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HSU Forms

Employee

Form Numbersort icon Title/Details Department Direct Link To Form
HSU Confidentiality Agreement for Employees, Consultants, and Independent Contractors Human Resources
application/pdf iconConfidentiality_Form-Staff.pdf
Confidentiality Statement for Academic Professionals (Unit 4) Human Resources
application/pdf iconConfidentiality_Form-Unit 4.pdf
Access Request Form (ARF) ITS Administrative Support
application/pdf iconAccess_Request Form.pdf
Student Wage Schedule Human Resources
application/pdf iconStudent_Salary_Ranges_2007_000.pdf
CSU Family Medical Leave (FML) Human Resources
application/pdf iconCSUFamilyMedicalLeave-GeneralNotice_000.pdf
Grant Furlough Exemption Form Human Resources
application/pdf iconFurloughExemptionForm_000.pdf
Position Change Form Human Resources
application/pdf iconposition_change_form.pdf
Instructions to Complete Digital Signature on Position Change Form Human Resources
application/pdf icondigital signature instructions.pdf
Application Procedures for Leave of Absence without Pay Human Resources
application/pdf iconLeaveOfAbsenceWithoutPay_ Procedure.pdf
Separating Employee Clearance Form Human Resources
application/pdf iconSeparatingEmployeeClearanceForm.pdf
Housing & Dining Services Separating Employee Clearance Form Human Resources
application/pdf iconSeparatingEmployeeClearanceForm_Housing.pdf
Separating Management Clearance Form Human Resources
application/pdf iconSep_ManagementClearance_0908.pdf
IRS W-4 worksheet Human Resources
application/pdf iconW-4_2013.pdf
Special Consultant Request Human Resources
application/pdf iconSpecial Consultant Form 11-2011.pdf
Position Description Form Human Resources
application/pdf iconPosition Description.pdf
Staff Evaluation Forms Human Resources

http://www.humboldt.edu/hsuhr/employee/evaluation/index.html
W-2 (replacement request) Human Resources

http://www.sco.ca.gov/ppsd_empinfo_dpw-2.html
Performance Pay Salary Increase Recommendation - Unit 4 Human Resources

http://www.humboldt.edu/hsuhr/employee/information/unit4.html
Position Description/Classification Guide Human Resources

http://www.humboldt.edu/hsuhr/employee/position/description.html
Whistleblower Complaint Form Human Resources
application/pdf iconWhistleblower_Complaint_Form.pdf
Required Notification for Employees Not Covered by Social Security (SSA-1945 Form) Human Resources
application/pdf iconSSA-1945_0.pdf
Direct Deposit for Employee Reimbursements Financial Services
application/pdf icondirect_deposit_reimbursements.pdf
Property Management Transaction Form Financial Services
application/pdf iconproperty_management_transaction.pdf
Authorization for Off-Campus Use of Equipment Form Financial Services
application/pdf iconauthorization_off_campus_use.pdf
Voluntary Self-Identification For Applicants Human Resources
application/pdf iconVoluntary_Self_ID_Form.pdf
Pool Vehicle Request Form Facilities Management
application/pdf iconpool_vehicle_request.pdf
Work Request Form Facilities Management
application/pdf iconwork_request_form.pdf
Employee/Student Verification of University Employment Facilities Management
application/pdf iconverification_of_employment_student_0.pdf
CSU Volunteer Identification Form Facilities Management

http://www.humboldt.edu/forms/node/350
RM - Field Trip Participant Roster Contracts, Procurement and Risk Management
application/pdf iconRM - Participant Roster.pdf
RM - Field Trip Sign Out Release Agreement Contracts, Procurement and Risk Management
application/msword iconRM - Sign Out Release Agreement.doc
STD 270 Report of Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std270.pdf
RM - Release of Liability Contracts, Procurement and Risk Management
application/pdf iconRM - Release of Liability.pdf
Workers' Compensation for Students Human Resources
application/pdf iconstudent work. comp guide_1.pdf
Establish Petty Cash or Change Fund Form Financial Services
application/pdf iconrequest_change_fund_form.pdf
Request For Record Information University Police Department
application/pdf iconrecords_request_form.pdf
Model Release Marketing and Communications
application/pdf iconmodelReleaseSingle.pdf
Model Release (4 per page) Marketing and Communications
application/pdf iconmodelReleaseFour.pdf
Job Submission Form Marketing and Communications

