HR

Human Resources Forms

Please make sure you have the most recent version of your form.  Do not save them to your Desktop.     

A    B    C    D    E    F    G    H    I    J    K    L    M    N    O    P    Q    R    S    T    U    V    W    X    Y    Z

AUXILIARY

STATESIDE FORMSDESCRIPTIONDEPARTMENT 

Absence Report

Used internally by campus departments to report leave usage. Payroll
Action Request - State

This form is used for changes only. Appointment transactions are done through Recruiting Solutions on the portal.

Classification & Compensation

Applicant Interview Evaluation Record

Used to evaluate candidates interviewed during a search.Recruitment

Applicant Screening Record

Used for screening and rating applications.Recruitment 

Catastrophic Leave Pledge

Donations of sick or vacation leave to employees of CSUN who are eligible for catastrophic leave.Benefits
Classification AppealUsed for Employee notice of classification appeal.Classification & Compensation
Confidentiality StatementConfidentiality statement for employee access to university data systems containing personal, academic, or financial information about students, faculty, staff or alumni.Customer Service
Direct Deposit Enrollment Authorization  Used to enroll in or change direct deposit of pay warrants (return with signature to Payroll Administration, University Hall Room 165; questions, call x2101).Payroll
Employee Action Request (EAR)

The Employee Action Request Form is used to make legal name changes and birthdate corrections for Faculty, Staff, and Administrators only. Remit completed form with original signature and date and proof of legal name/correct birthdate to Operations, Human Resources (UN 165).

To change your preferred name only, log in to the myNorthridge Portal, navigate to the Staff tab, locate the Human Resources/Employee pagelet, and select the “Update My Personal Info” link.

For address changes, log in to the myNorthridge Portal, navigate to the Staff tab, locate the Human Resources/Employee pagelet, and select the “Update My Personal Info” link. 

For tax withholding changes, log in to the myNorthridge Portal, navigate to the Staff tab, locate the Human Resources/Employee pagelet, and select the “Tax Withholding Change Form” link. . To view a tutorial video, select here.

Payroll
Employee Information Form (EIF)    The Employee Information Form is completed by all State Employees at Sign-In. The EIF provides the University with contact, education, payroll designee and emergency contact information. The EIF also contains the "Oath of Allegiance." The EIF is also used to advise the University of changes in contact information (address, telephone number, etc). Instructions are included with this form.Operations
Exit Interview QuestionnaireStaff members are encouraged to complete and submit this form to Human Resources when separating from the university.Employee Relations

Extra Hours Worked Authorization

Used internally by campus departments to report overtime, straight time, and C.T.O. to their department timekeeper.Payroll

Fee Waiver Application Fee Reimbursement - CSUN

Fee Waiver Application Fee Reimbursement- Other CSUs

Application Fee Reimbursement Request for Employee Fee Waiver Recipients attending CSUN

Application Fee Reimbursement Request for Employee Fee Waiver Recipients attending another CSU campus

Benefits

Flexible Spending Plan (FSA) Debit Card Request

Application request form for Health Benefits "Benny" card.Benefits
In-Range Progression RequestUsed to request an increase within a salary range for a single classification, or within a sub-range of classification.

Classification & Compensation

Justification for Initiation of Search for Certain Personnel Appointments and/or Actions in the General Fund for Academic Affairs 

This form is to be completed and attached to the Personnel Requisition for all requests to initiate a search for management, probationary, and temporary renewable staff appointments; and extensions of temporary renewable appointments of six months or more in the General Fund for Academic Affairs.Recruitment

Master Payroll Certification (MPC) Exception

Monthly master payroll transactions missed during the regular MPC cycle must be reported using the MPC Exception form in the myNorthridge portal, under “HR/Timekeeper (or Manager) Time&Attendance”.

As a resource, refer to the Quick Guide to Approving and Processing forms in OnBase Workflow.

Payroll

Moving & Relocation - Declaration of Notice

Moving & Relocation Authorization

Declaration notice for moving and relocation.

Authorizes reimbursement for moving expenses.

