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Human Resources

• Message from Chancellor Joel L. Kinnamon
• Forms and Procedures
• Board Deadline Dates for HR (2008)
• Service Calendar 07/08
• Service Calendar 08/09
• Contracts and Salary Schedules
• Meet the Staff

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• Benefits Services
• Benefit and Payroll Information Summary
• Retirement Benefits

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• Payroll Services

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Forms  

We are pleased to provide fillable PDF forms for your use. Please check back for updates as forms are being regularly updated. If you have any questions or suggestions please contact the Office of Human Resource Services at (925) 485-5236 or (925) 485-5238.

The following documents require Acrobat Reader.

A - B

457 Employee Action Form 403b/TSA Enrollment Form 403b/TSA List of Vendors How to participate in 403b & 457 Salary Reduction Plans How to read you Earning Statement

Absence: Leave of Absence (LOA) Requests

Absence: Report Form

Academic Freedom: Statement

Accommodations: Request Form

Address / Name Change Form (revised 9/18/07)

Assignment Preference Form: Part Time Faculty

Auto Pay Change Form

Auto Pay Procedures

Benefit Universal Enrollment Form

C - D

Classification and Compensation Study - Job Analysis Questionnaire

College Hour MOU

Colloquium: Request to Offer

Community Partnerships: Partnership Agreement-Valley Care Nursing

Conference Leave: Expense Claim Form

Conference Leave: Request Form

Conference Leave: Out-of-State Request Form

Direct Deposit Form

Domestic Partnership CLPCCD Affidavit

E - F

Employee's Withholding Allowance (State Tax Withholding form)

Evaluation: Counselor Evaluation Form: Student Survey

Evaluation: Counselor Performance Observation Form

Evaluation: Institutional Researcher: Client Survey Form

Evaluation: Librarian Performance Observation Form

Evaluation: Library Orientation: Student Survey Form

Evaluation: Observation of Instruction Form Online Class

Evaluation: Observation of Instruction Form: Math X

Evaluation: Observation of Instruction Form: Face to Face Class

Evaluation: Student Response to Instruction Form Face to Face Class

Evaluation: Student Response to Instruction Form: Online Class

Experience: Verification for Full Time and Part Time Faculty

Flex Day: Compensation Form

Faculty Service Area (FSA): Approval/Denial Form

Faculty Service Area (FSA): Record Form

Federal Tax Withholding Form (W-4)

G - H

Grievance: Tracking Form - Faculty

Grievance: Level II Form - Faculty

Grievance: Level III Form - Faculty

Grievance: Level IV Form - Faculty

I - J

I-9 / Instruction Handbook - Completing the I-9

K-L

Large Lecture: Application Form

Links to other Federal Internal Revenue Services

Links to other California Employment Development Departments

M-N

Medical Benefits: Enrollment Form for Part Time Faculty

MOU: Coaching

MOU: College Hour

MOU: ILC Hour

MOU: Grade Change

MOU: Online Grading and Attendance Report

MOU: Part-time (Adjunct) Bumping Rights

MOU: Sabbatical Leave Fund Adjustments

MOU: Training of DE Evaluators

Name / Address Change Form (revised 9/18/07)

O-P

Personnel Action Form

Personnel Action Form Instructions

Pre-Retirement Load Reduction Form

Productivity: Application Form

Q-R

Retiree Medical Benefits: Letter From Charlotte Lofft dated 2/5/07

Retiree Medical Benefits: Letter From Susan Cota dated 1/19/07

Retraining Leave: Contract Form

Retraining Leave: Report Form

Retraining Leave: Request Form

S-T

Sabbatical: Sabbatical Handbook

Salary Schedule: 2006-2007

Salary Schedule: 2007-2008

Salary Delivery Warrant

Service Report: Academic Non-Instruction

Service Report: Part Time Faculty

Sick Leave Donation: Application (Terminal Illness)

Sick Leave Donation: Donor's Leave Transfer Form

Sick Leave Donation: Application: (Serious Health Condition)

State Withholding Tax Form (Employee's Withholding Allowance)

Student Assistant Hiring Presentation

Student Assistant - New Hire Packet (revised 5/11/08)

Student Assistant - Rehire Packet (revised 5/11/08)

Summer Assignment: Form for Load Credit

Summer Assignment: Verification of Completion Director of Nursing

Tax Sheltered Annuity: Form: TSA Instead of Medical Benefits

Transfer: Notice of Involuntary Transfer

U-V

Universal Benefit Enrollment Form

VSP Claim Form

W - X

W-4 (Federal Tax Withholding Form)

Workload Banking: Augment Sabbatical Salary

Workload Banking: Request Form

Y-Z

No Forms