| Hire Form | HRAFs will open in the Laserfiche application. You must be an authorized user to access. Please contact HRPOC should you need access. |
| Separation Form | |
| Other Transactions Form |
| Background Check Authorization Form | Completed and signed by candidates who are submitting to a criminal background check |
| Request for Live Scan Service | State of California Form BCIA 8016 - required for fingerprinting |
| List of Acceptable Forms of ID for Live Scan Service | Please bring the appropriate documentation to your fingerprinting session |
| On the Spot Award | Use form to nominate an individual or team for their achievements and/or accomplishments. |
| STAR Award FY1718 (PDF) | Use form to nominate eligible employees for the Staff Appreciation & Recognition (STAR) Plan. |
| Catastrophic Leave Program Donor Form (DOC) | Use form to apply as a donor for the Catastrophic Leave Program. |
| Catastrophic Leave Program Recipient Application Request Form (DOC) | Use form to apply as a recipient for the Catastrophic Leave Program. |
| Group Term Life Insurance Portability Election Form | When an employee leaves UC employment or retire, they can continue life insurance benefits by completing this form. |
| Employee Development Fee Reimbursement Form (DOC) | This form is only for programs that are not required by the department head but are approved for employee development. |
| Reduced Fee Enrollment Application (PDF) | Upon acceptance as a student, an employee completes this form, along with department signature. |
| UCLA Extension Reduced Fee Enrollment and Departmental Recharge Application (PDF) | Packet contains information about UCLA Extension and the special Reduced Fee Enrollment and Departmental Recharge Application. |
| Kronos Adjusment Form | This form is for Kronos time adjustment after a pay period has closed. |
| Compensatory Time Off (CTO) for Clerical (CX) Unit (PDF) | This form is for Teamsters-Clerical employees to elect whether they wish to be compensated for overtime hours by pay or CTO. |
| Compensatory Time Off (CTO) for Personnel Policies for Staff Members (PPSM) Employees (PDF) | This form is for PPSM employees to elect whether they wish to be compensated for overtime hours by pay or CTO. |
| Compensatory Time Off (CTO) for Service (SX) Unit (PDF) | This form is for Service employees to elect whether they wish to be compensated for overtime hours by pay or CTO. |
| Compensatory Time Off (CTO) for Teamsters (formerly SETC) Unit (PDF) | This form is for Teamsters - Skilled Trades employees to elect whether they wish to be compensated for overtime hours by pay or CTO. |
| Compensatory Time Off (CTO) for Technical (TX) Unit (PDF) | This form is for Technical employees to elect whether they wish to be compensated for overtime hours by pay or CTO. |
| Employee-initiated Reduction in Time (ERIT) Program Contract | ERIT participants must complete the ERIT contract to start benefiting from the program. |
| Request for Verification of Previous Employment (DOC) | This form should be used for verification of previous University of California, California State University or State of California Employment Service credit. |
| UCLA Billing Statement for Reimbursement - AFSCME (DOC) | Use to obtain reimbursement from AFSCME for any AFSCME represented employee who has been on an approved Leave of Absence for union business. |
| Vacation Accrual Maximum Exception Request Form (PDF) | Use this form when requesting an exception to the Maximum Vacation Accrual Policy. |
| Retired Employee Approvals Form (PDF) | The hiring manager must complete this form for retired employees reemployed into staff positions. This form must be sent in with the UCRP Waiver Election Form. |
| UCRP Reemployed Retiree Notification Form (PDF) | This form must be completed by retiree prior to being rehired by the university. |
| UCLA Application rev2018 (Fillable PDF) | This application is to be used specifically for positions that are NOT posted through PeopleAdmin. An example would be student applicants who would use the attached form to apply for student positions, including work study positions. |
| Workers' Compensation Claim Form (DWC 1) | Employee and Supervisor completes this form when they become injured while on the job. |
| Incident Report & Referral for Medical Treatment (PDF) | Employee and Supervisor completes this form when they become injured while on the job. |
