Center for Human Resources
Documents / Forms
Benefits
Health Care
Affidavit of Parent-Child Relationship
Allows for the enrollment of a child (other than natural, adopted or step-child) in the CalPERS sponsored health programs.
Benefits Enrollment/Change Form
A worksheet for employees to designate their dental, medical and flexcash options (opting out of benefits).
Declaration of Health Care Coverage
A CalPERS-required form for enrolling into or opting out of benefits.
Delta Dental Claim Form
Used by employees if a Delta Dental provider does not bill directly for services.
HIPPA Authorization Form
Employee Authorization for Benefits staff to use and/or disclose personal health plan information.
VSP Out-of-Network Reimbursement Form
Vision reimbursement form for employees who utilized the services of a non-network doctor.
VSP Video Display Terminal (VDT) Confirmation Form
Vision form for employees who meet the job requirements for the VDT benefit that is given to a VSP Network doctor.
Flexible Benefits
Dependent Care/Health Care Claim Form
Used to establish a dependent and/or health care reimbursement account.
Dependent Care/Health Care Reimbursement Account Plans Enrollment Authorization
Enrollment form used to establish Health Care and/or Dependent Care reimbursement accounts.
Direct Deposit Form for Dependent Care/Health Care
For employees who wish to receive their Flexible Spending Accounts reimbursements by direct deposit.
FlexCash Program Enrollment Authorization
Forms used to “opt out” of medical and/or dental benefits.
Medical-Related Leaves
Leave of Absence Request Form
For employees who wish to request a leave of absence for medical, family medical leave, parental, pregnancy, military, education, personal or other leaves.
Survivor Protection Benefits
Life and AD&D Beneficiary Designation and Change Form
To designate or change the beneficiary of the employer-paid Life and AD&D benefit.
Retirement Plans
TSA Maximum Contribution Worksheet
For individuals who want to contribute more than the annual maximum and are age 50 or older and/or a 15-years of service.
Fee Waiver
Career Development Plan
To be completed by employees who are pursuing a degree program.
CSU $55 Application Fee Waiver
Allows for the waiver of the application fee to one CSU campus.
Dependent Fee Waiver Form
To be used when eligible dependents will be utilizing the employee’s fee waiver benefit.
Employee Fee Waiver Form
To be completed by employees who will be utilizing the fee waiver benefit.
Affidavit of Parent-Child Relationship
Allows for the enrollment of a child (other than natural, adopted or step-child) in the CalPERS sponsored health programs.
Benefits Enrollment/Change Form
A worksheet for employees to designate their dental, medical and flexcash options (opting out of benefits).
Declaration of Health Care Coverage
A CalPERS-required form for enrolling into or opting out of benefits.
Delta Dental Claim Form
Used by employees if a Delta Dental provider does not bill directly for services.
HIPPA Authorization Form
Employee Authorization for Benefits staff to use and/or disclose personal health plan information.
VSP Out-of-Network Reimbursement Form
Vision reimbursement form for employees who utilized the services of a non-network doctor.
VSP Video Display Terminal (VDT) Confirmation Form
Vision form for employees who meet the job requirements for the VDT benefit that is given to a VSP Network doctor.
Flexible Benefits
Dependent Care/Health Care Claim Form
Used to establish a dependent and/or health care reimbursement account.
Dependent Care/Health Care Reimbursement Account Plans Enrollment Authorization
Enrollment form used to establish Health Care and/or Dependent Care reimbursement accounts.
Direct Deposit Form for Dependent Care/Health Care
For employees who wish to receive their Flexible Spending Accounts reimbursements by direct deposit.
FlexCash Program Enrollment Authorization
Forms used to “opt out” of medical and/or dental benefits.
Medical-Related Leaves
Leave of Absence Request Form
For employees who wish to request a leave of absence for medical, family medical leave, parental, pregnancy, military, education, personal or other leaves.
Survivor Protection Benefits
Life and AD&D Beneficiary Designation and Change Form
To designate or change the beneficiary of the employer-paid Life and AD&D benefit.
