HR Forms for Employees - Human Resources and Training

General Forms

• Name Change Form
• Duty Statement
• Emergency Contact Form (PDF),
• TB Authorization Form

Optional Contributions

• Employee Fitness and Wellness Program Guidelines

Faculty Forms

• Full Time Faculty Union Dues Authorization
• Full Time Faculty Pay Warrant Form

Foreign Degree Requirements

• Evaluation of Foreign Degrees

Health Sciences Faculty ICL

Additional Immunization Titers, Vaccinations, Certifications and Licenses required.

Other Faculty Resources

• Part-time Faculty FAQs
• Faculty Handbook
• eCampus & LRC Faculty and Staff Training flyer
• Benefits for Part-time Faculty
• Regroup Emergency Mass Notification System

Student and Other Hourly Employment Forms

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

Workers Compensation Forms

• 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

Employee Evaluation Forms

• 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)

Title IX

• Title IX Sex Discrimination or Harassment - Complaint Form (PDF)

Unlawful Discrimination

• Unlawful Discrimination - Complaint Form (PDF)