Forms

Access all the Human Resources forms and documents.

This page provides access to Human Resources forms, tools and reference documents that support Cal State Monterey Bay employees throughout the employment lifecycle. From additional employment requests and benefits enrollment to evaluations, compensation guidance and retirement resources, these materials are designed to help faculty and staff. Use this page as your central resource for required forms, policy documents and helpful job aids, with additional forms added as they become available. Below are first the grouped forms, then following is all other forms in alphabetical order.

Grouped Forms

Human Resources is committed to the recruitment of a highly qualified and diverse staff and faculty. The recruitment process at CSUMB incorporates all federal and state regulations, CSU collective bargaining agreements, CSU system policies, and university policies. Services are also provided to assist managers in meeting their short-term or emergency staffing needs. For assistance, please contact Human Resources at (831) 582-3389.

 

Alphabetical Forms

125% Calculator - Excel table to provide an estimation of staff or faculty work to comply with CSU 125% policy

2026 Health Benefit Summary

2026 Health Rates Comparison Chart

Academic Personnel Calendar 2025-2026 - These calendars list the processes and deadlines for RTP, evaluations, leaves, and FERP for the 2025-2026 academic year.

Academic Personnel Calendar 2025-2026 Timeline

Academic Workdays Calendar 2025-2026

Accident Insurance Benefits Guide

Acknowledgement & Missed Premium AR Agreement -A form that acknowledges you received the benefits information and authorizes appropriate payroll deductions

Additional employment decision tree - Document to help departments determine course of action for employment

Additional employment policy

Additional Employment Pre-Approval Form - Form must be submitted when staff or faculty are requesting additional employment

Additional employment pre-approval form routing (faculty) - Routing process for AEP form for faculty

Additional employment pre-approval form routing (staff) - Routing process for AEP form for staff

Additions and Deletions Worksheet - How to add or remove health, dental or vision coverage for an employee or dependent

Adobe digital signature job aid (Windows) -Job aid for Windows users to create, export, and import digital signatures for forms using Adobe Acrobat Reader XI.

Adobe digital signature job aid (Mac) - Job aid for Mac users to create, export, and import digital signatures for forms using Adobe Acrobat Pro X.

Affidavit of Marriage or Domestic Partnership - In lieu of a marriage/domestic partnership certificate, use this affidavit form to certify your relationship for benefits.

Affidavit of Parent-Child Relationship - A form to enroll a dependent child, other than an adopted, step, or recognized natural child, in a health plan.

Anthem Claim Form

APC CBA Evaluation Article - Article 18 of the APC collective bargaining agreement on performance evaluations

APC evaluation form (instructions on page 3) - Performance evaluation form for APC employees. See procedures on page 3.

Applicant Authorization & Release Form

ASIFlex Card FAQs

ASIFlex Card Reference Guide

ASIFlex Eligible OTC Expenses

ASIFlex HCRA Expense Planning Worksheet

ASIFlex Quick Guide 2020

Assignment of work - Outline of order of work for faculty as per Article 12.29.

AY faculty payment schedule and benefits coverage - Dates for pay periods, paydays and benefit coverage

Background check form

Beneficiary Information Update - How to update your beneficiaries for various benefits

Benefits and Leaves Program Summary - A chart indicating which employee classifications are eligible for which benefits and leaves programs

Calculation of daily rate - This memo provides updated formulas to calculate faculty daily rates for Special Consultant or Grant appointments.

California Casualty Product Flyer - California Casualty information of Auto, Home and Renter's insurance

California Law prohibits workplace discrimination and harassment (DFEH 162)

CalPERS beneficiary designation - Designate beneficiaries for CalPERS retirement

CalPERS Reciprocal Self-Certification form - CalPERS form for reporting other retirement systems

24/25 CalPERS Contribution Rates & Retirement Formulas - Retirement formulas and contributions for different classifications

Candidate Evaluation Spreadsheet (template) - Spreadsheet to assist Talent Selection Committees in evaluating completeness of application.

Candidate Recommendation Form - Use this form when appointing new and returning temporary faculty employees

Catastrophic Leave Request - Catastrophic leave donation request

Chair-dean relationship - Handout of tips for creating a strong chair-dean relationship

Classification and Compensation Request Form

Coach Evaluation Process Overview - A flowchart of the process for coach evaluations

Coast to Coast - CSU Systemwide Wellness Challenge

Community resources - A guide to local businesses, services, schools and more

Compensation guidelines - Staff -Compensation guidelines have been developed to provide a consistent framework for the effective and responsible administration of the staff classification and compensation programs to promote the recruitment, motivation and retention of a highly qualified work force.

