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Human Resources

Human Resources

Forms

 

Available Staff for Labor Pool   PDF

 
Background Authorization/Release Form Word PDF  
Fingerprinting Process

 

   
Committee Agenda Template Word     
Committee Meeting Minutes Template
Word     
Contract Appointments      
Demographic Data Form   PDF  
Designation of Physician's Form Word
 
Direct Deposit Election Form

  PDF  
Emergency Payroll Advance Request

  PDF  
Employee Development Worksheet

Word PDF  
Employee Separation

Word PDF  
Flexible Work Agreements

  PDF  
Flexible Work Arrangements

  PDF   
FML/LOA Medical Form Cover Sheet (OnBase) PDF

Gift Card Log

    Excel 
In-service Roster   PDF   
Payroll Calendars and Schedules (Intranet)
     

Leave of Absence (Employee Completes and Submits to Manager)

Word

PDF   
Leave of Absence Form for Extended Time Off (Manager Completes)      
Leave of Absence Form for Intermittent Absences (Manager Completes)      
Leave of Absence Resources      
Manager and Senior Professoinal (MSP) Program Employee Performance Appraisal Report

Word

   

Manager and Senior Professional (MSP) Program Physician Contract

Word     
Manager and Senior Professional (MSP) Program Position Description

Word

   
Meeting Agenda Template Word     
Meeting Minutes Template
Word     
Near Relative Request Template Word     
New Employee Checklist   PDF   
No-Smoking Policy: Corrective Action Template Word     
Notice of Intent to Change Conditions of Employment
Word PDF  
Online Earnings Statement Exception Form   PDF   
Patient Handling Injury Report Form Word PDF
Payroll Address Change Form
 

PDF

 
Payroll Checks Through US Mail
 

PDF

 
Personal Data Form (UPAY 544)
Word

PDF

 
Personal Data Form (UPAY 544A) - Bargaining Units RX / TX (UPTE), EX / SX (AFSMCE), CX (CUE)
 

PDF

 
Proof of Service   PDF  
Position Closure Proposal Form
  PDF   
Position Closure Proposal Form - Special Skills Addendum   PDF  
Position Description

Word     
Position Description - "How To Write" Word    
PPS Interface Schedule (2013)
  PDF   
Probationary Period Request to Change End Date Word  PDF   
Property Recovery and Access Termination
 

PDF

 
Request for Classification Review
Word     
Request for Labor Pool Assistance
 

PDF

 
Request for Reports on UC Davis Health Systems Staff Employees Form(intranet)      
Request for Equity
Word     
Request for Stipend Word     
Required State and Federal Posters      
Separation Checklist - Employee   PDF   
Separation Checklist - Supervisor   PDF   
Statement Concering Your Employment in a University Position Not Covered By Social Security

 

PDF

 
Verification of Licensure / Certification

 

PDF

 
Withholding Allowance Certificate - UC W-4/DE 4 (With Instructions)
 

PDF

 
Worker's Compensation - Employee's Claim Form 
 

PDF

 
Worker's Compensation - Employee Instructions / DWC-1
  PDF  
Worker's Compensation - Injury / Illness Worksheet Form  Word PDF