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HSU Forms

Employee

Form Number Title/Detailssort icon Department Direct Link To Form
Job Submission Form Marketing and Communications

http://www.humboldt.edu/marcom/workRequest_part1.php

3rd Annual PI Celebration! Sponsored Programs Foundation
PR 54 Absence Excess Hours Holiday Worked Payroll
Access Request Form (ARF) ITS Administrative Support
Acknowledgement of Mandated Reporter Status and Legal Duty to Report Child Abuse and Neglect (EO 1083) Human Resources
APS Form 515 Advice of Separation: Coaches Academic Personnel Services

http://www.humboldt.edu/aps

APS Form 610 Advice of Separation: Instructional Student Assistants Academic Personnel Services

http://www.humboldt.edu/aps

APS Form 510 Advice of Separation: Lecturer, FERP, Temp Librarian, TA & GA Academic Personnel Services

http://www.humboldt.edu/aps

Alcohol Approval Request Office of the Vice President, Student Affairs
APS Application for Academic Employment Academic Personnel Services
107 Application for Leave of Absence Human Resources

http://humboldt.edu/hsuhr

Application Procedures for Leave of Absence without Pay Human Resources
Authorization for Off-Campus Use of Equipment Form Financial Services
STD 261 Authorization to Use Privately Owned Vehicle Financial Services
Business Card Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

Career Development Plan Human Resources
PR 64 Casual Worker Time Voucher Payroll
Certified Wipe Media Label Information Technology Services
Check Request form Financial Services
Confidentiality Statement for Academic Professionals (Unit 4) Human Resources
003C Controlled IT Spaces Access Authorization Form Information Technology Services
003D Controlled IT Spaces Access Control List Information Technology Services
003G Controlled IT Spaces Visitor Log Information Technology Services
CSC Campus Change Report 2010-2011 Change Steering Committee
CSU Family Medical Leave (FML) Human Resources
CSU Volunteer Identification Form Facilities Management

http://www.humboldt.edu/forms/node/350

HR 2005-26 CSU Volunteer Policy Human Resources
Designated Positions Human Resources
Direct Deposit for Employee Reimbursements Financial Services
STD-699 Direct Deposit Form Human Resources
Direct Pay form Financial Services
Discrimination Complaint Resources Human Resources
STD 436 DUPLICATE WAGE AND TAX STATEMENT REQUEST Payroll
EHOS Ergonomics Program Human Resources
EHOS Hot Work Permit Program Environmental Health and Occupational Safety
STD. 686 Employee Action Request (EAR) Human Resources
Employee Assistance Program (EAP) Human Resources
I-9 Employee Eligibility Verification Human Resources

http://www.uscis.gov/files/form/i-9.pdf

Employee Fee Waiver-Frequently Asked Questions Human Resources
105 EMPLOYEE INFORMATION FORM (EIF) Human Resources
Employee/Student Verification of University Employment Facilities Management
Envelope Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

EO 1074 Student Affirmative Action Complaints Actions Resources Table Human Resources
Establish Petty Cash or Change Fund Form Financial Services
PR 11 Evening and Night Shift Differential Time Voucher Payroll
Every Step Counts! Campus Map Human Resources
925 Fee Waiver Application - Faculty Dependent Academic Personnel Services

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

920 Fee Waiver Application - Faculty Self Academic Personnel Services

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

Fee Waiver Application-Dependent Academic Personnel Services and Human Resources

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

Fee Waiver Application-Self Academic Personnel Services and Human Resources

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

Grant Furlough Exemption Form Human Resources
STD 236 Hotel/Motel Transient Tax Waiver Financial Services
Housing & Dining Services Separating Employee Clearance Form Human Resources
HSU - Release of Liability Contracts, Procurement and Risk Management
HSU Accommodation Request Form Human Resources
HSU Authorization for Business-Related Wireless Device Financial Services
HSU Authorization to Release Medical Records Human Resources
HSU Centennial Letterhead Template (MS Word) Marketing and Communications