http://www.humboldt.edu/marcom/workRequest_part1.php
Business Card Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...
Letterhead Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...
Envelope Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...
Rental Vehicle Request Form Facilities Management
application/pdf iconrental_vehicle_request.pdf
Designated Positions Human Resources
application/pdf iconHR2011-02AttB.pdf
Request for Authorization to Travel (Domestic travel) Financial Services
application/pdf iconTravel Auth form (domestic).pdf
Alcohol Approval Request Office of the Vice President, Student Affairs
application/pdf iconalcohol_approval_request.pdf
Separating Employee Checklist for Digital Resources Information Technology Services
application/pdf iconSeparating Employee Checklist for Digital Resources.pdf
Secure Destruction E-Waste Collection and Chain of Custody Form Financial Services
application/pdf iconsecure_e-waste_form.pdf
SPF Confidentiality Form Sponsored Programs Foundation
application/pdf iconConfidentiality Form-SPF-New.pdf
EO 1074 Student Affirmative Action Complaints Actions Resources Table Human Resources
application/pdf iconEO_1074_Student-Applicant_Complaint_Resources.pdf
SPF Discrimination Complaint Form Sponsored Programs Foundation
application/pdf iconDiscrimination Complaint Form F.pdf
SPF Accomodation Request Form Sponsored Programs Foundation
application/pdf iconAccommodation Request Form.pdf
SPF Overview of the Reasonable Accomodation Process Sponsored Programs Foundation
application/pdf iconOverview of Reasonable Accommodation.pdf
SPF Guidelines for Evaluating Impairments Sponsored Programs Foundation
application/pdf iconGuidelines for Evaluating Impairments.pdf
SPF Job Duty Evaluation Checklist Sponsored Programs Foundation
application/pdf iconJob Duty Evaluation Checklist.pdf
SPF Authorization to Release Medical Records Sponsored Programs Foundation
application/pdf iconAuthorization to Release Medical Records.pdf
HSU Accommodation Request Form Human Resources
application/pdf iconAccommodation Request Form.pdf
HSU Overview of Reasonable Accommodation Human Resources
application/pdf iconOverview of Reasonable Accommodation.pdf
HSU Job Duty Evaluation Checklist Human Resources
application/pdf iconJob Duty Evaluation Checklist.pdf
HSU Guidelines for Evaluating Impairments Human Resources
application/pdf iconGuidelines for Evaluating Impairments.pdf
HSU Authorization to Release Medical Records Human Resources
application/pdf iconAuthorization to Release Medical Records.pdf
SPF Separating Employee Clearance Form Sponsored Programs Foundation
application/pdf iconSPF Separating Employee Clearance Form.pdf
SPF Appointment Document Sponsored Programs Foundation
application/pdf iconSPF Appointment Document - 2012 REVISED.pdf
HSU Volunteer Form Human Resources
application/pdf iconHSU Volunteer Form 8-11.pdf
SPF SUMMER Student Time Sheet 2013 Sponsored Programs Foundation
application/pdf iconSPF Student Time Sheet Summer 2013.pdf
SPF Level of Effort Certification Sponsored Programs Foundation
application/pdf iconSPF Level of Effort 2013.pdf
SPF Student Time Sheet Sponsored Programs Foundation
application/pdf iconSPF Student Time Sheet 2013.pdf
SPF NON-STUDENT Time Sheet Sponsored Programs Foundation
application/pdf iconSPF Timesheet for Non-Student 2013.pdf
EHOS Ergonomics Program Human Resources
application/pdf iconErgonomics Program.pdf
Discrimination Complaint Resources Human Resources
application/pdf iconComplaint_Resources.pdf
CSC Campus Change Report 2010-2011 Change Steering Committee
application/pdf icon2010-2011 CSC Report (3).pdf
SPF Personnel Policy Summary Sponsored Programs Foundation
application/pdf iconPersonnel Policy handout for New SPF Employees.pdf
SPF Personnel Policy Summary Sponsored Programs Foundation
application/pdf iconPersonnel Policy handout for New SPF Employees.pdf
SPF Personnel Policy Summary Sponsored Programs Foundation
application/pdf iconPersonnel Policy handout for New SPF Employees.pdf
SPF Predesignation of Personal Physician Sponsored Programs Foundation
application/pdf iconPresdesignation Form-SPF.pdf
SPF Volunteer Form to cover worker's comp Sponsored Programs Foundation
application/pdf iconSPF Volunteer Form.pdf
HSU Green and Gold Calendar for 2010-2011 Human Resources
application/pdf iconHSU_GreenAndGoldCalendar_2010-2011[1].pdf
HSU Green and Gold Calendar for 2011-2012 Human Resources
application/pdf icongreenAndGoldCalendar_2011-2012[1].pdf
EHOS Hot Work Permit Program Environmental Health and Occupational Safety
application/pdf iconHSU HOT WORK PERMIT PROGRAM 2012.pdf
SPF 700-U Form (Conflict of Interest) Sponsored Programs Foundation
application/pdf iconForm700-U-11-12-CSU.pdf
SPF Institutional Routing and Authorization Form Sponsored Programs Foundation
application/pdf iconSPF Institutional Routing Form 4-22-13.pdf
SPF Multiple Projects Appointment Form Attachment Sponsored Programs Foundation
application/vnd.ms-excel iconMultiple Projects Appointment Form Attachments.xls
SPF Special Lecturer/Honorarium & Non-Student Stipend Form Sponsored Programs Foundation
application/pdf iconSPF Special Lecturer-Honorarium and Non-Student Stipend Form.pdf
SPF International Travel Insurance Sponsored Programs Foundation
application/pdf iconForeign Travel Insurance Program 12-13.pdf
SPF Budget Guidebook Sponsored Programs Foundation
application/pdf iconBudget Guidebook updated 11-7-12.pdf
HSU Volunteer Form Processing Instructions Human Resources
application/pdf iconVolunteer Forms Processing Instructions.pdf
