Human Resources Forms & Information
Below is an alphabetical listing of all Human Resources forms available online. Please select a letter if the form name is know, otherwise select expand all to see a full list. For the listing of paper forms please click "Offline Forms" below.
A
- Acupuncture & Chiropractic $10 Schedule of Benefits
- Acupuncture & Chiropractic $20 Schedule of Benefits
- Acupuncture & Chiropractic $30 Schedule of Benefits
- Adjunct Faculty Retirement Plan Options
- Adjunct Office Hours Form
- Affidavit of Domestic Partnership
- Affidavit Of No Other Source for Insurance
- Affordable Care Act New Hire Letter
- Authorization Agreement for Debit Withdrawal
- Authorization to Release Pay Warrant
- Automobile Loss Notice
C
- CalPERS Beneficiary Designation
- CalPERS Member Reciprocal Self-Certification Form
- CalSTRS Beneficiary Designation
- CalSTRS Permissive Membership
- Certificate of Insurance Request Form
- – Form Instructions
- Cigna Value Services Brochure
- Cigna Disability Claim Process
- College and Continuing Education Adjunct Medical Qualification
- College Faculty Appraisal Guide.
- Confidential Statement-Screening-Interviewing Selection Committee
- Consultant Registration Form
D
- DE 4 Form – State of California EDD (Employment Development Dept)
Employee's Withholding Allowance Certificate - Declination of Medical Treatment form
- Delta Dental Benefits Summary
- Delta Dental Claim Form (provider and members use)
- Delta Dental Enrollment Form
- Delta Dental EOC (explanation of coverage)
- Delta Dental Mobile
- Delta Dental Premier ID card
- Direct Deposit Enrollment & Updating
E
- EAP Services Overview
- EEO Policy Statement
- EEO Rep Compliance Script
- EEO Representative Certification Form
- EEO Rep's Checklist
- Employee Request for Job Accommodation Form
- Instructions
- Employee Exit Survey
- Employee Educational Incentive Request Form
- Employee Organization Membership - AFT
- Equivalency Determination Forms & Procedure
- Evaluations – ACE
- Evaluations – AFT-Classified
- Evaluations – College Contract Faculty Appraisal
- Evaluations – College Adjunct Faculty Appraisal
- Evaluations – Management
- Evaluations – Supervisory & Professional Administrators Association
- Exiting Employee, Supervisor Checklist
- Express Scripts Prescription Overview
- Express Scripts Medicare Benefit Overview (UHC Plans only)
- Express Scripts Medicare Enrollment Form (UHC Plans only)
- Express Scripts Network 1 Co-Payments
- Express Scripts Network 2 Co-Payments
- Express Scripts Network 3 Co-Payments
- Express Scripts PPO Co-Payments
F
- Faculty Program Card, Appendix V-1 (College or CE)
- Faculty Service Area Application Form
- Fair Share Fee Notice
- FAQs-Interviews
- FMLA Memo
- FMLA, Employee Request for
- Form DE 4 – State of California EDD (Employment Development Dept)
Employee's Withholding Allowance Certificate - Form I-9 – Employment Eligibility Verification
- Form W-4 – IRS, Federal Employee's Withholding Allowance Certificate
- FSA Account Brochure
- FSA Debit Card Request Form
- FSA Direct Deposit Form
- FSA Eligible Expenses
- FSA My SmartCare Mobile App
- FSA Notice of Change or Termination
- FSA Over-the-Counter (OTC)
- FSA Reimbursement Request Form
- FSA SmartCare Registration
- Furlough, Voluntary Election Form
- Furlough, Voluntary FAQs
H
- Health Care Enrollment Statement
- Hiring Process
- Hiring of NANC Employee in Conformance with the ACA
- HR Checklist and Workflow - Adjunct
- HR Checklist and Workflow - Adjunct Rapid Rehire
- HR Checklist and Workflow - Adjunct to NANCE
- HR Checklist and Workflow - NANCE
- HR Checklist and Workflow - NANCE Rapid Rehire
- HR Checklist and Workflow - NANCE to Adjunct
- HR Checklist for Workflow - Pro Rata
- HRA VEBA Flyer
I
K
L
M
N
O
P
- PeopleAdmin User's Guide
- Personal Profile Form (Adjunct and NANCE)
- Personnel Action Sheet (PAS) NANCE
- Personnel Assignment Status Sheet (PASS) Adjunct/Overload/ESU Employee
- Personnel Assignment Status Sheet (PASS) Contract Employee
- Position Justification Form
- Post Workshop/Conference Report
