Forms
| Title | Short Description | Topic | Campus | Access |
|---|---|---|---|---|
| Telephone Reference Checklist | Use this form to help conduct a pre-hire reference check. |
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: 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 Oath of Allegiance & Patent Acknowledgement | All new employees fill out form before first day of work. |
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. |
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 Licensure or Certification | Complete this form to verify that an employee has a current license or certificate required for their job. |
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. |
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 |