SPF NSF Funding Guide Sponsored Programs Foundation
application/pdf iconNSF Funding.pdf
SPF Student Funding Opportunities: How You Can Help Them Find Support Sponsored Programs Foundation
application/vnd.ms-powerpoint iconHSU Student Research Oppor Fall 2011.ppt
SPF Financial Statements Audit 2011 Sponsored Programs Foundation
application/pdf iconHSUSPF Audited Financial Statements - Year Ended 06.30.2011.pdf
ORSP Newsletter Spring 2012 Sponsored Programs Foundation
application/pdf iconORSP Newsletter Spring 2012.pdf
SPF Alistair & Judith McCrone Graduate Fellowship Award Sponsored Programs Foundation
application/pdf iconMcCrone Student application pkt.pdf
HSU Wireless Device Reimbursement Rates Financial Services
application/pdf iconHSU Wireless Reimbursements (2).pdf
SPF Lost Receipt Form Sponsored Programs Foundation
application/pdf iconLost Receipt Form.pdf
SPF Payroll Schedule 2013 Sponsored Programs Foundation
application/pdf iconSponsored Programs Foundation Payroll Schedule 2013.pdf
Staff Fee Waiver-Dependent Human Resources
application/pdf iconStaff_Fee_Waiver-Dependent.pdf
SPF Monthly Absence Report Sponsored Programs Foundation
application/pdf iconMonthly Absence Report 2012.pdf
HSU Authorization for Business-Related Wireless Device Financial Services
application/vnd.ms-excel iconHSU Auth for wireless device form.xls
Staff Fee Waiver-Self Human Resources
application/pdf iconStaff_Fee_Waiver-Self.pdf
Career Development Plan Human Resources
application/pdf iconCareer Development Plan.pdf
SPF Personnel Manual Sponsored Programs Foundation
application/pdf icon4-26-13 SPF Personnel Manual.pdf
SPF Request for Release Time Form: Appendix A Sponsored Programs Foundation
application/vnd.ms-excel iconSPF Request for Release Time Form.xls
SPF Budget Template Sponsored Programs Foundation
application/vnd.ms-excel iconMASTER BUDGET TEMPLATE 6-13-2013.xls
ORSP Org Chart Sponsored Programs Foundation
application/pdf iconORSP Org Chart - Color Coded.pdf
SPF: Title III and V Eligible Institution, Waiver of the Non-Federal Share Matching Requirements Sponsored Programs Foundation
application/pdf iconTitle III and V Eligible Institution - Waiver of the Non-Federal Share Matching Requirements.pdf
SPF Guidelines - Voluntary 403 (b) plan Sponsored Programs Foundation
application/pdf iconGuidelines-Voluntary TSA 403(b) Plans.pdf
SPF voluntary 403 (b) salary reduction agreement Sponsored Programs Foundation
application/pdf iconVoluntary 403(b) Salary Reduction Agreement.pdf
SPF Purchasing Policy Sponsored Programs Foundation
application/pdf iconSPF Purchasing Policy.pdf
SPF Payroll, Benefits, and HR Directory of Services Sponsored Programs Foundation
application/pdf iconSPF Important Contacts.pdf
IRB Policy for the Protection of Human Subjects in Research Sponsored Programs Foundation
application/pdf iconExec Memo Human Protection FINAL.pdf
IRB Implementaion of the Policy for Protection of Human Subjects in Research Sponsored Programs Foundation
application/pdf iconIRB Implementation of Policy.pdf
IRB Consent Checklist Sponsored Programs Foundation
application/pdf iconIRB Consent Form Checklist.pdf
IRB Application for Review Sponsored Programs Foundation
application/pdf iconIRB_Application_for_Review.pdf
IRB Full Board Review SCHEDULE Spring-2012 Sponsored Programs Foundation
application/pdf iconIRB Board Schedule 2012-2013.pdf
IRB Registration Sponsored Programs Foundation
application/pdf iconIRB_Registration.pdf
Employee Assistance Program (EAP) Human Resources
application/pdf iconEAP.pdf
SPF Position Description Sponsored Programs Foundation
application/pdf iconSPF Position Description.pdf
SPF Purchase Request Form Sponsored Programs Foundation
application/pdf iconPurchase Request 2012.pdf
SPF Indirect Rate Policy Sponsored Programs Foundation
application/pdf iconIndirect Rate Policy.pdf
Request for International Travel Financial Services
application/pdf iconRequest for Int'l Travel.pdf
Privacy Notice - Employee Assistance Program Human Resources
application/pdf iconEAP HIPAA 2012-1.pdf
HSU Green and Gold Calendar for 2012-2013 Payroll Department
application/pdf icongreenAndGoldCalendar_2012-2013.pdf
PI Celebration Event Flyer Sponsored Programs Foundation
application/pdf iconPI Celebration Flyer 10-4-12.pdf
Certified Wipe Media Label Information Technology Services
application/pdf iconCERTIFIED WIPE MEDIA LABEL.pdf
SPF Travel Expense Claim Sponsored Programs Foundation
application/pdf iconSPF Travel Expense Claim.pdf
SPF Audited Financial Statements, period ending June 30, 2012 Sponsored Programs Foundation
application/pdf iconHSUSPF Audited Financial Statements - Year Ended 06.30.2012.pdf
Request for Payment Financial Services
application/pdf iconRequest for Payment.pdf
Password Group Setup form (Aging) Information Technology Services
application/pdf iconGroup Password Aging Form and Procedure.pdf
SPF 403(b) defined contribution (DC) plan summary Sponsored Programs Foundation
application/pdf iconSPF 403(b) summary plan information for employees.pdf
Staff Fee Waiver-Frequently Asked Questions Human Resources
application/pdf iconFAQs.pdf
Acknowledgement of Mandated Reporter Status and Legal Duty to Report Child Abuse and Neglect (EO 1083) Human Resources
application/pdf iconAcknowledgement_Form_EO1083.pdf
Check Request form Financial Services
Direct Pay form Financial Services
Petty Cash form Financial Services
HSU Centennial Letterhead Template (MS Word) Marketing and Communications
application/msword iconhsuCentennialLetterheadTemplate.doc

