Adjunct Faculty Health Insurance Request Form |
CalSTRS Recipient Designation Form |
Dental HMO Enrollment Form (2023) |
Dental PPO Enrollment Form (2023) |
FSA - TASC Enrollment Form (2023) |
Hartford - Voluntary Life Enrollment Form |
Hartford - Voluntary Life Evidence of Insurability Form |
Healthcare Certification Form |
Hiring Exemption Request Form |
Leave of Absence Request (FML - Family Medical Leave) |
Leave of Absence Request (General) |
Leave of Absence Request (PDL - Pregnancy Disability Leave) |
Live Scan Request Form |
Live Scan (Locations) |
Long Term Care - UNUM - Enrollment Form (2023) |
Medical Enrollment Form - Administrators' Association (2023) |
Medical Enrollment Form - AFT, CSEA, Confidential Administrators and Confidential
Staff (2023) |
Medical Waiver form (2023) |
Metlife Legal Plan Enrollment Form (2023) |
Metlife Legal Plan Enrollment Form (2023) |
Paid Sick Leave |
Resignation/Retirement Form - Full-Time and Percent Contract Employees |
Resignation/Termination Form - Adjunct and Hourly Employees |
VEBA Medical Enrollment Form - A.A. |
VEBA Medical Enrollment Form - General |
VSP - Vision Enrollment Form (2023) |
Workday User Guide for New Hires |