_five_year_renewal_form.pdf

HSU SPF - Voluntary Self-ID Form (Disability) Sponsored Programs Foundation PDF icon hsu_spf_-_voluntary_self-id_form_disability.pdf

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

HSU SPF Cost-Sharing Documentation and Retention Procedures Sponsored Programs Foundation PDF icon hsu_spf_cost-sharing_documentation_and_retention_procedures.pdf

HSU SPF Debarment Policy Sponsored Programs Foundation PDF icon hsu_spf_debarment_policy.pdf

HSU SPF Export Control Policy Sponsored Programs Foundation PDF icon hsu_spf_export_control_policy.pdf

HSU SPF Facilities and Administrative Costs Policy Sponsored Programs Foundation PDF icon hsu_spf_facilities_and_administrative_costs_policy.pdf

HSU SPF Federal Drawdown Process Sponsored Programs Foundation PDF icon hsu_spf_federal_drawdown_process.pdf

HSU SPF Indirect Revenue Distribution Policy Sponsored Programs Foundation PDF icon hsu_spf_indirect_revenue_distribution_policy.pdf

HSU SPF Project Closeout Policy Sponsored Programs Foundation PDF icon hsu_spf_project_closeout_policy.pdf

HSU Sponsored Programs Foundation Job Vacancy EEO Disposition Form Sponsored Programs Foundation PDF icon livecycle_application_review_form.pdf

Humboldt Institute for Interdisciplinary Marijuana Research (HIIMR) Charter Sponsored Programs Foundation PDF icon hiimr_charter.pdf

Incentives Program Request for Applications (RFA) Sponsored Programs Foundation PDF icon incentives_program_request_for_applications_rfa_ay_17-18.pdf

IRB Adverse Event Form Sponsored Programs Foundation PDF icon irb_adverse_event_form_hsu_fillable.pdf

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

IRB Board Members 2017/18 Sponsored Programs Foundation PDF icon irb_board_members_for_website.2017.06.26.pdf

IRB Board Members 2017/18 Sponsored Programs Foundation PDF icon irb_board_members_for_website.2018.01.19.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 Mental Health Language Sponsored Programs Foundation PDF icon mental_health_language.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

Management Evaluation Form - HSU SPF Staff Sponsored Programs Foundation PDF icon spf_management_performance_evaluation.pdf

New Center/Institute Checklist Sponsored Programs Foundation PDF icon new_center-institute_checklist.pdf

NSF Major Research Intrumentation Sponsored Programs Foundation PDF icon nsf-mri-vicki_martin.pdf

Online Informed Consent Checklist Sponsored Programs Foundation PDF icon irb_online_informed_consent_final.pdf

http://www.humboldt.edu/extended/pdf/regform-ou.pdf

Powerpoint presentation about the Institutional Review Board (IRB) Sponsored Programs Foundation PDF icon irb_powerpoint_2015.09.08.pdf

Procedures for HSU SPF Board of Directors “Open Forum” Sponsored Programs Foundation PDF icon hsu_spf_board_meetings_-_open_forum_procedures_2015.pdf

SeaGrant Directors Presentation September 2011 at HSU Sponsored Programs Foundation PDF icon eckman.casg-presentation.humboldt.sept2011.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 Appointment Process Chart Sponsored Programs Foundation PDF icon spf_appointment_process_2011.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 Audited Financial Statements, period ending June 30, 2014 Sponsored Programs Foundation PDF icon annual_financial_report_period_ending_june_30_2014.pdf

SPF Audited Financial Statements, period ending June 30, 2015 Sponsored Programs Foundation PDF icon hsu_spf_annual_financial_report_period_ending_june_30_2015.pdf

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

SPF BARBARA SCHWANTES MEMORIAL FUND SCHOLARSHIP Sponsored Programs Foundation PDF icon barbara-schwantes-scholarship1.pdf

SPF Board of Directors Manual Sponsored Programs Foundation PDF icon bod_manual_4-15-16.pdf