http://www.humboldt.edu/marcom/campusResources.php?section=templates

HSU Confidentiality Agreement for Employees, Consultants, and Independent Contractors Human Resources
HSU Green and Gold Calendar for 2010-2011 Human Resources
HSU Green and Gold Calendar for 2011-2012 Human Resources
HSU Green and Gold Calendar for 2012-2013 Payroll Department
HSU Guidelines for Evaluating Impairments Human Resources
HSU Job Duty Evaluation Checklist Human Resources
HSU Overview of Reasonable Accommodation Human Resources
HSU Volunteer Form Human Resources
HSU Volunteer Form Processing Instructions Human Resources
HSU Wireless Device Reimbursement Rates Financial Services
In-Range Progression Request Form Human Resources
Incident Report Form Office of the Vice President, Student Affairs

https://publicdocs.maxient.com/reportingform.php?HumboldtStateUniv&layou...

PR 55 Informal Leave Without Pay Payroll
Instructions to Complete Digital Signature on Position Change Form Human Resources
PR 8 Intermittent Hourly Time Voucher Payroll
PR8 Intermittent Hourly Time Voucher Payroll
IRB Application for Review Sponsored Programs Foundation
IRB Consent Checklist Sponsored Programs Foundation
IRB Full Board Review SCHEDULE 14-15 Sponsored Programs Foundation
IRB Implementaion of the Policy for Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Policy for the Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Registration Sponsored Programs Foundation
Letterhead Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

Lost Receipt Memo Financial Services
Model Release Marketing and Communications
Model Release (4 per page) Marketing and Communications
ORECD Org Chart Sponsored Programs Foundation
ORSP Newsletter Spring 2012 Sponsored Programs Foundation
Outgoing International Wire Request Financial Services
Password Group Setup form (Aging) Information Technology Services
Payment Request Form Financial Services
Performance Pay Salary Increase Recommendation - Unit 4 Human Resources

http://www.humboldt.edu/hsuhr/employee/information/unit4.html

Petty Cash form Financial Services
Pool Vehicle Request Form Facilities Management
Position Change Form Human Resources
Position Description Form Human Resources
Position Description/Classification Guide Human Resources

http://www.humboldt.edu/hsuhr/employee/position/description.html

Privacy Notice - Employee Assistance Program Human Resources
ProCard Lost Receipt Memo Contracts, Procurement and Risk Management
Property Management Transaction Form Financial Services
Rehired Annuitant Certification Human Resources
Rental Vehicle Request Form Facilities Management
Form 104 Report of Appointment for Staff Human Resources

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

HSU 71 Report of Missing Property Form Financial Services
Form 109 Report of Separation for Staff - Please print on green paper Human Resources
Request for Authorization to Travel (Domestic travel) Financial Services
Request for International Travel Financial Services
Request For Record Information University Police Department
Required Notification for Employees Not Covered by Social Security (SSA-1945 Form) Human Resources
001 Reservation Request for the Native American Forum (BSS162) Center for Indian Community Development
RM - Field Trip Participant Roster Contracts, Procurement and Risk Management
RM - Field Trip Sign Out Release Agreement Contracts, Procurement and Risk Management
Secure Destruction E-Waste Collection and Chain of Custody Form Financial Services
Separating Employee Checklist for Digital Resources Information Technology Services
Separating Employee Clearance Form Human Resources
Separating Management Clearance Form Human Resources
SS-5 Social Security: Replacement card/name change application. Human Resources

