Payroll and Benefits Forms

Payroll and Benefits

Vouchers for Processing Payment

Digital Student Assistant, Instructional Student Assistant, and Hourly/Intermittent Payroll Voucher

Overtime Reporting - Authorization for Extra Hours Worked

Staff Special Consultant Voucher

Staff Special Consultant Voucher Process Flow

Leaves of Absence

Catastrophic Leave Donation Form

Employee Rights and Responsibilities Under FMLA Poster

Medical Certification for Employees Form

Medical Certification for Family Members Form

Notice B: "Family Care and Medical Leave and Pregnancy Disability Leave"

Request for Leave of Absence Form

Return to Work Certification

Tuition Waiver

CSU Application Fee Reimbursement Request

Dependent Tuition Waiver Transfer Application

Faculty and Staff Tuition Waiver Application

Individual Career Development Plan form

Work Related Enrollment Request

Absences

Funeral and/or Bereavement Leave Request Form

Plus/Minus, Shift, and ADO Attendance Tracking Worksheet

For alternate work schedules

Report of Absence Without Pay (Notice of Dock)

Benefits

2024 Summary of Benefits and Coverage Notice

Benefit Enrollment/Change Worksheet

Domestic Partner Tax Dependent Certification Form

HCRA/DCRA Enrollment Form

New Hire Benefit Eligibility Under the Affordable Care Act (ACA)

Temporary Staff and Faculty Benefit Summary Information

The Standard New Enrollment and Change Form

VSP Computer Vision Glasses Confirmation Form

VSP Request for Reimbursement Form

VSP Vision Care Premier Enrollment Form

ADA Accommodations

Authorization Form

Reasonable Accommodation Request Form

Verification of Disability Form

Direct Deposit

Direct Deposit - Cancellation Only

Direct Deposit - Enroll/Change

This link will take you to the Business Process Guide for registering and establishing (or changing) your Direct Deposit for payroll warrants through the State of California.

Worker’s Compensation

Employee Claim for Workers' Compensation Benefits Form (DWC-1)

Employee Designation of Physician Form

Supervisor's Report of a Work Related Injury/Illness

Retiree Benefits

CSU Retiree Voluntary Vision Program Enrollment Form

Retiree Dental Enrollment Change Request Form

Other

403(b) SRP Salary Reduction Request Form

CalPERS Special Power of Attorney

Designation of Person(s) Authorized to Receive Warrants

Payroll Changes

Employee Action Request (EAR)

Changing your address, name, or withholdings.

Paycheck Calculator feature through Cal Employee Connect

This link will take you to the CEC Paycheck Calculator User Guide which outlines the functionality of the Paycheck Calculator tool available via Cal Employee Connect.

Withholdings Change via Cal Employee Connect

This link will take you to the CEC Withholdings Change User Guide which outlines the functionality of the Withholdings Change form available via Cal Employee Connect.