HR Forms for Employees - Human Resources and Training

• Address Change Instructions
• Name Change Form
• Duty Statement
• Emergency Contact Form (PDF),
• Personnel File Access Request Form (PDF)
• Reasonable Accommodation Request Form
• Unlawful Discrimination Complaint Form (PDF)
• Information Technology Services Department flyer (PDF)

Optional Contributions

• Employee Giving Campaign (Ohlone College Foundation)
• Employee Fitness and Wellness Program Guidelines
• DOC)

Part-time Faculty Benefits Forms

• KeenanDirect Individual and Family Plans and Small Group Health Solutions (PDF)

Tax Sheltered Annuities

Go to Retirement Plans - Tax Sheltered Annuities - 403(b)/457B.

American Fidelity Assurance, Flex Account Administration

• AFES Section 125 Flexible Benefit Plan Expense Reimbursement Voucher Form
• Dependent Day Care Reimbursement Form / Acknowledgement Form (cannot be used for medical expense reimbursement requests)

Employee Assistance Program

Go to CONCERN:EAP (Employee Assistance Program).

Full-time Faculty Forms

Watch New Full-time Faculty Video Tutorial (not yet available).

• New Full-time Faculty Check List (not yet available)
• New Full-time Faculty Packet (not yet available)
• Mandatory Medicare Coverage Memo for Full-time Faculty
• Full Time Faculty Union Dues Authorization
• Full Time Faculty Pay Warrant Form

Part-time Faculty Forms

Watch New Part-time Faculty Video Tutorial (not yet available).

• New Part-time Faculty Employment Check List for 2014-2015
• New Part-time Faculty Employment Packet
• NEW Part-time Faculty Employment Packet Supplement

Dean Use Only Faculty Forms

• PAF (Personnel Action Form) (XLS), (PDF)
• Minimum Qualification Equivalency Form

Official Transcripts

Please contact your college and/or university for your associates, bachelors, vocational, Masters or Ph.D. official transcripts or Foreign Degree Evaluation and have them sent to the Human Resources Office at 43600 Mission Boulevard, Fremont, CA 94539.

Foreign Degree Requirements

• Evaluation of Foreign Degrees

Health Sciences Faculty ICL

Additional Immunization Titers, Vaccinations, Certifications and Licenses required.

TB Testing

• TB Testing Information
• TB Test Consent Form:
  • TB Authorization Form - Access Omnicare
  • Student Health Center TB Authorization

Payroll

• Federal W-4 Form 2019 (Federal Withholding)
• State DE-4 Form 2019 (State Withholding)
• Windfall Elimination Provision SSA-1945 Form
• Direct Deposit Authorization Form
• See also Payroll Forms
  
   
• New Part-time Faculty Employment Check List for 2014-2015

Other Faculty Resources

• Part-time Payroll Memo (January 2009)
• Part-time Faculty FAQs
• Faculty Handbook
• eCampus & LRC Faculty and Staff Training flyer
• Benefits for Part-time Faculty
• Regroup Emergency Mass Notification System

CalSTRS

(California State Teachers' Retirement System)

• Retirement Options for Part-time Faculty
• Retirement Plans for Full-time Faculty

Employment Forms

• PAF (Personnel Action Form) (PDF)
• Emergency Contact Form
• I-9 Form Employment Eligibility Verification (expires March 31, 2016)
• Fingerprint Process Memo and Fingerprint Form

TB Testing

• TB Testing Information
• TB Test Consent Form:
  • TB Authorization Form - Access Omnicare
  • Student Health Center TB Authorization

Payroll

• Federal W-4 Form 2017 (Federal Withholding)
• State DE-4 Form 2017 (State Withholding)
• Direct Deposit Authorization Form
• See also Payroll Forms

Student and other hourly Employment Forms

• Webtime Entry Process for Student and Non-Academic Hourly Employees (PDF)

Student Employment Forms

• Student Worker Application Packet 

Full-time Faculty: CalSTRS (California State Teachers' Retirement System)

• STRS Questionnaire
• Defined Benefit Election Form
• CalSTRS Recipient Designation Form
• CalSTRS Acknowledgement of Receipt of Election Information Form
• CalSTRS website at www.calstrs.com

Part-time Faculty: CalSTRS (California State Teachers' Retirement System)

• STRS Questionnaire
• Retirement Plan Options for Part-Time Faculty
• Cash Balance Election Form
• Defined Benefit Election Form
• CalSTRS Recipient Designation Form
• CalSTRS Acknowledgement of Receipt of Election Information Form
• Other School Districts Cash Balance Election Form
• CalSTRS Cash Balance Benefits Booklet (1 MB)
• CalSTRS website at www.calstrs.com

Staff: CalPERS (California Public Employees' Retirement System)

• CalPERS website at www.calpers.ca.gov

Tax Sheltered Annuities

Go to Retirement Plans - Tax Sheltered Annuities - 403(b)/457B.

• Workers Compensation Procedures
• Notice to Employees
• Notice to Employees - Spanish
• WC Personal Physician Pre-Designation Cover Letter and Form
• Keenan Workers Comp New Hire Pamphlet
• Keenan Workers Comp New Hire Pamphlet - Spanish
• Employer's Report of Occupational Injury or Illness
• Supervisor's Report of Employee Injury
• Workers' Compensation Claim Form (DWC 1) and Notice of Potential Eligibility (updated January 2016)
• PRIME Advantage MPN Complete Written Employee Notification - English
• PRIME Advantage MPN Complete Written Employee Notification - Spanish
• Worker's Compensation Temporary Pharmacy ID Card
• Company Nurse
  • Company Nurse Introduction
  • Company Nurse E-Z Reference Guide Injury Reporting

• Classified Annual Evaluation Form (PDF)
• Optional Self-Assessment Form (PDF)
• Management, Supervisor, and Confidential Evaluation Form (PDF)
• Classified Probationary Form (PDF)
• Individual Professional Development/Training Plan Form (PDF)

• General Forms
• Benefits Forms
• Faculty Forms (full-time and part-time)
• Classified Staff Forms
• Retirement Plans Forms
• Workers Compensation Forms
• Employee Evaluation Forms
• Other Department Forms for Employees

Note to the General Public: Applications for Employment are online through our employment system.

Other Department Forms for Employees

Forms are also available on these Ohlone College websites:

• Business Services: Business and Travel Forms
• Payroll Forms
• Professional Development Forms