Forms
| Title | Short Description | Topic | Campus | Access |
|---|---|---|---|---|
| Access Violation Report | Department fills out form when employee organizations commit unauthorized or illegal actions. |
Employee and Labor Relations | UC Davis | Download |
| All UC Davis Campus Payroll forms | Accounting & Financial Services website. |
Payroll | UC Davis | Link |
| Authorization to Release Information (Live Scan Background Check) | Certain positions require a Live Scan background check as a condition of employment. This form is completed by the applicant/employee and taken to the Live Scan fingerprinting appointment with the Live Scan Fingerprinting Authorization. Refer to backgroundchecks.ucdavis.edu for more information. |
All | UC Davis and UC Davis Health | Download |
| Background Check Worksheet | For use by UC Davis departments to determine if a position requires a background check. All UC Davis Health positions require a background check. Submit to: Hiring Manager |
Recruitment | UC Davis and UC Davis Health | Download |
| Career Ladder Voluntary Reassignment | This form is to request a voluntary reassignment from Clinical Nurse III to the classification of Clinical Nurse II. |
All | UC Davis Health | Download |
| Catastrophic Leave - Donation Form (Exhibit C) | Form through which employees who wish to donate their accrued vacation leave to colleague who have exhausted their own leave options. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
| Catastrophic Leave - Request for Donations (Exhibit B) | Email template for departments to use to notify employees of a colleague’s request for Catastrophic Leave donations. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
| Classification Appeal Request | This form may be used for any internal department or division processes when there is a disagreement with a classification decision. |
Compensation | UC Davis | Link |
| Cognos Report/UCPath Access Request Form | Departments use this online form to request employees be provisioned access to Cognos Reports and/or UCPath security roles. Visit the local UCPath Security webpage for instructions on using the form and a list of Security Liaisons. |
All | UC Davis and UC Davis Health | Link |
| Compensatory Time Notification Form (CX Unit) (Davis Campus Only) | Allows employees in the Clerical and Allied Services Unit (CX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (EX Unit) (Davis Campus Only) | Allows employees in the Patient Care Technical Unit (EX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (F3 Unit) (Davis Campus Only) | Allows employees in the Fire Fighter Unit (F3) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (HX Units) (Davis Campus Only) | Allows employees in the Health Care Professionals Unit (HX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (K3 Unit) (Davis Campus Only) | Allows employees in the Skilled Trades Unit (K3) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (Non-Represented Staff) (Davis Campus Only) | Non-exempt employees on the Davis campus are entitled to either Over Time or Compensatory Time Off (CTO). Comp. Time is allowed at the manager’s discretion. This form allows the employee to opt for CTO in lieu of OT if approved. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (RP Unit) (Davis Campus Only) | Allows employees in the Research and Public Services Professionals Unit (RP) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (RX Unit) (Davis Campus Only) | Allows employees in the Research Support Professionals Unit (RX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (SV Unit) (Davis Campus Only) | Allows employees in the Student Services and Advising Professionals Unit (SV) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (SX Unit) (Davis Campus Only) | Allows employees in the Service Unit (SX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Compensatory Time Notification Form (TX Unit) (Davis Campus Only) | Allows employees in the Technical Unit (TX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
| Direct Deposit Election | Allows new and rehires to provide banking information for e-direct deposits. |
Payroll | UC Davis and UC Davis Health | Link |
| Elder and Dependent Adult Abuse - Employee Notification | Certain employees are mandated reporters and must sign this form prior to employment. Hiring departments are required to complete this form during onboarding. |
Onboarding | UC Davis and UC Davis Health | Download |
| Employee-Student Fee Reduction Authorization | For employees who are eligible to receive reduced fees. |
All | UC Davis and UC Davis Health | Download |
| Exceed Maximum Vacation Accrual Limit Request | Managers and employees can use this form to when the employee exceeds the vacation accrual threshold. |
Leave/Time-Off | UC Davis | Download |
| Fingerprinting Authorization Form (Live Scan Background Check) | Certain positions require a Live Scan background check as a condition of employment. This form is completed by department HR staff and must be taken to the fingerprinting appointment along with the Authorization to Release Information Form. Refer to backgroundchecks.ucdavis.edu for more information. |
All | UC Davis and UC Davis Health | Download |
| Flexible Work Agreement/Remote Work Agreement (UC Davis Health) | Use the Flexible Work Agreement form when employees will work 100% onsite but have a flexible schedule. Use the Remote Work Agreement form when employees will work remotely. Please refer to the Digital Workplace Program website for more information on remote work arrangements. |
All | UC Davis Health | |
| Flexible Work Arrangements - Policies & Application (Davis Campus) | Learn about the various flexible work options and use the proposal form to request a flexible work schedule. |
All | UC Davis | Link |
| How to Write an Effective Job Description | This reference document is for Managers, Supervisors & their administrative staff, which provides guidance on how to write a job description. |
Compensation | UC Davis Health | Download |
| Internal Recruitment Request Form | Hiring managers fill out form in collaboration with their Talent Acquisition Partner (TAP) to request an internal recruitment for a career appointment. |
Recruitment | UC Davis and UC Davis Health | Download |
| Job Builder Template Change Request Form | This form is to request a change to a Job Builder standardized template. Please download the form and follow the instructions within to complete. Submit the completed form with the proposed template revisions via email to [email protected]. |
Compensation | UC Davis Health | Download |
| Job Description Form | The official outline for writing a new job description.
|
Compensation | UC Davis Health | Download |
| 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 |
| 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 |