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

HSU Diversity Program Funding Grant: Signature Form PDF icon dpfg_signature_form_fall_2011.pdf

http://www.humboldt.edu/diversity/Download/dpfg_signature%20form_Sp_2012.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 - 2018 PDF icon travel_expense_claim_12.21.17.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://accountcenter.humboldt.edu:4443/p/r/f?p=138:3

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 hsu_mpp_release_0.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_0.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.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://accountcenter.humboldt.edu:4443/p/r/f?p=141:DOC1

Form 109 Report of Separation for Staff - (Electronic)

https://accountcenter.humboldt.edu:4443/p/r/f?p=239

Request for Live Scan Service Form (Fingerprinting) PDF icon livescan_request.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_0.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_0.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_0.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_122017.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_0.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://accountcenter.humboldt.edu:4443/p/r/f?p=122:1

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 Microsoft Office document icon vacancytemplate_probationaryfacultyunitemployee.doc

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_signup.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://accountcenter.humboldt.edu:4443/p/r/f?p=137:10

Fee Waiver Application-Self Human Resources and Academic Personnel Services

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:11

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 sa_completion_sheets_template.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 bridge_header.pdf

Summer Bridge - Time Voucher, July Human Resources and Academic Personnel Services PDF icon july_bridge_2017.pdf

Summer Bridge - Time Voucher, June Human Resources and Academic Personnel Services PDF icon june_bridge_2017.pdf

Summer Bridge Student Assistant Appointment Form Human Resources and Academic Personnel Services Office spreadsheet icon bridge_ppt_2017.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_8.15.17.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.pdf

Authorization for Off-Campus Use of Equipment Form Financial Services PDF icon authorization_off_campus_use.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 Employee Reimbursements Financial Services PDF icon direct_deposit_for_reimbursement_0.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_10.24.17.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-07.24.17.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

Travel Expense Claim - 2017 Financial Services PDF icon travel_expense_claim_7.21.17_1.pdf

http://www2.humboldt.edu/risksafety/Travel

Trust Transfer Request Financial Services PDF icon trust_transfer_request_template.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 16-17 Sponsored Programs Foundation PDF icon irb_board_schedule_2016-2017_website.pdf

IRB Full Board Review SCHEDULE 17-18 Sponsored Programs Foundation PDF icon irb_board_schedule_2017-2018_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_-_11-18-2016.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_7-10-17.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 PDF icon agreement_for_trust_fund_fillable_pdf.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 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
Advisor Change Office of the Registrar

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

Audit Petition Office of the Registrar

http://www.humboldt.edu/registrar/forms/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

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

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

Certificate of Study Application Office of the Registrar

http://www.humboldt.edu/registrar/forms/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

http://www.humboldt.edu/registrar/docs/ComputerLabRequest.xlsx

Confidentiality Form Office of the Registrar

http://www.humboldt.edu/reg/forms/Confidentiality.lc.pdf

Course Title Change Request for Independent Academic Work (IAW) Office of the Registrar

http://www.humboldt.edu/registrar/forms/documents/CourseTitleChngIAW.lc.pdf

CSU Application for Intrasystem Concurrent or Visitor Enrollment Office of the Registrar

http://www.humboldt.edu/registrar/forms/IVapplication.pdf

Diploma Cover Office of the Registrar

http://www.humboldt.edu/reg/forms/DipCover.lc.pdf

Diploma Replacement Office of the Registrar

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

Disabled Faculty Room Request Office of the Registrar Office spreadsheet icon disabledfacultyrequest_0.xls

Educational Leave Request - Fifth Year Credential Candidate Office of the Registrar

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

Educational Leave Request - Undergraduate Office of the Registrar

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

Enrollment Status Change Request Office of the Registrar

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

Large Lecture Room Request >72 Office of the Registrar Office spreadsheet icon largelecturerequest.xls

Major Academic Plan Template Office of the Registrar

http://pine.humboldt.edu/registrar/forms/4-yrPlanTemplate.pdf

Major Academic PlanTemplate (4.5 years) Office of the Registrar

http://pine.humboldt.edu/registrar/forms/4.5yrPlan.lc.pdf

Major Academic PlanTemplate (5 years) Office of the Registrar

http://pine.humboldt.edu/registrar/forms/5-yrPlan.lc.pdf

Major Change Request Office of the Registrar

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

Minor Declaration/Update Office of the Registrar

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

Name Change Office of the Registrar

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

Official Grade Change Form Office of the Registrar

Petition of the Student Office of the Registrar

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

Petition to Purchase Honors Cord for Commencement Office of the Registrar

http://www.humboldt.edu/reg/forms/documents/HonorsCord.lc.pdf

Petition to Waive or Substitute Office of the Registrar

http://www.humboldt.edu/registrar/forms/PetitionToWaiveOrSub.pdf

Registration Petition for Adds with Time Conflicts Office of the Registrar

http://www.humboldt.edu/registrar/forms/documents/AddTimeConflict.lc.pdf

Second Major Request Office of the Registrar

http://www.humboldt.edu/registrar/forms/documents/2ndMajorReq.lc.pdf

Senior Major Change Request Office of the Registrar

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

Social Security Number Change Office of the Registrar

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

Student Petition to Raise Unit Cap Office of the Registrar

http://www.humboldt.edu/reg/forms/RaiseUnitCap.lc.pdf

Transcript Requst Form - Official Office of the Registrar

http://www.humboldt.edu/registrar/transcripts/

Verification of Enrollment Request Office of the Registrar

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

Withdrawal from Classes Office of the Registrar

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

Department: Contracts and Procurement
Form Number Title/Details Department Direct Link
Accident Report (Non-Vehicle) Contracts and Procurement

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

Event Planning Form Contracts and Procurement PDF icon rm_-_event_planning_form.pdf

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

Field Trip Policy Contracts and Procurement Microsoft Office document icon rm_-_field_trip_policy_1.doc

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

Organizational Chart 10.04.17 Contracts and Procurement PDF icon admin_affairs-org_chart_10-04-17.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_2.5.18.pdf

ProCard Application Contracts and Procurement PDF icon procard_application_01.01.18.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.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