Forms
| Title | Short Description | Topic | Campus | Access |
|---|---|---|---|---|
| Labor Pool Available Staff | Use this form to collect information about employees who are available for the labor pool. |
Recruitment | UC Davis Health | Download |
| Mandated Reporter Form | All UC employees are mandated reporters of any suspected child abuse. This form requires the employee’s signature and informs them of the responsibilities related. |
Onboarding | UC Davis and UC Davis Health | Download |
| Mandatory Employment Notices/Posters | List of required federal and state employment notices/posters that is maintained by UC Office of the President with links to each notice/poster. |
All | UC Davis and UC Davis Health | Link |
| Meal Period Waiver/Missed Meal and Rest Break | The Meal Period Waiver form is used to waive meal periods for employees that are required to have meal and rest periods in accordance with California Labor Code section 512.1. The Missed Meal and Rest Break form is used to document if an employee is unable to take their meal or rest break due to an operational requirement or constraint. |
Employee and Labor Relations | UC Davis | |
| Medical Separation Review | Department uses form to begin the Medical Separation process. |
Disability Management Services | UC Davis and UC Davis Health | Request form from [email protected] |
| MSP Contract Agreement | Assists Hiring Departments by defining policies and expectations for hiring managers and senior professionals on contract. |
Recruitment | UC Davis and UC Davis Health | Download |
| MSP Physician Contract | MSPPC |
Recruitment | UC Davis Health | Download |
| MSP Physician Contract Implementation Guide | MSPPC Guide |
Recruitment | UC Davis Health | Download |
| MSP Position Description | The official outline to support hiring departments in writing a new position description for managers and senior professionals at UC Davis Health. |
Recruitment | UC Davis Health | |
| Near Relative Request for New Hire | UC Policy defines and regulates employment relationships between near relatives. This form allows hiring departments to submit a request for a near relative hire. |
Recruitment | UC Davis and UC Davis Health | Download |
| Near Relative Request for Relationship Change | UC Policy regulates employment relationships between near relatives. This form allows departments to submit a request for change of relationship between employees. |
Recruitment | UC Davis and UC Davis Health | Download |
| New Employee Checklist (Davis Campus) | UC Davis supervisors to complete during onboarding process. |
Onboarding | UC Davis | Download |
| New Employee Checklist (Health Campus) | UC Davis Health supervisors to complete during onboarding process. |
Onboarding | UC Davis Health | Download |
| No Physical Access Verification (Campus only) | This form verifies and confirms that an employee is not required or expected to physically access a University Location or Program for any work, research, or education/training related purpose, and therefore is not a Covered Individual subject to the requirements of the UC Policy on Vaccine Programs for the period of time indicated below. |
All | UC Davis | Download |
| Non-Financial Leave Hours Adjustment | For Department personnel liaisons and payroll to submit form to adjust an employee’s leave hours. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
| Notice of Intent to Change Conditions of Employment | Departments use this form to notify HR of changing employment conditions, HR then notifies the Union. |
Employee and Labor Relations | UC Davis and UC Davis Health | Download |
| Online Earnings Statement Exception | Complete if you are requesting to receive a paper Direct Deposit Earnings Statement or you are cancelling a previous request for a paper Direct Deposit Statement and now want to view your statement online. |
Payroll | UC Davis and UC Davis Health | Download |
| Payroll Address Change | Allows employees to notify of an address change to receive paychecks and statements. |
Payroll | UC Davis Health | Download |
| Permanent Accommodation | This form is used by both campus and health managers and supervisors to document a permanent accommodation. For questions on the DocuSign form please email [email protected]. Here are helpful FAQ's for DocuSign. |
Disability Management Services | UC Davis and UC Davis Health | Link |
| Personal Data (UPAY 544) | Provide necessary employment information for payroll and personnel matters. |
Payroll | UC Davis and UC Davis Health | Download |
| Personal Data (UPAY 544A for Union Workers) | Union workers provide necessary employment information for payroll and personnel matters. |
Payroll | UC Davis and UC Davis Health | Download |
| Position Closure Proposal | Complete form to initiate an indefinite position closure proposal. |
Employee and Labor Relations | UC Davis Health | Download |
| Position Closure Special Skills Addendum | Because position closure occurs in reverse seniority order, less senior employees inform departments of special skills that may prevent layoff. |
Employee and Labor Relations | UC Davis Health | Download |
| PPSM 70 Employee Complaint Form | Allows PSS and MSP employees to file an official complaint. |
Employee and Labor Relations | UC Davis and UC Davis Health | Download |
| Pre-Action Review Protocol | This protocol is for use in pre-disciplinary action reviews. |
Employee and Labor Relations | UC Davis and UC Davis Health | Download |
| Probationary Period - Change End Date (Davis Campus) | Managers and Supervisors can complete this form to request to change and employee's probationary period end date. |
Employee and Labor Relations | UC Davis | Download |
| Probationary Period - Change End Date (Health Campus) | Managers and Supervisors can complete this form to request to change an employee’s probationary period end date. |
Employee and Labor Relations | UC Davis Health | Download |
| Property Recovery & Access Termination | Supervisors acknowledge that they have recovered University property and revoked University systems access for separating employees. |
Records | UC Davis Health | Download |
| PSS Contract Agreement (exempt) | Defines policies and expectations for hiring exempt professionals and support staff on contract. |
Onboarding | UC Davis and UC Davis Health | Download |
| PSS Contract Agreement (non-exempt) | Replace this text with a short description of the form (1-2 sentences). This text will appear in the HR Forms table. |
Onboarding | UC Davis and UC Davis Health | Download |
| Request for Staff Records Form | Complete to request the personnel records of current staff members. |
Records | UC Davis Health | Download |
| Retired Employee Approvals Form | For managers looking to hire, or extend an appointment for a retired employee and outlines the specific reemployment regulations for individuals who receive a retiree benefit. |
Recruitment | UC Davis and UC Davis Health | Download |
| Screening Criteria Grid | Use to screen candidates and identify who to advance to interview. |
Recruitment | UC Davis Health | Download |
| Separation Checklist for Supervisors | A checklist of responsibilities when a supervisor separates. |
Employee and Labor Relations | UC Davis Health | Download |
| Staff Leave Request | Staff may use form to request leave using vacation, sick, comp time, leave without pay, supplemental family medical leave, or personal leave. |
Leave/Time-Off | UC Davis | Download |
| STAR Plan Nomination Form | Managers and Supervisors can complete this form to nominate someone for the Star Recognition program. |
All, Employee and Labor Relations | UC Davis | Link |
| Stipend Request | This form may be used for any internal department or division approval processes. |
Compensation | UC Davis Health | Download |
| Student Compaction | Please use this template when you are submitting more than 1 Student Compaction due to the 2022 California Minimum Wage Increase:
|
Payroll | UC Davis and UC Davis Health | Download |
| Supplement to Military Pay | Active duty military personnel can receive supplemental compensation. |
Leave/Time-Off | UC Davis and UC Davis Health | Link |
| Telephone Reference Checklist | Use this form to help conduct a pre-hire reference check. |
Recruitment | UC Davis and UC Davis Health | Download |