Mission Statement

Strategic Plan


CLPCCD Calendars


Board Deadlines


Unlawful Discrimination Complaint Form


Notice Regarding Retirement Saving Plans for all Employees except Student Workers

Committee Member User Login for PEOPLEADMIN


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A - B

Absence:  Leave of Absence (LOA) Request or Report

Absence Report Form [for Faculty]
Academic Freedom Statement
Academic Productivity Application Form
Accommodation Request Form

Address/Name Change Form

Affidavit for Part-Time Faculty Medical
Alternate Duty Evaluation Form


Assignment Preference and Availability Form: Part Time Faculty 2016-2017
Benefit Universal Enrollment Form
Business Services Internal Forms & Procedures

C - D

CALSTRS Retirement Information

Classified Evaluation: Performance Evaluation Report - (SEIU)
Classified Evaluation: Performance Evaluation Report - (Supervisory and Confidential Employees)
Classified Grievance Process and Procedure Tracking Form

Classified Hourly Employee Time Sheet  

Classified:  Request for Reclassification Form

Classified Service Report

College Fee Reimbursement [For Classified Employees]
Colloquium: Request to Offer

Complaint Procedures: Discrimination and Harassment

Conference Leave: Expense Claim Form
Conference Leave: Request Form

Contract for Services Forms and Procedures

  - Please contact Business Services for correct and updated forms

Deferred Pay Option Form

  • Classified  [Optional for full-time Classified employees less than 12 months]
  • Faculty

Direct Deposit Form

Domestic Partnership: Affidavit

E - F

Enrollment Form - Universal Benefits

Envoy Forms:

Evaluation: Administrator Performance Evaluation System

Administrator Performance Evaluation Timeline/Checklist

(Please use this updated timeline/checklist for the above Administrator Performance Evaluation System)

Evaluation: Classified Performance Evaluation Report - (SEIU)
Evaluation: Classified Supervisory and Confidential Employees 
For Part-time Faculty evaluations, also use the forms listed below.

Evaluation: Counseling Faculty Evaluation Form - Student Survey 

Evaluation: Counseling Faculty Performance Observation Form

Evaluation: Library Faculty Observation Form updated 11/23/15

Evaluation: Library Faculty Orientation - Student Survey Form

Evaluation: Observation of Instruction Form - Online Class 

Evaluation: Observation of Instruction Form - Math X Class 

Evaluation: Observation of Instruction Form - Face to Face Class 

Evaluation: Special Assignment Faculty - Client Survey Form

Evaluation:  Student Response to Instruction Form - Face to Face Class

Evaluation:  Student Response to Instruction Form -  Math X Class

Evaluation: Student Response to Instruction Form - Online Class

For Part-time Faculty evaluations, also use the forms listed above.

Faculty Service Area (FSA): Approval/Denial Form

Faculty Service Area (FSA) Record Form

Flex Day (Faculty)

Flexible Spending Accounts

Federal Tax Withholding Form (W-4) (2015)

G - H

Grievance: Tracking Form - Faculty
Grievance: Level II Form - Faculty
Grievance: Level III Form - Faculty
Grievance: Level IV Form - Faculty

Hiring Packets

     - Administrator Hiring Packet   [updated 5/16/15]

     - Classified, Confidential, Supervisory Hiring Packet [updated 9/22


     - Faculty Hiring Packet   [updated 6/24/15]

     - Part-time Faculty Hiring Packet   [updated 8/6/15]

     - Professional Expert Hiring Packet   [updated 5/16/15]

     - Short-Term Employee Hiring Packet  [updated 5/16/15]

     - Volunteer Hiring Packet   [updated 5/16/15]

     - Student Assistant - New Hire Packet [updated 11 23 15]

     - Student Assistant - Rehire Packet [updated 1-23-15]

     - Student Assistant Salary Change Request

Reference Check Form

Personnel Action Form (PAF) - For Hiring Manager to complete

Oath of Allegiance Form

Tuberculosis Certificate Information Form

Hiring Procedures (all):

                 Request to Announce - Administrator Position

                 Request to Announce - Classified Position

                   Request to Announce - Faculty Position

                   Request to Announce - Confidential/Supervisory Position

I - J

I-9 / Form and Instruction Booklet

Independent Contractors W-9 & Questionnaire Forms

    - Please follow up with Business Services on correct and updated forms.


Establishing Lab Load Eligibility
Large Lecture Application Form
Life Insurance Form (Basic)
Links to other Federal Internal Revenue Services
Links to other California Employment Development Departments
Load Sheet Memo & Sample


Medical Benefits - Enrollment for Part-time Faculty
Minimum Qualifications for Faculty and Administrators in California Community Colleges, Chancellor’s Office, California Community Colleges)

Name / Address Change Form

Notification Procedure for Faculty Investigations


Part-Time Faculty Universal Enrollment Form

Personnel Action Form (PAF)

Personnel Action Form Instructions
Pre-Retirement Load Reduction Form
Purchasing Card Activity Form


Reference Check Form

Request to Announce Forms

  - Administrator

  - Faculty

  - Classified

  - Confidential

Request for Sick Leave Transfer (New Employees)
Retiree Medical Benefits: Letter From Charlotte Lofft dated 2/5/07
Retiree Medical Benefits: Letter From Susan Cota dated 1/19/07

Retirement Information

Retraining Leave of Absence: Contract Form
Retraining Leave of Absence: Report Form
Retraining Leave of Absence: Request Form


Sabbatical Leave Committee Handbook [NEW! Posted 6-24-15]


Fillable pdf forms:

Salary Schedules
Salary Distribution Warrant (updated 8-18-14)
SEIU Welcome Packet
Service Report: Academic Non-Instruction/Special Assignment

Service Report: Part-Time Faculty

Sick Leave Donation Application
Sick Leave Donation Transfer Form
Sick Leave Transfer Form for New Employees
Student Assistant Salary Change Form
Summer Assignment: Form for Load Credit 
Summer Assignment: Verification of Completion Director of Nursing
Tax Sheltered Annuity - TSA Instead of Medical Benefits Form

Tax Sheltered Annuity - Envoy Plan Services


Tax Sheltered Annunity Form: Envoy 403(b) (TSA) Salary Reduction Agreement Form

Tax Sheltered Annunity Form: Envoy 457(b) (DCP) Form:  Salary Reduction Agreement

Time Sheets & Payroll Deadline

Transfer: Notice of Involuntary Transfer   
Travel Expense Form


Universal Benefit Enrollment Form
Unlawful Discrimination Complaint Form
Vacation Pay Out Plan
VSP Claim Form

Variable Flex Activity

Flex Day Compensation Form

Verification of Work Experience

W - X

W-4 (Federal Tax Withholding Form)

Workers' Compensation

Workload Banking: Augment Sabbatical Salary
Workload Banking: Request Form (Regular Unit Members Only)


No Forms