Retirement Plans
TSA Maximum Contribution Worksheet
For individuals who want to contribute more than the annual maximum and are age 50 or older and/or a 15-years of service.
Fee Waiver
Career Development Plan
To be completed by employees who are pursuing a degree program.
CSU $55 Application Fee Waiver
Allows for the waiver of the application fee to one CSU campus.
Dependent Fee Waiver Form
To be used when eligible dependents will be utilizing the employee’s fee waiver benefit.
Employee Fee Waiver Form
To be completed by employees who will be utilizing the fee waiver benefit.
Director’s Office
CSU (California State University) Conflict of Interests Disclosure Categories
The list gives employees in designated positions a description of each category that is required to submit the Form 700 Statement of Economic Interest form annually.
Form 700 Statement of Economic Interest
Form 700 pamphlet includes instructions and forms for employees in designated positions to complete the form annually.
Political Reform Act 2008
A description of the Political Reform Act published by the Fair Political Practices Commission.
San Diego State University Designated Positions
List of Designated Positions associated with the Statement of Economic Interest. The list is established through the Chancellor’s Office.
The list gives employees in designated positions a description of each category that is required to submit the Form 700 Statement of Economic Interest form annually.
Form 700 Statement of Economic Interest
Form 700 pamphlet includes instructions and forms for employees in designated positions to complete the form annually.
Political Reform Act 2008
A description of the Political Reform Act published by the Fair Political Practices Commission.
San Diego State University Designated Positions
List of Designated Positions associated with the Statement of Economic Interest. The list is established through the Chancellor’s Office.
Employee & Organization Development
Employment & Classification
Compensation
Discretionary Pay Increase Unit 4 Recommendation
Form used to request a discretionary pay increase for Unit 4 employees.
In-Range Progression Guidelines and Forms
Form used to submit an in–range progression request.
Employment
Confidential Employees Human Resources Program Guidelines
Guidelines pertaining to the confidential classifications.
Employment Verification
Form used to request employment verification letter.
Federal Work Study (FWS) Job Description
Form used to post available FWS positions. Please contact Federal Work Study Division Coordinator with questions.
Hiring Freeze Exemption Request
Form used to supplement the Position Requisition form during a hiring freeze.
Position Description
Form used to create, post, or modify an existing position on campus.
Position Requisition
Form used to initiate filling a vacancy or a new position.
Staff Transaction Form
Form to appoint, reappoint, end, or modify an appointment for staff employees.
Student Employment Authorization Form (SEA) - Updated Dec 2011
Used by department timekeepers to appoint student employees into temporary positions.
Unit 11 Job Vacancy Announcement
Form to compose, submit, and post available positions within colleges for teaching associates, graduate assistants, and instructional student assistants.
Volunteer Identification Form
Form used to appoint volunteers.
Performance Evaluations
Confidential Employees
Form used to evaluate the work performance of confidential employees.
Management Personnel
Form used to evaluate the work performance of management level employees.
Performance Evaluation for Units 2, 5, 6, 7 & 9
Form used to evaluate the work performance of Unit 2, 5, 6, 7 & 9 employees.
Performance Evaluation for Unit 4
Form used to evaluate the work performance of Unit 4 employees.
Discretionary Pay Increase Unit 4 Recommendation
Form used to request a discretionary pay increase for Unit 4 employees.
In-Range Progression Guidelines and Forms
Form used to submit an in–range progression request.
Employment
Confidential Employees Human Resources Program Guidelines
Guidelines pertaining to the confidential classifications.
Employment Verification
Form used to request employment verification letter.
Federal Work Study (FWS) Job Description
Form used to post available FWS positions. Please contact Federal Work Study Division Coordinator with questions.
Hiring Freeze Exemption Request
Form used to supplement the Position Requisition form during a hiring freeze.
Position Description
Form used to create, post, or modify an existing position on campus.
Position Requisition
Form used to initiate filling a vacancy or a new position.
Staff Transaction Form
Form to appoint, reappoint, end, or modify an appointment for staff employees.
