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Applications & Forms:
All Publications are in Adobe Acrobat PDF
(except as noted)
Employment Applications & Forms
-
Emergency Pool Guidelines & Procedures.
doc
-
Employment Application Packet
.
doc
-
Employment Request Form
.
doc
-
Employment Request Form Instructions
.
doc
-
Employee Training & Development Forms
(Web page)
-
In-Range Progression Request Form
.
doc
-
In-Range Progression Request Guidelines & Procedures
.
doc
-
Management Recruitment Policy
.doc
-
Management Recruitment Guidelines
.doc
-
Management Recruitment Checklist
.
doc
-
Position Description Form
.
doc
-
Position Description Guidelines
.
doc
-
President's Action Request (PAR)
.
doc
-
Reclassification Request Form
.
doc
-
Reclassification Request Instructions
.
doc
-
Staff Recruitment and Selection Guidelines
.
doc
-
Staff Recruitment Evaluation
.
doc
Benefits Forms
-
CalPERS Beneficiary Designation Form
.
pdf
-
HCRA/DCRA Claim Form
.
pdf
-
HCRA/DCRA Enrollment Form
.
pdf
-
FlexCash Enrollment Form
.
pdf
-
Insurance Enrollment Worksheet
.
doc
-
Request for Leave of Absence Form
.doc
-
Life & AD&D Beneficiary Designation Form (Employer Paid)
.
pdf
-
Life Beneficiary Designation Form (Employee Paid)
.pdf
-
Voluntary Deductions Cancellation Notice
.
doc
-
PST Benefit Payment Application
.
pdf
-
TSA (403(b)) - Salary Reduction Agreement
.
pdf
-
VSP Benefit Plan Summary
.
pdf
-
VSP Evidence of Coverage (EOC)
.
pdf
-
VSP Select-Network of Providers
.
pdf
-
VSP Member-Registration
.
pps
-
VSP Vision Claim Form (VDT)
.
pdf
-
VSP Out of Network Reimbursement Form
.
pdf
Disability Management Program & Forms
-
Disability Management Program
.doc
-
Activity Analysis
.
doc
-
Reasonable Accommodation Checklist
.
doc
-
Transitional Employment Plan
.
doc
-
Transitional Employment Tracking
.
doc
Assistance
To read
.pdf
download
Adobe Reader
Fee Waiver Forms
-
Employee Fee Waiver Application
.
doc
-
Dependent Fee Waiver Application
.
doc
-
Individual Career Development Plan
.
doc
General Forms
-
Conditions of Use & Confidentiality Form
.
doc
-
Emergency Contact Form
.
doc
-
Nepotism Compliance Agreement
.
doc
-
Savings Bonds Purchase/Payroll Deduction Authorization
.
pdf
-
Training Registration Form
.doc
-
Unit 4 Merit Bonus Program Procedure
.
doc*
-
Unit 4 Merit Bonus Program Supervisor Recommendation Form
.
doc*
-
Volunteer Identification Form
.doc
Payroll Forms
-
Absence & Additional Time Worked Report
.
pdf
-
Authorization for Overtime
.doc
-
Direct Deposit Enrollment Authorization
.
pdf
-
Employee Action Request (EAR)
.
pdf
-
How To Request a Duplicate W-2
-
Pay Check Calculator
-
Student Employment Handbook
.
pdf
-
Student Payroll Action Request
.
pdf
-
Warrant Designee
.
pdf
Performance Evaluation
-
MPP Performance Evaluation Polic
y
.
doc
-
Staff Performance Evaluation
.doc
-
Staff Performance Evaluation Guidelines
.doc
-
Unit 4 Performance Evaluation and Instructions
.doc
WORKERS' COMPENSATION (WC)
-
WC and IDL FAQ
-
A Guidebook for Injured Workers.
pdf
-
WC Info and Instructions
.doc
-
Supervisor's Report of Employee Injury
.doc
-
WC Claim Form (DWC1)
.pdf
-
WC Pre-designation of Personal Physician
.
pdf
-
WC Pre-designation of Personal Chiropractor or Acupuncturist
.
pdf
-
Work Wellness - (209) 216-3333
1801 Colorado Ave., Suite 130
Turlock, CA 95382
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Refreshed:
Monday, May 05, 2008