SPF Board of Directors Members Sponsored Programs Foundation PDF icon 15-16_bod_members_list.pdf

SPF Board of Directors Officer Roster Sponsored Programs Foundation PDF icon 15-16_board_officer_roster.pdf

SPF Board of Directors Standing Committees Sponsored Programs Foundation PDF icon spf_committee_membership_2015-2016.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 Bylaws Sponsored Programs Foundation PDF icon bylaws.pdf

SPF Centers & Institutes Info Sheet Sponsored Programs Foundation PDF icon centers_institutes_info_sheet_6-13-12.pdf

SPF Certificate of Good Standing Sponsored Programs Foundation PDF icon certificate_of_status_entity_number_1.5.2016.pdf

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 Conflict of Interest template form for PHS NSF and other Federal Funders Sponsored Programs Foundation Microsoft Office document icon conflict_of_interest_template_form_for_phs_nsf_and_other_federal_adopters.doc

SPF Customer Services Survey Sponsored Programs Foundation PDF icon spf_2016_customer_service_survey_results.pdf

SPF Deposit Slip Sponsored Programs Foundation PDF icon deposit_form_fillable_pdf.pdf

SPF Direct Deposit Payroll Application Sponsored Programs Foundation PDF icon spf_direct_deposit_payroll_application.pdf

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

SPF Effort Reporting Policy Sponsored Programs Foundation PDF icon hsu_spf_effort_reporting_policy.pdf

SPF Employment Information Form (EIF) Post-Offer Sponsored Programs Foundation PDF icon employment_information_form_eif_post-offer_0_1.pdf

SPF Federally Negotiated Indirect Cost Rate Sponsored Programs Foundation PDF icon humboldt_state_univ_sponsored_programs_foundation_signed_indirect_rate_agreement.pdf

SPF FFATA Policy Sponsored Programs Foundation PDF icon hsu_spf_ffata_policy.pdf

SPF Financial Conflict of Interest (FCOI) Policy Sponsored Programs Foundation PDF icon financial_conflict_of_interest_fcoi_policy.pdf

SPF Financial Conflict of Interest Policy Sponsored Programs Foundation PDF icon hsu_spf_financial_conflict_of_interest_fcoi_policy.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 Indirect Rate Policy Sponsored Programs Foundation PDF icon indirect_rate_policy.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 Investment Comparitive Chart Sponsored Programs Foundation PDF icon 386686_investment_comparative_chart.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 McCrone Promising Faculty Scholars Award Sponsored Programs Foundation PDF icon mccrone_faculty_scholars_award_2016.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 MEMO: New Sick Leave Law for California Employees 2015 Sponsored Programs Foundation PDF icon spf_memo_new_sick_leave_law_for_california_employees_2015.pdf

SPF Modification Routing Form Sponsored Programs Foundation PDF icon spf_modification_routing_form_7-12-12_1.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 OBI Off-Campus Access Intructions Sponsored Programs Foundation Office presentation icon obi_off-site_instructions_2015.ppt

SPF Original Articles of Incorporation Sponsored Programs Foundation PDF icon hsuspf_articles_of_incorporation_1.5.2016.pdf

SPF Out of Area WC Procedures Sponsored Programs Foundation PDF icon spf_out-of-area_w-c.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 Pre-Award Metrics: Year Over Year Comparative Data from Fiscal Year 2011/2012 to Present Sponsored Programs Foundation PDF icon current_pre-award_summary_11-12_to_16-17_comparative_data_3rd_quarter_2017.pdf

SPF Pre-Award Timeline for Proposal Submission Sponsored Programs Foundation PDF icon pre-award_timeline_handout.pdf

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

SPF Principal Investigators and Project Directors Policy Sponsored Programs Foundation PDF icon principal_investigators_and_project_directors_policy.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 Restatement of Articles of Incorporation Sponsored Programs Foundation PDF icon restatement_of_articles.pdf

