Forms
| Title | Short Description | Topic | Campus | Access |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Temporary Accommodation | This form is used by managers and supervisors to document temporary accommodation. For questions on the form, please email: DocuSign FAQ. Forms: |
Disability Management Services | UC Davis and UC Davis Health | |
| TES Assignment Request | Departments complete this form to request temporary employment services (TES). |
Recruitment | UC Davis and UC Davis Health | Download |
| UC Davis Workers' Compensation | For the Davis campus: The link leads to Safety Services, where you will find Workers' Compensation forms, information and assistance. |
Workers' Compensation | UC Davis | Link |
| UC Procurement Services - Source Selection & Price Reasonableness Justification form | This document must be completed by the requesting Department for all federally funded purchases ≥$10,000 (including tax and shipping) & non‐federally funded purchases ≥$100,000 (excluding tax, but including shipping), to substantiate the appropriateness of source selection and price reasonableness. |
All | UC Davis and UC Davis Health | Download |
| UCPath Access/Cognos Report 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 |
| UCRP Reemployment Notification | To be completed by retirees who receive monthly retirement income and are reemployed in a senior management or staff position. |
Recruitment | UC Davis and UC Davis Health | Download |
| Union Job Steward Grievance-Related Release Time Request | Union designated employee representative fills out form to request paid release time for grievance-related activities. |
Employee and Labor Relations | UC Davis and UC Davis Health | Download |
| Verification of Previous Employment | The Work Number® (TWN) is an automated service providing employees with the ability to quickly deliver proof of employment or income. |
Payroll | UC Davis and UC Davis Health | Link |
| Volunteer Information Record | Departments may use this form to collect volunteer's personal information. It also serves as a checklist to determine volunteer eligibility, and document volunteer onboarding activities. |
Recruitment | UC Davis and UC Davis Health | Download |
| Waiver of Recruitment | Form used by departments when applying for a waiver of recruitment as outlined in PPSM-20. |
Recruitment | UC Davis and UC Davis Health | Download |
| Workers' Compensation Claim Form (DWC 1) & Notice of Potential Eligibility | For the Health campus: Visit the UC Davis Health Workers' Compensation website for forms, contact information and more resources. |
Workers' Compensation | UC Davis Health | Visit website |