Computer Vision Care Form

Confidentiality Agreement - Talent selection committee guidelines on confidentiality

Confidentiality/FERPA Form - A summary of confidentiality requirements

Conflict of Interest Handbook

Critical Illness Benefits Guide

Disclosure Category Descriptions - CSU Conflict of Interest Disclosure Category Descriptions

CSU Contract Restrictions - Public Contract Code - Code Public contract code restrictions for CSU employees

CSU Employee Photography Release Form

CSU Employee Profile Brochure

CSU Employee Profile Photography Contest Invitation 2020

CSU general benefits eligibility criteria - A listing of all CSU benefits and criteria to be eligible

CSU Voluntary Benefits Plans - Information for employees who are not eligible for core benefits through the CSU.

CSUEU (2,5,7,9) CBA evaluation article - Article 10 of the CSUEU collective bargaining agreement addresses performance evaluations

CSUEU and SUPA Evaluation Form 2021 - Performance evaluation form for CSUEU and SUPA represented employees

CSUMB Department Chair Handbook 2020

CSUMB Statement on Non-discrimination and Harassment Prevention in Employment and Education - CSUMB's statement on non-discrimination and harassment prevention in employment and education

CSU Learn - How to Register for a Curriculum

How to Self Assign a Training Course

Instructions on how to self-assign the Defensive Driving Course in Sum Total

Printing Certificates

 

Data classification information - Provides examples of Level 1, Level 2, and Level 3 data classifications. Please note that the classifications are not limited to the examples provided.

2026 HCRA / DCRA Enrollment Form

DCRA / HCRA Reimbursement Form

DCRA Expenses - Listing of eligible daycare expenses

Declaration of Health Coverage

Dental Benefit - SmileWay - Basic

Dental Benefit - SmileWay - Enhanced

Dental Claim Form

Dental Plan Group Numbers

Dental Plan Enrollment Form

Department chair best practices  - Handout of department chair best practices

Department Chair Feedback Form  - Form for providing feedback and evaluation of department chair

Disclosure Categories CSUMB-4.1.2020 - Designated Position-Disclosure Categories List

Diversity recruitment resources - HERC - A compendium of diversity resources compiled for the campuses participating in the Northern California Higher Education Recruitment Consortium.

Diversity recruitment resources - Part 2 - A list of diversity resources by topic

Domestic Partner Tax Dependent Certification Form

E-verify notice in English - Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

E-verify notice in Spanish - La Ley Federal le exige a todos los empleadores que verifiquen la identidad y elegibilidad de empleo de toda persona contratada para trabajar en los Estados Unidos.

Emeritus faculty award procedures - Explanation of process for awarding emeritus status

Employee Action Request Form

Employee Benefits Summary

Employee data sheet

Employee Report of Accident, Incident, Illness

Employment eligibility verification (Form I-9)

Employment eligibility verification (Instructions)

Equal Opportunity is the Law (poster)

Executive Order 115 (EO 115) Complaint Form

Executive Order 116 (EO116) Complaint Form

Executive Order 929 - Reporting Procedures for Protected Disclosure of Improper Governmental Activities and/or Significant Threats to Health or Safety

Executive Order 930 - CSU Drug-Free Workplace Policy

Executive Order 1083  -Revised 7/21/2017 - Accessible version

Executive Order 1096 - Systemwide Policy Prohibiting Discrimination, Harassment and Retaliation, Sexual Misconduct, Dating and Domestic Violence, and Stalking against Employees and Third Parties and Systemwide Procedure for Addressing Such Complaints by Employees and Third Parties (revised October 5, 2016)

Executive Order 1096 Complaint form

Facts about sexual harassment (DFEH 185)

Faculty Benefits Eligibility - A brochure describing how faculty, coaches and lecturers become eligible for benefits

Faculty outside employment disclosure form - Use this form to disclose outside employment, per Article 35 of the CBA

Faculty Recruitment Plan - Use this form to plan out your recruitment efforts and expenses

Faculty Return to In Person Office Work

Family care and medical leave - Summary of your rights and obligations under the Fair Employment and Housing act

Faculty and Staff Fee Waiver Application

Fee Waiver Career Development Plan - A Career Development Plan must be completed at least once prior to the first semester of study under the Fee Waiver Program.

