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Forms

Acting Appointment

Word PDF  
Available Staff for Labor Pool PDF

Background Check Authorization / Release

Word

PDF
Bi-weekly Payroll Calendar 2007 PDF

 
Bi-weekly Payroll Calendar 2008

PDF  
Committe Agenda Template Word     
Committee Meeting Minutes Template
Word     
CTO Agreement - Clerical and Allied Services Unit (CX)

PDF

 
CTO Agreement - Health Care Professional Unit (HX)

PDF

 

CTO Agreement - Research Support Professionals Unit (RX)

PDF

 
CTO Agreement - Service Unit (SX)

PDF

 
CTO Agreement - Technical Unit (TX)

PDF

 
Designation of Physician's Form PDF   
Direct Deposit Election Form

PDF  
Emergency Payroll Advance Request

PDF  
Employee Development Worksheet

Word PDF  
Employee Emergency Loan Fund Request UC Davis Policy and Procedure 380-56 Employee Emergency Loan Fund

PDF  
Employee Emergency Loan Promissory Note

Word   

Employee Engagement Survey Action Plan

Word     
Employee Performance Appraisal (EPAR) (CUE, AFSCME, UPTE)

Word PDF  
Employee Performance Appraisal (EPAR) (PPS, CNA)

Word  PDF   
Employee Performance Appraisal (CNA - Patient Care Services Division Only) Word  PDF   
Employee Separation

Word PDF  
Flexible Work Agreements

PDF

 
Flexible Work Arrangements

PDF  

Gift Card Log

    Excel 
Kronos Clock Locations

PDF

 
Kronos Employee Add Form

PDF  
Kronos Employee Change Form

PDF  
Kronos Manager/Supervisor/Timekeeper Add Form

PDF  
Kronos Timecard Adjustment Request

PDF  
Leave of Absence

Word

 
Manager and Senior Processoinal (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

 
Medical Certification to Return to Work (Medical Certification Form)

Word PDF  
Medical Certification to Return to Work (Clearance Form)

Word PDF
Meeting Agenda Template Word     
Meeting Minutes Template

Word     
Near Relative Request Template Word     
Notice of Intent to Change Conditions of Employment

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

 
Photo Identification Badge and Cardkey Request Form
Word 

 

Position Description

Word   
Position Description Addendum for Customer Service Standards

Word

 

 
Position Description Customer Service Addendum Examples

Word

PDF

 
PPS Interface Schedule

PDF

 
Probationary Period Report

PDF

 
Property Recovery and Access Termination

PDF

 
Request for Change in Authorized Staffing (RCAS)

PDF

 
Request for Classification Review

PDF

 
Request for Labor Pool Assistance

PDF

 

Request for Reports - Requirements Information

Word  PDF   
Request for Reports on UCDHS Staff Employees Form

Word  
Request for Stipend or Equity Adjustment

PDF

 
Required State and Federal Posters

 
Statement Concering Your Employment in a University Position Not Covered By Social Security

PDF

 
UC Davis Indefinite Layoff Proposal

Word

PDF

 
UC Davis Temporary Layoff Proposal

Word

PDF

 
Verification of Licensure / Certification

PDF

 
Vocational Rehabilitation Program - Initial Intake Form 

 Word 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