Office of Human Resources

Forms:

Background Screening Notification & Authorization Form .PDF | .DOC

Banner Access Request .PDF

Beneficiary Form (Life Insurance) .PDF

Consent and Disclosure .PDF

Crisis Leave Program Application (Classified) .PDF | .DOC

Crisis Leave Program Donation (Classified) .PDF | .DOC

Disclosure of Outside Employment .PDF

Dual Enrollment Employment Packet .PDF

EEO Data Form .PDF | .DOC

Elevator Access Request Form .PDF | .DOC

Employee Checkout Form .PDF | .DOC

Family Medical Leave

- Family Medical Leave Act Application .PDF | .DOC

- Family Medical Leave Act Policy .PDF

Grievance Form (Classified) .PDF | .DOC

Name/Address Change Form .PDF | .DOC

Online Adjunct Faculty Employment Forms .PDF

Optional Pay Adjustment Questionnaire .PDF |.DOC

Options to Continue Contributions During Time of Furlough Without Pay .PDF

Part-Time Adjunct Faculty Employment Packet .PDF

PES Development Tool .DOC

PES Performance Notes .DOC

PES Planning & Evaluation Form .DOC

Personal Data Form .PDF

Request to Advertise Classified Position .PDF | .DOC

Request to Advertise Faculty-Unclassified Position .PDF | .DOC

Example of Faculty Position Announcement .PDF
Example of Unclassified Position Announcement .PDF

Report on Disposition of Candidates .PDF | .DOC

Shared Sick Leave Application Form .PDF
 - Faculty and Unclassified Staff only

Shared Sick Leave Donation Form .PDF
 - Faculty and Unclassified Staff only

Supplemental Insurance Cancellation Form .PDF | .DOC

Unclassified Position Description, Justification & Certification Form .PDF | .DOC

Unscheduled Absence Forms .PDF | .DOC

Unscheduled Absence Supervisory Notice .PDF | .DOC

403B Salary Reduction Agreement .PDF | .DOC

Payroll Action Forms:

Form - M .PDF | .DOC
 monthly payroll action PAF-M

Narrative .PDF
Guide to Completing PAF-M .PDF

Form - B .PDF | .DOC
 biweekly payroll action

Form - I .PDF | .DOC
 casual wage

Employee Fee Waiver Forms:

Fee Waiver .PDF | .DOC

Dependent Fee Waiver .PDF | .DOC

La Delta CC Tuition Waiver .DOC

 

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