Fee Waiver Career Development Plan Update

Dependent Fee Waiver Transfer Application

Fee Waiver Application for Non-Matriculated Student

Fee Waiver Administrative Eligibility Guidelines

FERP Application - Application to submit for consideration for Faculty Early Retirement Program (FERP)

FERP Technical Letter - Technical letters from the Chancellor's office summarizing and updating the features and provisions of the FERP program

FERP Technical Letter HR2017-04 Post Retirement Employment CalPERS' Retirees

Final Pay Warrant Designation

Final recruitment report checklist - Detailed checklist itemizing the required documents that must be submitted to UP after a tenure-line faculty recruitment

FlexCash Enrollment Form

FlexCash Plan Summary

FML Certification - Certification of healthcare provider for those employees eligible for a Family Medical Leave

FML-FAQs

For MPPs Only - Outside Employment Disclosure Requirements for MPP and Executive Employee - The CSU Policy for disclosure of outside employment

Form 700

Form 802 (Completed) - Signed and completed from 802 for Gifts to Agency

FPPC 2019/2020 Form 700 Statement of Economic Interests Reference Pamphlet

FPPC Frequently Asked Questions-Form 700 Disclosure

FPPC Limitations and Restrictions on Gifts, Honoraria, Travel and Loans Fact Sheet

FPPC Statement of Economic Interest-Form 700

FSA / ASIFlex debit card request

 

Graduate Assistant Classification Standards -The classification standard for graduate assistants

Grant-related instructional faculty -Grant-related instructional faculty standards

HIPAA privacy notice -How medical information may be used and disclosed and how you can access this information

Hourly intermittent voucher -Use this voucher to submit intermittent hours worked

Important information about COBRA coverage - Explanation of COBRA benefits

Independent-Contractor-Request-Form.pdf

Independent study agreement - Use this form to request approval for an independent study

Information form - Information form containing citizenship information, authorization to receive pay warrants, emergency contact

Instructional Student Assistant Classification Standards - The classification standard for Instructional Student Assistants

Interfolio basics - Slideshow of Interfolio for faculty who would like to use Interfolio for RTP

Interfolio reviewers - Slideshow of presentation for individuals who will be reviewing RTP materials submitted through Interfolio

Interview Narrative Form

Job Action Form - Used to request a job change including a stipend or bonus

Job Announcement Template -Use this template to create a new faculty job announcement

Labor Law Notices Combined (Federal and California) - Official physical notices are posted in Human Resources - Tide Hall

Labor Law Notices (Contractor) - Official physical notices are posted in Human Resources - Tide Hall

Lecturer Annual Evaluation Form - The form to use when annually evaluating lecturers

Lecturer Cumulative Evaluation Form - The form to use when cumulatively evaluating lecturers

Lecturer Evaluations Criteria, Procedures and Calendar - These procedures supplement Article 15, Evaluation, of the Collective Bargaining Agreement (CBA)

Lecturer Peer Evaluation Form - Use this form to complete peer evaluations and classroom visitation

Lecturer Self-Evaluation Form

Life Services Toolkit - Life Services Toolkit Brochure summarizing the services provided by our life insurance benefit.

Market Salary Increase Application- Use this form to apply for a market salary increase

Market Salary Guidelines - How to apply for a market salary increase

Medical Leave Certification

Monitoring Additional Employment - Guidelines and job aids for monitoring and calculating additional employment up to 125%

Moving Into the Chair Role - Handout illustrating the difference between faculty and chair role

MPP Compensation Guidelines - Guidelines for MPP salaries

MPP Evaluation Form - Performance evaluation for MPP employees

MPP Evaluation Narrative Cover Sheet - Narrative cover sheet for MPP performance evaluations

MPP Outside Employment Disclosure Form - The disclosure form for MPPs

MPP Outside employment FAQs - FAQs about the outside employment policy for MPPs and executives

MPP Position Justification Form

MPP reconsideration procedure - This procedure applies to MPP employees who request reconsideration of certain personnel decisions

Naming conventions - Example of file naming conventions for Interfolio users

Nepotism Agreement Form - Agreement regarding employment relationship of immediate family members

Nepotism policy

New Employee Benefits Enrollment Worksheet - New employee enrollment worksheet

New employee paperwork checklist - Check off all the items you will need to complete and bring on you first day

New health insurance coverage options and your health coverage

New Hire Notice Injuries Caused by Work with Designation Forms Updated - Explanation of what you are entitled to if you are injured at work. These are the pre-designation of physician forms.