Student Employment Authorization Form (SEA) - Updated Dec 2011
Used by department timekeepers to appoint student employees into temporary positions.
Unit 11 Job Vacancy Announcement
Form to compose, submit, and post available positions within colleges for teaching associates, graduate assistants, and instructional student assistants.
Volunteer Identification Form
Form used to appoint volunteers.
Performance Evaluations
Confidential Employees
Form used to evaluate the work performance of confidential employees.
Management Personnel
Form used to evaluate the work performance of management level employees.
Performance Evaluation for Units 2, 5, 6, 7 & 9
Form used to evaluate the work performance of Unit 2, 5, 6, 7 & 9 employees.
Performance Evaluation for Unit 4
Form used to evaluate the work performance of Unit 4 employees.
Human Resources Information Systems (HRIS)
PeopleSoft Access Request Form
Use this form to request or cancel PeopleSoft Access.
PeopleSoft Delete Cache Guide
This guide will walk you through the steps to delete cache from your computer, improving system performance.
PeopleSoft Employee Self Service Guide
This guide will walk you through the steps to access your personal information.
PeopleSoft Manager Self Service Guide
This guide will walk you through the steps to access your employee information.
PeopleSoft Password Guide
This guide will walk you through the steps to establish, change and retrieve a forgotten PeopleSoft password.
Use this form to request or cancel PeopleSoft Access.
PeopleSoft Delete Cache Guide
This guide will walk you through the steps to delete cache from your computer, improving system performance.
PeopleSoft Employee Self Service Guide
This guide will walk you through the steps to access your personal information.
PeopleSoft Manager Self Service Guide
This guide will walk you through the steps to access your employee information.
PeopleSoft Password Guide
This guide will walk you through the steps to establish, change and retrieve a forgotten PeopleSoft password.
Payroll & Compensation
Attendance Summary - Updated Feb 2012
Used to report attendance: hours worked (hourly staff) or absences (salaried staff).
Attendance Summary (Alternate Work Schedule) - Updated Feb 2012
Used to report attendance: hours worked (hourly staff) or absences (salaried staff) if working an alternate work schedule.
Authorization for Extra Hours (Overtime Form)
Used to report extra hours worked either for payment or compensating time off.
CalPERS Retiree Deduction Authorization
Used by CalPERS retirees to authorize gift deductions from their retiree paycheck.
Direct Deposit Form
Used to enroll/change/cancel direct deposit.
Duplicate Wage & Tax Statement Request
Used by employees or Payroll staff to request duplicate W-2 Forms.
Employee Action Request (EAR)
Used to update employee name, address and/or withholding status.
Federal Work Study Time Card
Used by Federal Work Study students to report hours worked to their supervisors. Instructions included.
Foreign National Information Form (FNIF)
Used by foreign employees to determine tax residency status.
Report of Employee Schedule
Used to report an alternate schedule or a change to an employee's schedule.
Student Assistant Attendance Report
Used by department time keepers to report a summary of hours worked for a group of students.
Student Assistant Time Card
Used by students to report hours worked to their supervisors.
Student Employment Authorization Form (SEA) - Updated Dec 2011
Used by department timekeepers to appoint student employees into temporary positions.
Student Payroll Action Request (SPAR)
Used to update student employees’ name, address, and/or withholding status.
Wireless Device Authorization Form & Procedures
Effective January 1, 2012, the wireless device process is being handled through Accounts Payable.
Used to report attendance: hours worked (hourly staff) or absences (salaried staff).
Attendance Summary (Alternate Work Schedule) - Updated Feb 2012
Used to report attendance: hours worked (hourly staff) or absences (salaried staff) if working an alternate work schedule.
Authorization for Extra Hours (Overtime Form)
Used to report extra hours worked either for payment or compensating time off.
CalPERS Retiree Deduction Authorization
Used by CalPERS retirees to authorize gift deductions from their retiree paycheck.
Direct Deposit Form
Used to enroll/change/cancel direct deposit.
Duplicate Wage & Tax Statement Request
Used by employees or Payroll staff to request duplicate W-2 Forms.