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

SPF Self-Identification Form for Job Applicants (EIF) Pre-Offer Sponsored Programs Foundation PDF icon eif_pre-offer_form_static.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 SUMMER Timesheet 2018 (NEW) Sponsored Programs Foundation PDF icon new_spf_summer_student_timesheet_2018v.pdf

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

SPF TIAA-Cref Summary of Plan Services and Costs Sponsored Programs Foundation PDF icon plan_related_info.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 Trust Fund Agreement Form Sponsored Programs Foundation

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 Workers' Comp Guide Sponsored Programs Foundation PDF icon spf-wc_process_for_supv_rev_03-13.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

TRiO Upward Bound Student Application 2017/18 Sponsored Programs Foundation PDF icon trio_ub_student_application_2017_2018.pdf

Using Grant Databases in the AH&SS Presentation Sponsored Programs Foundation PDF icon using_grant_databases_-_ahss.pdf

Using Grant Databases to Find Funding Brochure (AH&SS) Sponsored Programs Foundation PDF icon grant_brochure_-_ahss.pdf

Using Grant Datsabases to Find Funding Brochure Sponsored Programs Foundation PDF icon using_grant_databases_to_find_funding_brochure.pdf

WRPI Student Internships Available Sponsored Programs Foundation PDF icon wrpi_student_internships_for_usda_careers.pdf

Department: Youth Educational Services (Y.E.S.)
Form Number Title/Details Department Direct Link
Y.E.S. Art, Recreation, Theater - Release of Liability Youth Educational Services (Y.E.S.)

Y.E.S. Boosting Education Success in Teens - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_best.pdf

http://www.humboldt.edu/yes

Y.E.S. DREAM@HSU - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_dreamhsu.pdf

Y.E.S. Environmental Education - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_ee.pdf

Y.E.S. Golden Years - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_gy.pdf

Y.E.S. Hand-in-Hand Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_hnh.pdf

Y.E.S. Homelessness Network - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_hnet.pdf

Y.E.S. Juvenile Hall Recreation Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_jhrp.pdf

Y.E.S. Leadership Education Adventure Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_leap.pdf

Y.E.S. New Games Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_ng.pdf

Y.E.S. North Coast Music Mentors - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_ncmm.pdf

Y.E.S. Puentes Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_puentes.pdf

Y.E.S. Queer Mentoring Advocacy Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_qmap.pdf

Y.E.S. Service Travel Encourage Progress for Under-represented People in Poverty - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_step_upp.pdf

Y.E.S. Study Buddies (Tutorial) Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_studybuddies.pdf

Y.E.S. Volunteer Opportunities Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_vop_liability_release.pdf

Y.E.S. Youth Mentoring Program - Release of Liability Youth Educational Services (Y.E.S.) PDF icon yes_release_of_liability_-_ymp.pdf

Zombie Run Under 18 Release of Liability Youth Educational Services (Y.E.S.) PDF icon zombie_run_release_of_liability.pdf

Department: Philanthropy
Form Number Title/Details Department Direct Link
Auction Approval Form Philanthropy PDF icon auction_approval_form_6.2.15.pdf

Donation Deposit Form Philanthropy PDF icon donation_deposit_form_3.21.17.pdf

Fundraising Contest Approal Form Philanthropy PDF icon fundraising_contest_approval_form_6.2.15.pdf

Fundraising Event Form Philanthropy PDF icon fundraising_event_form_8.18.15.pdf

http://www.humboldt.edu/advancement/info/

Fundraising Event Form- Office of Philanthropy Philanthropy PDF icon fundraising_event_form_6.10.15.pdf

Gift Commitment Form Philanthropy PDF icon gift_commitment_form-fillable.pdf

How to Ask for Money at HSU Philanthropy File howtoaskformoneyathsu2.docx

In Kind Gift Proposal Form Philanthropy PDF icon gift_in_kind_form_2015.pdf

Itemized Spreadsheet of Goods and Services Philanthropy File itemized_spreadhseet.xlsx