Non-faculty special consultant guidelines - Explanation of the special consultant classification and procedures for assigning non-faculty special consultants

Non-Telecommuting Workers Leave Request Form

Notice of Workers Compensation Carrier

Notice to Employees Posted by Order of the Public Employment Relations Board (PERB)

OptumRx Digital Tools Brochure

OptumRx Prescription Reimbursement Request Form

OSHA's Form 300A-U.S. Department of Labor Summary of Work-Related Injuries and Illnesses

Other Temporary Employee Appointments - Use this form for coaching faculty, librarians, and other bargaining unit employees.

Outside Employment Disclosure Form for Senior Management Employees - The disclosure form for Vice Presidents and above

Part-time faculty employment disclosure - Part-time faculty employment disclosure - Use this form to disclose total employment appointments within the CSU

Part-time faculty hiring process - Part-time faculty hiring process - Narrative outline of the steps for the applicant, Department, College, and Human Resources to follow when hiring new part-time, temporary faculty

Part-time faculty hiring process (overview)  -Flowchart for hiring process of new part-time, temporary faculty

Part-time faculty paperwork checklist - Checklist outlining all required paperwork for new part-time, temporary faculty

Part-time faculty request to recruit and reference check form - Use this form to track the recruitment process and recommendations of part-time faculty positions

Payment Processing Form (Job Code 2403)

Payment routing process (Job Code 2403) - Flowchart for payment process for 2403 Payment Processing Form

Peer Review of Teaching Guidelines for Remote Classroom Observations

Performance evaluation procedures for MPPS

Performance evaluation procedures for represented and confidential staff

Performance evaluation worksheet

Performance Evaluations Process Refresher - PPT presentation outlining the performance evaluation process for managers

Person of Interest Form (PDF) - A person of interest (POI) is a non-employee affiliate of CSUMB needing access to computers, facilities, training, or buildings.

Personal Data Form - Personal data includes legal name, addresses, etc.

Policy acknowledgement checklist - An acknowledgment of having read the policies and notifications

Position description template - instructions - Job description instructions

Position Description Template - MPP - Job description template for MPP positions

Position Description Template - Staff - Job description template for staff positions

Position Funding Form

Post-retirement employment policy

Post-tenure Evaluation Form - Tenured faculty members use this form for evaluating contributions after receiving tenure.

Pre-retirement reduction in timebase - Article 30 in the CFA collective bargaining agreement

President's Academic Delegations - Listing of the authorities delegated by the President

President's Award Eligibility Criteria and Procedures - Attachment for Nomination Form with eligibility guidelines, criteria, and procedures for submission

President's Award Nomination Form - Form used to nominate staff, faculty, or MPP for the 2020 President's Award

Promissory Note (Faculty) - Complete this promissory note prior to taking leave with pay

Questions to ask to help create a diverse applicant pool - Listing of questions to aid diversity in faculty searches

Quick reference list for use while evaluating employee performance - This quick reference provides dos and don'ts for evaluating employee performance.

Range elevation Application - Application for range elevation

Reconsideration Request Form - The form to request a reconsideration meeting regarding personnel actions for MPP employees

Recruitment - Committee Chair Job Aid - Step by step instructions for recruitment committee chairs

Recruitment - Committee Job Aid - Step by step instructions for using the recruitment system

Recruitment procedures for academic administrators - Step by step recruitment procedures for academic administrators (MPP)

Recruitment Summary Form (Faculty) - Provides the detailed account of recruiting activities of the Talent Selection Committee for faculty searches.

Report an Issue

Report Improper Activity - Brochure - Whistleblower Brochure - Report Improper Activity

Report Improper Activity - Poster - Whistleblower Poster - Report Improper Activity

Request for Formal Leave of Absence - Request, modify, or cancel medical, personal, or professional leaves and leaves without pay

Request to recruit (RTR) - to initiate talent search for Staff and Management (MPP)

Request to Recruit (Tenure-Track Faculty) - Use this form to request to recruit a new faculty or academic administrator position

Resident director - Resident directors are appointed by the director of international programs and provide academic, administrative and fiscal supervision of an overseas study center

Resignation/Separation Form - Form for separating employees

Resources for Employees Affected By Layoff

Right to work notice in English

Right to work notice in Spanish - Si usted tiene derecho a trabajar, no deje que nadie se lo quite.

Rights of Victims of Domestic Violence, Sexual Assault and Stalking - All employers are required to provide a Notice of Rights of Victims of Domestic Violence, Sexual Assault and Stalking to all new employees and to existing employees when they request it.