Employee Relations

New Employee Sign-In

Used for new employee sign in.Customer Service

Pay Warrant Pick-Up Request

Employees who want to pick up their warrants on December 31st must complete the Pay Warrant Pick Up Request Form no later than December 13, 2019 and return it to University Cash Services, Bayramian Hall 100R (Mail Drop 8214).Payroll

Pay Warrant Replacement

Used by employees to request a duplicate pay warrant / stop payment (return with Signature to Payroll Administration, University Hall Room 165, questions, call x2101).Payroll

Payroll Documents Signature Authorization

Used by campus departments to notify Payroll Administration of persons authorized to sign payroll documents.Payroll

Payroll Designee

Used to designate the person(s) entitled to receive all outstanding pay warrants upon the employee´s death.Payroll
Performance Evaluation - MPP

Used to evaluate MPP administrators and supervisors.

  • An alternate MPP Evaluation format of choosing may be submitted (see sample here)

Submitting Forms:

  • Please use the evaluation form of your choosing.  Once the evaluation is completed, use the Adobe Sign cover page to collect signatures and submit the evaluation as an attachment to Human Resources.  
  • Adobe Sign Cover Page Process
    • Log in to your Adobe Sign account, either from the link here or the "Sign My Documents" link in the Technology pagelet of the myNorthridge portal. For a quick guide, click here.
      • From the Adobe Sign Classic Experience Home tab -> Under Get a Signature, then under Use a Workflow, select Performance Evaluation for Management Personnel Plan (MPP).
      • From the Adobe Sign New Experience Home tab -> Start from library -> Workflow -> Under Account Workflows, select Performance Evaluation for Management Personnel Plan (MPP).

Employee Relations

Performance Evaluation - UNIT 4

Used to evaluate performances for employees within Unit 4.

Submitting Forms:

  • Completed and signed paper Employee Performance Evaluations and any attachments should be submitted as follows:
    • Signed evaluation may be emailed to Human Resources via er@csun.edu.
    • If you are not able to obtain electronic signatures, you may email the evaluation with corresponding email from the employee acknowledging receipt of the evaluation with the completed evaluation to Human Resources via er@csun.edu.
  • Adobe Sign Evaluation Form Process
    • Log in to your Adobe Sign account, either from the link here or the "Sign My Documents" link in the Technology pagelet of the myNorthridge portal. For a quick guide, click here.
      • From the Adobe Sign Classic Experience Home tab -> Under Get a Signature, then under Use a Workflow, select Performance Evaluation for Academic Support (Unit 4).
      • From the Adobe Sign New Experience Home tab -> Start from library -> Workflow -> Under Account Workflows, select Performance Evaluation for Academic Support (Unit 4).

Employee Relations

Performance Review - Staff

Used to evaluate all support staff (instructions included with form).

Submitting Forms:

  • Completed and signed paper Employee Performance Evaluations and any attachments should be submitted as follows:
    • Signed evaluation may be emailed to Human Resources via er@csun.edu.
    • If you are not able to obtain electronic signatures, you may email the evaluation with corresponding email from the employee acknowledging receipt of the evaluation with the completed evaluation to Human Resources via er@csun.edu.
  • Adobe Sign Evaluation Form Process
    • Log in to your Adobe Sign account, either from the link here or the "Sign My Documents" link in the Technology pagelet of the myNorthridge portal. For a quick guide, click here.
      • From the Adobe Sign Classic Experience Home tab -> Under Get a Signature, then under Use a Workflow, select Performance Evaluation for Staff (Units 2, 5, 6, 7, & 9).
      • From the Adobe Sign New Experience Home tab -> Start from library -> Workflow -> Under Account Workflows, select Performance Evaluation for Staff (Units 2, 5, 6, 7, & 9).

Employee Relations

Personnel File AccessFor employees wishing to view their personnel files. The completed form should be returned to Human Resources (UN-165, mail drop 8229 or faxed to (818) 677- 7200, Attn: Amelia Bond).

Employee Relations

Personnel Action Request (PAR)

Used for all Full-Time Faculty Personnel Transactions, and for Temporary Personnel Transactions that cannot be processed through the PeopleSoft Part-Time Faculty or Student Hiring Modules.