http://www.ssa.gov/online/ss-5.html

Special Consultant Request Human Resources
Special Consultant Request Instructions Human Resources
PR 43 Special Consultant Time Voucher Payroll
SPF 403(b) defined contribution (DC) plan summary Sponsored Programs Foundation
SPF 700-U Form (Conflict of Interest) Sponsored Programs Foundation
SPF Accomodation Request Form Sponsored Programs Foundation
SPF Alistair & Judith McCrone Graduate Fellowship Award Sponsored Programs Foundation
SPF Appointment Document Sponsored Programs Foundation
SPF Audited Financial Statements, period ending June 30, 2012 Sponsored Programs Foundation
SPF Audited Financial Statements, period ending June 30, 2013 Sponsored Programs Foundation
SPF Authorization to Release Medical Records Sponsored Programs Foundation
SPF Budget Guidebook Sponsored Programs Foundation
SPF Budget Template Sponsored Programs Foundation
SPF Close Relative Disclosure Form Sponsored Programs Foundation
SPF Confidentiality Form Sponsored Programs Foundation
SPF Discrimination Complaint Form Sponsored Programs Foundation
SPF Employment - Business Development & Marketing Specialist Sponsored Programs Foundation
SPF Employment - Research Associate (Post-Doc) Position Sponsored Programs Foundation
SPF Employment - SBDC Office Manager Sponsored Programs Foundation
SPF Financial Statements Audit 2011 Sponsored Programs Foundation
SPF Guidelines - Voluntary 403 (b) plan Sponsored Programs Foundation
SPF Guidelines for Evaluating Impairments Sponsored Programs Foundation
SPF Health Insurance Marketplace Employee Notice Sponsored Programs Foundation
SPF Indirect Rate Policy Sponsored Programs Foundation
SPF Institutional Routing and Authorization Form Sponsored Programs Foundation
SPF International Travel Insurance Sponsored Programs Foundation
SPF Job Duty Evaluation Checklist Sponsored Programs Foundation
SPF Level of Effort Certification 2014 Sponsored Programs Foundation
SPF Lost Receipt Form Sponsored Programs Foundation
SPF Monthly Absence Report Sponsored Programs Foundation
SPF Multiple Projects Appointment Form Attachment Sponsored Programs Foundation
SPF NON-STUDENT Time Sheet 2014 Sponsored Programs Foundation
SPF NSF Funding Guide Sponsored Programs Foundation
SPF Overview of the Reasonable Accomodation Process Sponsored Programs Foundation
SPF Payroll Schedule 2014 Sponsored Programs Foundation
SPF Payroll, Benefits, and HR Directory of Services Sponsored Programs Foundation
SPF Personnel Manual Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Position Description Sponsored Programs Foundation
SPF Predesignation of Personal Physician Sponsored Programs Foundation
SPF Purchase Request Form Sponsored Programs Foundation
SPF Purchasing Policy Sponsored Programs Foundation
SPF Request for Release Time Form: Appendix A Sponsored Programs Foundation
SPF Separating Employee Clearance Form Sponsored Programs Foundation
SPF Special Lecturer/Honorarium & Non-Student Stipend Form Sponsored Programs Foundation
SPF Student Funding Opportunities: How You Can Help Them Find Support Sponsored Programs Foundation
SPF Student Time Sheet 2014 Sponsored Programs Foundation
SPF SUMMER Student Time Sheet 2014 Sponsored Programs Foundation
SPF Travel Expense Claim Sponsored Programs Foundation
SPF voluntary 403 (b) salary reduction agreement Sponsored Programs Foundation
SPF Volunteer Form to cover worker's comp Sponsored Programs Foundation
SPF: Title III and V Eligible Institution, Waiver of the Non-Federal Share Matching Requirements Sponsored Programs Foundation
Staff Evaluation Forms Human Resources

http://www.humboldt.edu/hsuhr/employee/evaluation/index.html

SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security Human Resources
268 STD 268 Report of Non-Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std268.pdf

STD 270 Report of Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std270.pdf

Student Affairs Leave Request Memo Office of the Vice President, Student Affairs
Student Affairs Position Justification and Budget Verification Office of the Vice President, Student Affairs
Student Assistant Performance Evaluation Human Resources
PR 19 Student Assistant Time Voucher Payroll

http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html

BS-FS-024A Student Award Request Form Financial Services
Student Wage Schedule Human Resources
Travel Expense Claim Financial Services

http://www.humboldt.edu/univtravel/

Unit 4 - APC (Academic Professionals of California) - Annual Employee Evaluation Human Resources
Voluntary Self-Identification For Applicants Human Resources
W-2 (replacement request) Human Resources

http://www.sco.ca.gov/ppsd_empinfo_dpw-2.html

W-4 W-4 - Employee's Witholding Allowance Certificate Human Resources

http://www.irs.gov/pub/irs-pdf/fw4.pdf

Whistleblower Complaint Form Human Resources
Work Request Form Facilities Management
Workers' Compensation for Students Human Resources