RTP Clinical Faculty Standards

RTP FAQ - General FAQ about the 2011 FTP policy

RTP Library Standards and Criteria for Retention, Tenure and Promotion - Standards and Criteria for Retention, Promotion and Tenure CSU Monterey Bay Library Faculty

Sabbatical and DIP Leaves Terms and Conditions - Terms and conditions for sabbatical and DIP leaves. To be signed by the faculty member applying for leave.

Sabbatical DIP Leave Application - Application for Sabbatical and DIP Leave

Sample narrative for tenure track position - Tenure-line and academic MPP narrative template

Selected Candidate Narrative - Staff and management hiring narrative template

Self-evaluation form

Seven habits of successful chairpersons - Handout illustrating seven habits

Sexual harassment and sexual assault nontolerance

Skillchoice - Business catalog

Skillchoice - Desktop catalog

Skillchoice - IT catalog

Special Conditions of Employment

Special Consultant Agreement

Special consultant guidelines

Standard Insurance Co. Beneficiary form

Statement of Economic Interests Form 700 Instructions

Student Assistant Classification Standard

Student Assistant Guidelines - CO Tech letter HR2014-08

Student Employee Supervisor FAQs - Frequently asked questions for supervisors of student employees

Student Employee Time Adjustment Report - Job aid to adjust a student employee's time after payroll has been processed.

Student Employee Timesheet - Entry

Student Employment Guidelines - Step-by-step instructions on the student employee hiring process and how to complete the Student Employment Packet

Student Employment-Packet.pdf - All forms that departments will need to complete when hiring student employees. Packet is multiple pages and will require scrolling to view forms for Unit 11 and non-Unit 11 employees. Please review the Student Employment Guidelines for help with completing this packet.

Student feedback on instructor and course - Students who are not completing electronic course evaluations may submit this feedback form

Student Trainee LAEP Classification Standards

Student Trainee On-Campus Work Study Classification Standards

Substitute Faculty Appointment Form - Use this MS Excel file to appoint substitute faculty

SUPA CBA evaluation article - Article 29 of the SUPA collective bargaining agreement on performance evaluations

Supervisor on-boarding checklist - On-boarding checklist for new employees which provides tasks and timeline for completion

Supervisors Report of Incident, Accident or Illness

Table of Responsibility for faculty leaves - Table of Responsibility for faculty medical and disability leaves

Teaching Associate Classification Standards - The classification standard for Teaching Associates

Teamsters and Confidential Eval Form 2021 - Performance evaluation form for Teamsters & confidential employees

Teamsters CBA Evaluation Article - Article 12 of the Teamsters collective bargaining agreement

Temp agency requisition form

Tenure Track Faculty Recruitment Manual - Outlines the full process and procedures for tenure-line faculty, including hyperlinks to all documents and policies.

Tenure Track Faculty Recruitment Procedures - Step by step recruitment procedures for tenure-track faculty for searches take place after AY 17-18

The Professional Leave Salary Calculation

The Standard Enrollment Postcard - CSU

Time off to vote poster - Poster with information regarding time off for voting purposes

Transgender Rights in the Workplace

Travel Assistance Brochure

Unconscious bias workshop flyer - Flyer for workshop on 9/30/16 for faculty on unconscious bias and micro-aggressions

Unemployment insurance for academic employees - Technical letter HR/Benefits 2005-10 describing unemployment insurance benefits for academic employees

Unit 11 Academic Student Employment Packet

Unit 11 Summary of Appointments - Summary of Unit 11 appointments by Department and Classification filled in academic year 2024-2025

Unit 15 Student Employment Packet

Unit 3 Salary Table

Use of university and private vehicles guidelines - CSU guidelines for use of vehicles

Veteran self-identification form - The university collects this information to measure the effectiveness of our outreach efforts.

Veteran self-identification form - The university collects this data to assist in monitoring our diversity efforts.

Voluntary self-identification form - The university collects this information to monitor the effectiveness of our outreach efforts.

Voluntary self-identification of disability

VSP Vision Evidence of Coverage (Basic) -Evidence of coverage booklet for coverage details

VSP Vision Evidence of Coverage (Basic)

VSP Vision Reimbursement Form - Vision reimbursement form

Where to file complaints - Overview of variety of complaint issues and possible actions that can be taken (not all-inclusive)

Where to file complaints

Work Schedule Form

Workers Compensation Fact Sheet - Answers to your questions about permanent disability

Workers Compensation Fact Sheet

Work-Related Injury and Incident Procedures - Quick reference for what to do immediately following a work-related injury or incident

Work-Related Injury and Incident Procedures