Associated Students, Inc.

Human Resources Forms

General Information

Bloodborne Pathogens Plan
Injury and Illness Prevention Plan
Student Government Application
Hazard Communication Program
Discrimination Pamphlet
Sexual Harassment Pamphlet
Student Employee Handbook

Worker Compensation Forms

Injury Illness Investigation Report updated (10-25-10)
Memorial Occupational Medical (MOM) Services New Treatment Author with Map 10-11
Memorial Occupational Medical Services (MOM) New Location Termino Ave 10-11
Privacy Log Election (optional)
Workers Comp Checklist Rev (10-26-10)
Workers Compensation 5020
Workers' Compensation DWC 1
Workers' Compensation Notice of Pre-Designation of Physician

Benefit Forms

Question Answers Benefits Summary Sheet
2013 Benefits Renewal Schedule
AFLAC Benefit Services Request for Reimbursement
Aflac
Anthem BC PPO Summary of Benefits and Coverage
Anthem BC Summary of Benefits and Coverage
Anthem Blue Cross HMOPPO Benefits Booklet
Delta Care HMO
Delta Dental PPO
Delta Dental Claim
Delta Dental Enrollment Change
Flex Cash Program Enrollment Authorization
Flex Cash Program Guide
Kaiser Summary of Benefits & Coverage
Kaiser Group Enrollment
SRWC Enrollment Fee Waiver
UNUM Beneficiary Designation
UNUM Group Long Term Disability Summary Plan Description - Exec. & Managers Booklet
UNUM Group Long Term Disability Summary Plan Description
UNUM Group Term Life & Accidental Death & Dismemberment Summary Plan Description - Exec.& Managers Booklet
UNUM Group Term Life & Accidental Death & Dismemberment Summary Plan Description
VSP Benefit Summary Description
VSP Enrollment

CalPERS Retirement Forms

CalPERS Beneficiary Designaton
CalPERS Separation
CalPERS Service Retirement

Performance Appraisal Forms

In Range Progression Request
Performance Appraisal Workbook 2012

Professional Development Forms

Professional Development Request
Professional Development
Request for Educational Fee Advance

Pull Program Forms

DMV_Security_Statement
Release of Driver Record Information

Counseling Forms

Conference Memorandum
Employee Counseling Action

Leaves of Absence Forms

Employment Verification Request
FML General Info Sheet
FML Leave Request

Payroll Forms

2013 Payroll Schedule
California Withholding Allowance Certificate
Direct Deposit Authorization
Independent Contractor vs. Employee Worksheet
Leave of Absence Request
On-Duty Meal Period Agreement
Vacation Cash Out
Voluntary Leave Donation 2013
W-4 2013
Welcome IPay Letter 2012
ADP Self Service Registration
ADP Viewing your paycheck online

On Boarding New Hire Forms

Employment Application (Student) 0910
Employment Application
Federal Work Study Employment Application
I-9 2013
Name Badge Request
New Hire Orientation Letter
Notice to Employee
Personal Action (PAF)
Position Requistion

Volunteer Forms

Volunteer Agreement
Volunteer Application
Volunteer Requisition

Separation Forms

For Your Benefit California's Programs for the Unemployed
Separation Report

Miscellaneous HR Forms

Flexible Schedule Change
Property Receipt Clearance
Liability Release
Travel Authorization Request

Associated Students, Inc.

About ASI

ASI Communications

Administration

Human Resources

Student Government

University Student Union

Isabel Patterson Child Development Center

Recycling Center

Intramural Sports and Wellness

Beach Pride

Programs

Student Media

Student Recreation and Wellness Center

Human Resources Forms

General Information

Worker Compensation Forms

Benefit Forms

CalPERS Retirement Forms

Performance Appraisal Forms

Professional Development Forms

Pull Program Forms

Counseling Forms

Leaves of Absence Forms

Payroll Forms

On Boarding New Hire Forms

Volunteer Forms

Separation Forms

Miscellaneous HR Forms

CSULB Website Index