A - C
ACE Classified Performance Evaluation Form
ACE Educational Reimbursement Form
ACE PGA Application and Guidelines
ACE Travel and Conference Fund Application
Additional Pay Form (District FTF)
Administrative Achievement Award Application
Administrative Performance Appraisal (Evaluation) Form
Administrative Reclassification Appeal Form
Authorization to Eliminate Position
Admin Early Notice Incentive Program Application
Anthem Blue Cross Member Claim Form - Medical
Calendars:
2018-2019 & 2019-2020 Holiday Calendars
CalPERS Affidavit of Marriage and Domestic Partnership - Form PERS HBSD-1965
CalPERS Affidavit of Parent-Child Relationship - Form HBD-40
CalPERS Beneficiary Designation
CalPERS Certification of Medicare Status
CalPERS Declaration of Health Coverage for Employees - Form HBD-12a
CalPERS Direct Payment Authorization
CalPERS Disabled Dependent Medical Certification - Form HBD-34
CalPERS Disabled Dependent Questionnaire - Form HBD-98
CalPERS Health Plan Enrollment for Employees - Form HBD-12 (Active Employees)
CalPERS Health Benefits Enrollment Form (Retirees)
Change of Address Form (Retiree)
Classified Performance Evaluation Instructions
Classified Performance Evaluation Form (EXCEPT ACE - see ACE Classified Performance Evaluation Form)
Classified Hourly Performance Evaluation Form
C.O.B.R.A Request Form (Active Employees)
C.O.B.R.A. Request Form (Retirees)
Conexis FSA Dependent Care Account Claim Form
Conexis FSA Health Care Account Claim Form
Conexis FSA Medical Determination Form
Confidential Educational Reimbursement Form
CSEA Apprenticeship Application Form
CSEA Apprenticeship Evaluation Form
CSEA Educational Reimbursement Form
CSEA Travel and Conference Form
CVS Caremark Rx - Mail Order Form
CVS Caremark Rx - Retail Claim Form
D - L
Donation Sick Leave Pledge Form
Educational Achievement Request Form (Administrators)
Electronic Fund Transfer (EFT) Authorization Form
Hartford Beneficiary Designation Form
Hartford Buy-Up Long-Term Disability Application
Hartford Insurance Death Claim form
Hartford Life Portability Application Form
Hartford Long Term Disability Application Form (LTD)
Hartford Notice of Conversion Form
Independent Contractor Agreement (ICA)
M - R
Medical Certification Initiating Leave
Medical Certification Release and Return to Work
PDL Application (P1) - Due Monday, October 15, 2018 (by 5 pm)
Reassigned/Release Time Authorization Form
S - T
Staff Development Leave Application
Staff Development Leave Information
State of California Employer's Report Form(Form 5020)
Student Evaluation - Part A Envelopes
Student Evaluation - Part B Envelopes
Student Evaluation - Confidential Page
Supervisor's Claim and Safety Report
Supplemental Life and AD&D Application-Personal Health Form
Teamsters Educational Assistance Form
Teamsters PGA Application and Guidelines
Training/Retraining Application (Appendix I) - Administrators
Training/Retraining Application (Appendix R) - Faculty - Due Monday, April 16, 2018 (by 5 pm)
Training/Retraining Reimbursement Request Form - Administrators
Training/Retraining Reimbursement Request Form - Faculty
U - Z
Universal Enrollment Form (for changes/additions/deletions of ALL dependents)
Universal Enrollment Form (for PTF w/o REP and TEA for 6 months plus 1 day employment status)
Unlawful Discrimination Complaint Form (Updated Nov 2018)