Benefits | Employment | Financial & Retirement |Online Resources | Payroll | Professional Development | Temporary Lecturer/Faculty

BENEFITS
Form #	Form Title/ Description	WORD	PDF	HTML
	Affidavit of Marriage In lieu of a marriage certificate required to enroll spouse into benefit plans.
	Affidavit of Eligibility for Economically Dependent Children The needed form to add an economically dependent child or children to your health plan.
	Declaration of Domestic Partnership To register domestic partnership with the State of California.
	Dental Plan Enrollment Authorization To enroll in the dental plan.
	Employer Zip Code Selection To qualify for HMO based on employer zip code instead of residential zip.
	Flexcash Program Enrollment Authorization To enroll in the Flexcash Program.
	HCRA/DCRA Enrollment Authorization To enroll in the Flexcash Program.
	HCRA/DCRA Combined Claim Form Claim form to be used with Dependent Care/ Health Care Reimbursement Account Plans
	PERS Health Benefit Plan Enrollment Form To enroll in a Health Benefit Plan.
	Pre-Tax Parking Deduction Election Authorization To enroll or cancel pre-tax parking program.
	VSP Out-of-Network Reimbursement Form To claim expenses for out-of-network vision services.
	VSP Video Display Terminal (VDT) Claim Form To claim VDT glasses.
	Catastrophic Leave Donation Form Used to submit donations of sick or vacation leave to employees who are eligible for catastrophic leave.
	Family Care and Medical Leave Certification Used by employee's or employee family member's health care provider to certify medical condition.
	Leave of Absence Request (Faculty Only) Employee report for medical leave without pay
	Extension of Probationary Period form (Faculty Only) Used with Faculty Leave of Absence
	Leave of Absence Without Pay, Request for For staff and administrative personnel.

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EMPLOYMENT
Form #	Form Title/ Description	WORD	PDF	HTML
	Application for Staff/Administrator (Non-Faculty) To apply for a staff/administrator position at SFSU.
	Staff Position Description Describe the duties, responsibilities and qualifications of the position.
	Administrator (MPP) Position Description Describe the duties, responsibilities and qualifications of the position.
	Recruitment Authorization Use this form to obtain authorization to recruit for a position.
	Recruitment Minimum Qualifications Examples Sample Minimum Qualifications text.
	Special Consultant To appoint a special consultant.
	Staff Recommendation To recommend a candidate for hire.
	Telecommuting Agreement To be completed annually by those enrolled in the program.
	Volunteer Agreement To acknowledge that services have been volunteered
	Work Schedule To indicate an employee's work schedule.

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Online Resources
Form #	Form Title/ Description	WORD	PDF	HTML
	Clearance Request To make an appointment with the Human Resources Clearance Specialist
	Personal Access Code (P.A.C.)
	Employee Leave Accounting
	Personnel Practice Directives

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PAYROLL
Form #	Form Title/ Description	WORD	PDF	HTML
	Absence and Additional Time Worked Report To report employee absences or additional time worked.
	Absence and Additional Time Worked Report Instructions Instructions on how to complete the February 2006 revised Absence and Additional Time Worked Report.
	Authorization for Extra Hours Form required to authorize request to work overtime.
	Direct Deposit Enrollment Authorization To enroll in direct deposit of paychecks.
	Dock Notice To notify Payroll that an employee is being docked.
	Employee Action Request To report changes of address and withholding allowance.
	Honorarium Payment Request To request payment for presenter/lecturer at a campus event.
	Information About Social Security Form Statement concerning employment in a job not covered by Social Security
	Leave Discrepancies Reporting Form Use this form to report discrepancies in your leave statement
	Report of Extra Hours Worked Form required to record extra hours worked.
	Request for Duplicate W-2 To request duplicate W-2
	Savings Bond Authorization To purchase or change savings bond by payroll deduction.
	Student Payroll Action Request To obtain pertinent information for student employees, address changes, and withholding allowance.
	Substitute Faculty Appointment To appoint substitute faculty.
	Warrant Designee To designate individual to receive final pay.

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FINANCIAL & RETIREMENT
Form #	Form Title/ Description	WORD	PDF	HTML
	Salary Reduction Agreement To establish or change tax sheltered annuity.

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Professional Development
Form #	Form Title/ Description	WORD	PDF	HTML
	Employee Fee Waiver Application
	Dependent Fee Waiver Application
	Performance Evaluation Form
	Unit 4 Performance Evaluation Form
	Management Personnel Plan Performance Review
	STAR Nomination Form
	STAR Committee Volunteer Form
	Performance-Based Salary Increase (PBSI), Performance Bonus or In-Range Salary Increase Form
	Individual Career Development Plan (ICDP) - Instructions
	Individual Career Development Plan (ICDP) - Worksheet
	Individual Career Development Plan (ICDP) - Form

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Temporary Lecturer/Faculty
Form #	Form Title/ Description	WORD	PDF	HTML
FAO 112	Application for Temporary Faculty Employment
FAO 113	Application for Subsequent Temporary Faculty Appointment
FAO 114	Temporary Faculty Evaluation Form

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