Forms

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Forms

Title Short Description Topic Campus Access
Access Violation Report

Department fills out form when employee organizations commit unauthorized or illegal actions.
Submit to: ELR Department

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.
Submit to: [email protected] 

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. 
Submit to: Department Supervisor, Manager or Chief Administrative Officer

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.
Submit to: Department employees

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.
A completed appeal form must be submitted to the Compensation Manager within 30 days of written notification. Visit the Classification Review Process webpage for full details.

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Create AggieService ticket, upload form to ticket, shared services will make the adjustment.

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Submit to: Original to Supervisor, copy to Employee

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.
Note: Found under Employee Self-Service Dropdown.

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. 
Submit to: Local HR office

Onboarding UC Davis and UC Davis Health Download
Employee-Student Fee Reduction Authorization

For employees who are eligible to receive reduced fees. 
Submit to: Obtain the required signatures, then send to the Office of the Registrar by the 10th day of instruction.

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.
Submit to: Department Head, then ELR

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.
Please refer to the Formalizing Flexible Work Arrangements website for instructions and current forms.

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.
Requests for new positions, recruitment replacements, position updates and reclassifications must be formally submitted to the Compensation Services Team via Job Builder at universityofcalifornia.marketpayjobs.com.

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.
Submit to: TAP submits completed form to the Manager, Strategic Talent Services and Talent Acquisition Manager.

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.
Submit new job description requests to the Compensation Services Team via Job Builder at universityofcalifornia.marketpayjobs.com.

 

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.
Submit to: Disability Management Service

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.
Submit to: Local HR office

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.
Submit to: Recruitment

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.
Submit to: Local HR office

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. 
Submit to: Local HR office

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