- Prudential Beneficiary Designation Change Form
- Prudential Change of Address or Name Form
R
- Rates: Active Contract, Domestic Partner Taxation, Shared Premium
- Rate Changes (Explanation of Rate Changes From Previous Year)
- Rehire Documentation Requirements
- Release Pay Warrant, Authorization to
- Request for Employment Status Change
- Request for IRS Form W-2
- Request for Leave of Absence
- Request for Live Scan Service
- Request for Short Term Out-of-Class Assignment
- Request for Use of Vacation Hours Prior to Accrual
- Retiree Benefits Comparison Overview
- Retiree Legal Services Flyer
- Retiree Legal Services Summary Plan Description
- Retiree Legal Plan Enrollment Form
- Retirement Resignation Separation Notice
- Retirement System Status Information
- Rules of the Road
S
- Salary Advancement Form
- Screening Guidelines
- SDCCD Employee Disability Accommodation form
- Sexual Harassment Prevention BP3430 & AP3430 & AP3435
- SPAA Grievance Form
- Statement Concerning Your Employment in a Job Not Covered by Social Security (SSA-1945)
- Statement of Mandated Reporter
- Steps to Retirement
- Student Enrollment Verification, NANCE
- Student Work Programs Definitions
- Suspected Child Abuse Report Form
T
- TB Testing Requirements
- TB Risk Assessment and/or Examination - Employee's With Paid Medical Benefits
- TB Risk Assessment and/or Examination - Employee's Without Paid Medical Benefits
- Training Request Form
- Transfer of Accumulated Full-Salary Sick Leave
- Tax Sheltered Annuity (TSA) - 403(b) and 457(b) District Approved Vendors
- TSA Distribution-Rollover Authorization Form
- TSA Salary Reduction Agreement
- TSA Plan Exchange Authorization Form
- Tuition Reimbursement Declaration of Official Grade Report Submission
- Tuition Reimbursement Form
U
- United Healthcare Claim Form
- United Healthcare Medicare Advantage HMO Enrollment Form
- United Healthcare Medicare Advantage HMO Summary
- United Healthcare Network 1 Summary of Benefits Coverage
- United Healthcare Network 2 Summary of Benefits Coverage
- United HealthCare PPO Select Plus SD Summary of Benefits
- United HealthCare Senior Supplement Enrollment Form
- United HealthCare Senior Supplement Hearing Aid
- United HealthCare Senior Supplement Summary
- Universal Enrollment Form
- Unlawful Discrimination Complaint
V
- Request for Use of Vacation Prior to Accrual
- Verification of Previous Work Experience Form
- VEBA EAP Benefits Summary
- VEBA EAP Brochure
- VEBA EAP Services Overview
- VEBA Out of Area Dependent Benefits
- VEBA Universal Enrollment Form
- VEBA Welcome Flyer
- Void & Reissue Payment Request for Lost, Stolen, or Destroyed Payroll Warrant
- Voluntary Deduction Authorization
- Voluntary Furlough Election Form
- Voluntary Furlough FAQs
- Volunteer Worker Registration Form
- VSP Vision Benefits Summary
- VSP Reimbursement Form
W
- W-2 Form - IRS, Request for
- W-4 Form – IRS, Federal Employee's Withholding Allowance Certificate
- Waiver - Employer Group Health Insurance
- Workers' Compensation Injury and Illness Incident and Investigation Report
- Workers' Compensation New Hire Pamphlet
- Workers' Compensation Temporary / Modified Alternative Duty Agreement Form
Numbers
Offline Forms
Contact Human Resources to obtain the following forms:
- Academic Hourly Time Report
- Academic Substitute Hourly Time Recap
- Academic Substitute Hourly Time Report
- Extended Day Pay Authorizations
- Facts About Workers Compensation
- Miscellaneous Deductions
- Monthly Timesheet Correction Request
- New Hire Packet Checklist, Short-Term Hourly Non-Academic Employee
- Non-Academic Hourly Time Report
- Pay Schedule and Employment Rules, Short Term Hourly Non-Academic Employee
- Physicians' Approval to Resume Normal Duties
- San Diego Community College District Fundraiser for KSDS radio station
- STRS – Acknowledgment of Receipt of Membership Information STRS Defined Benefit Plan
- Student Employment Authorization
- Tentative Assignment Offer – Temporary Adjunct Faculty
- Tuberculosis Examination Notice, New Employees