http://www.humboldt.edu/marcom/campusResources.php?section=templates
Every Step Counts! Campus Map Human Resources
application/pdf iconcampusmap2.pdf
Unit 4 - APC (Academic Professionals of California) - Annual Employee Evaluation Human Resources
application/pdf iconEmployee Evaluation-Unit 4 Annual.pdf
Outgoing International Wire Request Financial Services
application/pdf iconInternational Wire Request Form.pdf
001 Reservation Request for the Native American Forum (BSS162) Center for Indian Community Development
application/pdf iconNativeForumReservationRequest2012.pdf

http://www.humboldt.edu/cicd/forum.htm
003C Controlled IT Spaces Access Authorization Form Information Technology Services
application/pdf icon003C-Controlled-IT-Spaces-Access-Auth-Form.pdf
003D Controlled IT Spaces Access Control List Information Technology Services
application/msword icon003D Controlled-IT-Spaces-Access-Control-List.doc
003G Controlled IT Spaces Visitor Log Information Technology Services
application/pdf icon003G-Controlled-IT-Spaces-Visitor-Log.pdf
105 EMPLOYEE INFORMATION FORM (EIF) Human Resources
application/pdf iconEmployee Information Form.pdf
107 Application for Leave of Absence Human Resources
application/pdf iconLeave_of_Absence_App.pdf