Moonstone Crossing Cancer Research Assistantship Application 2016 Philanthropy PDF icon 2016_moonstone_research_assistantship_app_3_28_16_aes.pdf

Notification of Fund Form Philanthropy PDF icon notification_of_fund_rev._09.09.13.pdf

Payroll Deduction Authorization Philanthropy PDF icon payroll_deduction_authorization_10.6.16.pdf

Pledge Agreement Philanthropy PDF icon pledge_agreement_form_2015.pdf

http://www.humboldt.edu/advancement/

Raffle Approval Form Philanthropy PDF icon raffle_approval_form_6.2.15.pdf

RE Access request and Confidentiality Philanthropy PDF icon re_access_and_confidentiality_10.31.2014.pdf

http://www.humboldt.edu/advancement/

Solicitation and Fundraising Budget Philanthropy File solicitation_and_fundraising_budget.xlsx

Solicitation Form Philanthropy PDF icon communication_form_revised_6.10.15.pdf

Department: Office of the Registrar
Form Number Title/Details Department Direct Link
Add Courses with Time Conflicts Petition Office of the Registrar PDF icon addtimeconflict.pdf

Advisor Change Office of the Registrar PDF icon advisorchng.lc_.pdf

Audit Petition Office of the Registrar PDF icon audit.lc_.pdf

Authorized Incomplete ("I") Grade Conditions Office of the Registrar

http://www.humboldt.edu/registrar/forms/Incomplete.lc.pdf

Bachelor's Degree Application for Graduation Office of the Registrar PDF icon baappgrad.pdf

Build New Class Request Office of the Registrar Office spreadsheet icon buildnewclassrequest_0.xls

Certificate of Study Application Office of the Registrar PDF icon certstudyap.lc_.pdf

Class Time/Room Change Request Office of the Registrar Office spreadsheet icon classchangerequest_0.xls

Classroom Swap Request Office of the Registrar Office spreadsheet icon classroomswaprequest.xls

Combined Section Request Office of the Registrar Office spreadsheet icon combinedsectionrequest_0.xls

Computer Lab Request Office of the Registrar File computerlabrequest.xlsx

Course Title Change Request for Independent Academic Work (IAW) Office of the Registrar PDF icon coursetitlechngiaw.lc_.pdf

CSU Application for Intrasystem Concurrent or Visitor Enrollment Office of the Registrar PDF icon ivapplication.pdf

Diploma Cover Office of the Registrar PDF icon diplomacover.pdf

Diploma Replacement Office of the Registrar PDF icon diplomareplacement.pdf

Disabled Faculty Room Request Office of the Registrar File disabledfacultyrequest2018.xlsx

Educational Leave Request - Fifth Year Credential Candidate Office of the Registrar PDF icon edleave_credential.pdf

Educational Leave Request - Undergraduate Office of the Registrar PDF icon edleaveundergraduate.pdf

Enrollment Status Change Request Office of the Registrar PDF icon enrollstatuschg.lc_.pdf

Graduation Date Change Office of the Registrar PDF icon graddatechange.pdf

Honors Cord for Commencement Office of the Registrar PDF icon honorscord.pdf

Large Lecture Room Request >72 Office of the Registrar File largelecturerequest2018.xlsx

Major Academic Plan Template Office of the Registrar PDF icon maptemplate.pdf

Major Academic PlanTemplate (4.5 years) Office of the Registrar

Major Academic PlanTemplate (5 years) Office of the Registrar

Major Change Request Office of the Registrar PDF icon majorchange.lc_.pdf

Minor Declaration/Update Office of the Registrar PDF icon minorupdate.pdf

Official Grade Change Form Office of the Registrar

Official Transcript Request Office of the Registrar PDF icon officialtranscriptrequest.pdf

Petition for Exception to University Policy Office of the Registrar PDF icon petitionexceptionuniversitypolicy.lc_.pdf

Petition to Add Courses After the Established Deadline Office of the Registrar PDF icon addafterdeadline.pdf

