Forms

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Forms

Title Short Description Topic Campus Access
Telephone Reference Checklist

Use this form to help conduct a pre-hire reference check.
Submit to: Keep completed form with candidate's application packet.

Recruitment UC Davis and UC Davis Health Download
Temporary Accommodation

This form is used by managers and supervisors to document temporary accommodation.

For questions on the form, please email:
Campus: [email protected] | Health: [email protected].

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).
Submit via Smartsheet

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 Oath of Allegiance & Patent Acknowledgement

All new employees fill out form before first day of work.
Submit to: Onboarding Coordinator

Recruitment UC Davis and UC Davis Health Download
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.
Submit to: Onboarding coordinator

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.
Submit to: Employee's Supervisor

Employee and Labor Relations UC Davis and UC Davis Health Download
Verification of Licensure or Certification

Complete this form to verify that an employee has a current license or certificate required for their job.
Submit to: UC Davis Health HR Records.

Records 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. 
Departments should retain this form as Workers' Compensation will request a copy in the event of a volunteer illness/injury.

Recruitment UC Davis and UC Davis Health Download
W4 - Employee's Withholding Allowance Certificate

Replace this text with a short description of the form (1-2 sentences). This text will appear in the HR Forms table.

Payroll 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