Employee Action Request (EAR)
Used to update employee name, address and/or withholding status.
Federal Work Study Time Card
Used by Federal Work Study students to report hours worked to their supervisors. Instructions included.
Foreign National Information Form (FNIF)
Used by foreign employees to determine tax residency status.
Report of Employee Schedule
Used to report an alternate schedule or a change to an employee's schedule.
Student Assistant Attendance Report
Used by department time keepers to report a summary of hours worked for a group of students.
Student Assistant Time Card
Used by students to report hours worked to their supervisors.
Student Employment Authorization Form (SEA) - Updated Dec 2011
Used by department timekeepers to appoint student employees into temporary positions.
Student Payroll Action Request (SPAR)
Used to update student employees’ name, address, and/or withholding status.
Wireless Device Authorization Form & Procedures
Effective January 1, 2012, the wireless device process is being handled through Accounts Payable.
Policies, Procedures & Guidelines
Employee Drug-Free Policy
SDSU policy adopted regarding illegal substance abuse.
Employee Nepotism Policy
SDSU policy adopted to implement CSU Nepotism Policy (HR 2004-18).
Employee Nepotism Form
To be completed when employee is supervised by a family member.
Employee Smoke-Free Policy
SDSU policy adopted to implement CSU Executive memorandum 02-108 in accordance with Education Code 89030 and 89031 (§1944.30).
Smoking in Designated Areas Policy (effective 8/22/2011)
SDSU policy adopted to implement Cal. Code Regs. Title 5 section 42356 and CSU Memorandum 200-26 and 2003-19 in accordance with the Education Code 89030 and 89031 and Cal. Govt Code sections 7596-7598.
Employee Violence-Free Policy
SDSU policy adopted regarding the security of faculty, staff, and students.
SDSU Relocation Policy (effective 5/1/2012)
SDSU policy adopted in accordance with CSU Human Resources Coded Memo HR 2012-02, Updated Moving and Relocation Policy and Updated CSU Internal Procedures Governing Moving and Relocation Expenses.
SDSU policy adopted regarding illegal substance abuse.
Employee Nepotism Policy
SDSU policy adopted to implement CSU Nepotism Policy (HR 2004-18).
Employee Nepotism Form
To be completed when employee is supervised by a family member.
Employee Smoke-Free Policy
SDSU policy adopted to implement CSU Executive memorandum 02-108 in accordance with Education Code 89030 and 89031 (§1944.30).
Smoking in Designated Areas Policy (effective 8/22/2011)
SDSU policy adopted to implement Cal. Code Regs. Title 5 section 42356 and CSU Memorandum 200-26 and 2003-19 in accordance with the Education Code 89030 and 89031 and Cal. Govt Code sections 7596-7598.
Employee Violence-Free Policy
SDSU policy adopted regarding the security of faculty, staff, and students.
SDSU Relocation Policy (effective 5/1/2012)
SDSU policy adopted in accordance with CSU Human Resources Coded Memo HR 2012-02, Updated Moving and Relocation Policy and Updated CSU Internal Procedures Governing Moving and Relocation Expenses.
Workers’ Compensation
Notice of Pre-Designation of Physician
For employees who would like to pre-designate a physician before a work-related injury/illness occurs.
Supervisor’s Report of Work-Related Accident/Illness Form
Form that the supervisor of an injured employee completes.
Supervisors Responsibilities Regarding Work Incurred Injuries (Check List)
Supervisors shall print out document and complete check list upon employee injury.
Workers’ Compensation Claim Form (DWC 1)
Form to be completed by an injured employee.
For employees who would like to pre-designate a physician before a work-related injury/illness occurs.
Supervisor’s Report of Work-Related Accident/Illness Form
Form that the supervisor of an injured employee completes.
Supervisors Responsibilities Regarding Work Incurred Injuries (Check List)
Supervisors shall print out document and complete check list upon employee injury.
Workers’ Compensation Claim Form (DWC 1)
Form to be completed by an injured employee.
Download Adobe Acrobat Reader
Download Microsoft Excel Viewer
Download Microsoft Word Viewer