Petition to Waive or Substitute Office of the Registrar PDF icon petitiontowaiveorsub.pdf

Primary (Legal) Name / Gender Designation Update Office of the Registrar PDF icon name-gender-update.pdf

Request for Confidential Status of Directory Information Office of the Registrar PDF icon confidentiality.lc_.pdf

Second Major or Concentration Request Office of the Registrar PDF icon 2ndmajorrequest.pdf

Senior Major Change Request Office of the Registrar PDF icon majorchangereqseniors.pdf

Social Security Number Change Office of the Registrar PDF icon ssnchange.pdf

Student Petition to Raise Unit Cap Office of the Registrar PDF icon raiseunitcap.pdf

Unofficial Transcript Request Office of the Registrar PDF icon unofficialtranscriptrequest.pdf

Verification of Enrollment Request Office of the Registrar PDF icon verifienroll.pdf

Withdrawal from Classes Office of the Registrar

http://www2.humboldt.edu/withdraw/

Department: Contracts and Procurement
Form Number Title/Details Department Direct Link
Accident Report (Non-Vehicle) Contracts and Procurement PDF icon accident_report_non-vehicle_-_form_std._268.pdf

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

CSU Auto Use Policy Contracts and Procurement PDF icon rm_-_csu_auto_use_policy.pdf

CSU Travel Policy Contracts and Procurement PDF icon csu_travel_policy_1.17.18.pdf

CSU Waiver of Liability for Multiple Trips Contracts and Procurement Microsoft Office document icon csu_waiver_of_liability_final_multiple_trips.doc

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

Field Trip Guidelines / Check List Contracts and Procurement PDF icon rm_field_trip_guidelines-checklist_05-23-16.pdf

Field Trip Request Form Contracts and Procurement PDF icon rm_-_field_trip_request_form.pdf

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

Insurance Request Form Contracts and Procurement Office spreadsheet icon insurance_request_form_-_september_2017.xls

Invoice Form Contracts and Procurement Office spreadsheet icon invoice_form.xls

Medical Information and Authorization Form (for multiple Field Trips) Contracts and Procurement Microsoft Office document icon rm_-_medical_information_and_authorization_form_for_multiple_field_trips_0.doc

STD 270 Motor Vehicle Accident Report Contracts and Procurement

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

Payee Data Record Form STD. 204 Contracts and Procurement PDF icon std_204_rev_201709.pdf

ProCard 17-18 Cycle Dates Contracts and Procurement PDF icon procard_17-18_cycle_dates.pdf

ProCard 18-19 Cycle Dates Contracts and Procurement PDF icon procard_18-19_cycle_dates.pdf

ProCard Application Contracts and Procurement PDF icon procard_application_06.01.17.pdf

ProCard Lost Receipt Memo Contracts and Procurement PDF icon procard_lost_receipt_memo.pdf

Procard Reconciliation Instruction Manual Contracts and Procurement PDF icon procard_reconciliation_instruction_manual.pdf

Request for Use of University Facility Contracts and Procurement PDF icon application_for_lease-rental_of_university_facilities_04-18-16.pdf

http://www2.humboldt.edu/risksafety/node/37

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

Signature Authority Form Contracts and Procurement PDF icon signature_authority_form_-_9.26.18.pdf

Sole Source-Brand Justification Contracts and Procurement PDF icon sole_source_brand_justification_form.pdf

Staples Advantage Authorization Form Contracts and Procurement Office spreadsheet icon staples_advantage_authorization_form.xls

STD 274 State Driver Accident Review Contracts and Procurement

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

State Driver Accident Review - Supervisor Review Contracts and Procurement PDF icon std274-state_drive_accident_reviewsupervisor.pdf

US Bank Visa Travel Card Application and Acknowledgement of Responsibilities Contracts and Procurement PDF icon travel_card_application_081117.pdf

http://www2.humboldt.edu/procurement/node/31

Vehicle Accident Guidelines Contracts and Procurement Microsoft Office document icon rm_-_vehicle_accident_guidelines.doc