http://humboldt.edu/hsuhr
261 STD 261 Authorization to Use Privately Owned Vehicle Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std261.pdf
268 STD 268 Report of Non-Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std268.pdf
APS Form 510 Advice of Separation: Lecturer, FERP, Temp Librarian, TA & GA Academic Personnel Services
application/vnd.ms-excel iconForm510_Separation.xls

http://www.humboldt.edu/aps
APS Form 515 Advice of Separation: Coaches Academic Personnel Services
application/vnd.ms-excel iconForm515_Separation-Coaches.xls

http://www.humboldt.edu/aps
APS Form 610 Advice of Separation: Instructional Student Assistants Academic Personnel Services
application/vnd.ms-excel iconForm610_Separation-ISA.xls

http://www.humboldt.edu/aps
BS-FS-024A Student Award Request Form Financial Services
application/pdf iconBS-FS-024A STUDENT AWARD REQUEST FORM.pdf
Form 104 Report of Appointment for Support Staff Human Resources
application/pdf iconAppointment_Form.pdf
Form 109 Report of Separation for Staff - Please print on green paper Human Resources
application/pdf iconSeparation_Form.pdf
HR 2005-26 CSU Volunteer Policy Human Resources
application/pdf iconVolunteer Policy.pdf
HSU 71 Report of Missing Property Form Financial Services
application/pdf iconhsu_form_71.pdf
I-9 Employee Eligibility Verification Human Resources

http://www.uscis.gov/files/form/i-9.pdf
PR 11 Evening and Night Shift Differential Time Voucher Payroll
application/pdf iconPR-11.pdf
PR 19 Student Assistant Time Voucher Payroll

http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html
PR 43 Special Consultant Time Voucher Payroll
application/pdf iconPR-43_08312010.pdf
PR 54 Absence Excess Hours Holiday Worked Payroll
application/pdf iconPR-54.pdf
PR 55 Informal Leave Without Pay Payroll
application/pdf iconPR-55.pdf
PR 64 Casual Worker Time Voucher Payroll
application/pdf iconPR-64.pdf
PR 8 Intermittent Hourly Time Voucher Payroll
application/pdf iconPR8f2010.pdf
PR8 Intermittent Hourly Time Voucher Payroll
application/pdf iconPR8f2012.pdf
SS-5 Social Security: Replacement card/name change application. Human Resources

http://www.ssa.gov/online/ss-5.html
SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security Human Resources
application/pdf iconSSA-1945.pdf
STD 236 Hotel/Motel Transient Tax Waiver Financial Services
application/pdf iconstd236.pdf
STD 261 Authorization to Use Privately Owned Vehicle Financial Services
application/pdf iconstd261.pdf
STD 262 Travel Expense Claim Financial Services
application/vnd.ms-excel iconTravel Expense Claim.xls

http://www.humboldt.edu/univtravel/
STD 436 DUPLICATE WAGE AND TAX STATEMENT REQUEST Payroll
application/pdf iconempinfo_howto_std436.pdf
STD-699 Direct Deposit Form Human Resources
application/pdf iconDirect_Deposit_Form.pdf
STD. 686 Employee Action Request (EAR) Human Resources
application/pdf iconear.pdf
W-4 Employee's Witholding Allowance Certificate Human Resources
application/pdf iconfw4.pdf