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Information and Forms

The following forms are in PDF format. You will need the free Adobe Acrobat Reader to view the following files. You can download it here.

Payroll | Calendars | Policies | Benefits | Student | Appointment | Time Sheets

Employment Application
Employee Accident Report
Bias Response Report
I-9 Form
Chancellor's Award for Excellence in Classified Service Nomination Form

Payroll Forms

Direct Deposit Form
Federal Tax Form - W-4
State Tax Form - IT-2104
Adjunct Instructor Pay Schedule
Health Insurance Enrollment Form - PS 404 - Fill In Form
Classified Employee Time Sheet
Non-Classified Employee Time Sheet
Student Temporary Service Time Sheet
Student Employee Payroll Instructions
Workers' Compensation Pharmacy Benefits
Waiver of Additional Money for Holiday Work
Medical Documentation Form - Non Work Related
Medical Documentation Form - Work Related
TDA/SRA Form
Holiday Work Authorization Form

Calendars

 

2013 Holiday & Payday Calendar
Student Payroll Calendar

 

Policies/Procedures

 

Honoraria
Questions Concerning Honoraria
Conflict of Interest & Professional Ethics
Sexual Harassment Policy
Workplace Violence Policy
Domestic Violence Policy
Campus-wide Policy on Smoking (PDF 8.39 KB)
Employee Separation Procedure - Components to Consider

 

Benefits

 

Flex Spending Account
Long-Term Care Insurance (PDF 2.41 KB)
Leave for Breast Cancer Screening (PDF 2.60 KB)
Leave for Prostate Cancer Screening
Cancer Screening Leave Form
Employee Change of Address
Health Insurance Enrollment Form - PS 404 - Fill In Form
Workers' Compensation Pharmacy Benefits

 

Student Forms

 

Your College Students Benefits
Student Verification for Health Insurance
Student Temporary Service Time Sheet
Student Employee Payroll Instructions
Student Temporary Service Appointment Form - Fill-in Form

 

Appointment/Positions Forms

 

Unclassified Service Appointment Form
Unclassified Appointment Form - Fill-in Form
Classified Service Request to Fill Form
Request to Fill Position Form - Non-Classified position

 

Time Sheet Information and Forms

 

Electronic Time and Attendance (ETA) -- log in
 
ETA Documentation:

Please note: documentation for CSEA employees will be posted at a later date.

Forms
Classified Employee Time Sheet (PDF)
Excel DRL Time Sheet (Excel)
Non-Classified Employee Time Sheet (PDF)
Student Temporary Service Time Sheet(PDF)

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