Operations

Personal Physician Pre-Designation

Pre-designation of Personal Physician for Work Related Injury form.Benefits
Position Description - MPPUsed to provide the MPP Administrator with a full written description of the position's nature and scope and areas of responsibilities.

Classification & Compensation

Position Description - Staff 
(New form as of 9/2019)  

Used to provide the staff employee with a full written description of the position's nature and scope, duties, priorities, and physical and environmental working conditions.

Classification & Compensation

Prior Pay Period Adjustment

Changes to previously reported absences must be reported using the Prior Pay Period Adjustment form in the myNorthridge portal, under “HR/Timekeeper (or Manager) Time&Attendance”. Do not use this form for Work-Study prior pay period adjustments - use the next form below.

As a resource, refer to the Quick Guide to Approving and Processing forms in OnBase Workflow.

Payroll

Prior Pay Period Adjustment (Federal Work-Study)

Summary to report miscellaneous adjustments to Work-Study Payroll, including hours from a prior pay period. Use for on and off campus Work-Study. (Instructions included with form.)Classification & Compensation

Separation/Clearance

For all faculty and staff who are separating employment from CSUN. Full and part-time faculty members who are expected to return during the following semester may be exempt from this process, at the discretion of the Dean of the College.Employee Relations

SOLAR HR Access Request

Use this form to request or change access to the HR system for an individual employee. 

Special Pay Faculty Pre-Hire Processing

Used to initiate job prior to processing special pay authorization (above).Operations

Student Assistant Hire

Use this form to document the hire of a new Student Assistant.Operations

Student Employee Job Data Change

This form is used to document and authorize requests for an additional appointment or change to the current employment status of a student assistant or work-study student.Operations

Student Payroll Action Request/Change

This form is used to document and authorize requests for an additional appointment or change to the current employment status of a student assistant or work-study student.Payroll

Timesheet

Used by Student Assistant, Work-Study, and Hourly employees to track their hours worked.Payroll

Transfer of Leave Balance from Position to Position Authorization

When an employee has multiple positions and is earning vacation or sick leave in more than one job, the employee may transfer hours between positions. This transfer is allowed when there is an insufficient balance in the second position and the employee needs a specific amount to cover a time off for a specific time period. Payroll

Vehicle Monthly Usage Report

Used by employees to report mileage of their state or third-party vehicles.Payroll

Vision Out-of-Network Reimbursement

Use in the event that you see an out-of-network provider for vision services.Benefits

Vision (Video Display Terminal) Claim

Computer Eyewear Only.Benefits

Volunteer Identification


Volunteer Limited Reporter Acknowledgement


Volunteer Parent Consent

Used in processing CSUN Volunteer workers.  


Used in conjunction with the Volunteer Identification Form and Adjunct Faculty Requisition, this form pertains to the California Child Abuse and Neglect Reporting Act (CANRA) which requires all volunteers/adjunct faculty be identified as Limited Reporters. This form must be signed and submitted to Human Resources.


Use this form when you have a minor as a Volunteer.  The parent/Guardian must fill out this form.

Customer Service

W-2 Duplicate Request

Used to request a duplicate copy of a W-2 for up to 4 prior tax years. Copy of paper form.Payroll

Work Schedule Change

Timekeepers and Approvers must submit any work schedule changes for employees through the portal, under “HR/Timekeeper (or Manager) Time&Attendance”. To view a tutorial video, select here.

Payroll

Workers' Compensation - Accident/Illness Investigation

Used by supervisor to report an accident.Benefits

Workers' Compensation Claim - DWC 1

Workers’ Compensation Claim Form (DWC 1) & Notice of Potential Eligibility.Benefits


AUXILIARY FORMSDESCRIPTION

Action Request - Auxiliary

This form replaces the Waiver of Recruitment & Appointment Requisition Form - Auxiliary.

Employee Information Form (EIF) - Auxiliary Employee

The EIF provides the University with contact, education, payroll designee and emergency contact information. The EIF also contains the "Oath of Allegiance." The EIF is also used to advise the University of changes in contact information (address, telephone number, etc). Instructions are included with this form.

Position Description - TUC

Used by the University Corporation to provide the employee with a written description of the duties for which he or she is responsible.