Human Resources Forms

Employment

Additional Assignment Authorization Form Performance Appraisal Forms and Guidelines
Conflict of Interest Disclosure Form Staff Reference Check Form
Contingent Worker Authorization Request Form Staff Telecommuting Agreement
Employment of Relatives Disclosure Form Temporary Worker Extension Request
Faculty Deferred Compensation Form  

Compensation

Job Description Template

Job Aid to Complete Job Description

Benefits

General:

Kaiser:

Anthem Blue Cross:

Dental/Vision:

Childcare Subsidy Information regarding the Kaiser medical plan can be found here. Member Claim Form Delta Dental Claim Form
New York Life - Evidence of Insurability (EOI) process Prescription Claim Form VSP Member Reimbursement Form 

Retirement:

USFFA:

Financial Advisor Reimbursement Form USFFA Second Mortgage Program Description

401(a) Vesting Waiver Form

USFFA Second Mortgage Program Application
Emeriti Qualified Medical Expense Form  

Tuition:

SF HCSO and SF Sick Leave:

Tuition Remission Form HCSO Employee Voluntary Waiver Form
Tuition Remission Plan Designated Person Sick Form for Paid Sick Leave
FACHEX and Tuition Exchange Form

Flexible Spending Accounts:

FACHEX Program - Participating Institutions BRI Dependent Care FSA Reimbursement Claim Form
FACHEX and Tuition Exchange Programs FAQ BRI FSA Direct Deposit Form
  2022 BRI FSA Guide
  2022 BRI Plan Highlights

Commuter:

 
Pre-Tax Commuter Plan and Subsidy Enrollment Form  

Wellness:

Payroll:

Wellness Event Reimbursement Form All Payroll Forms
   
 

Workers' Compensation:

  Workers' Compensation Benefits (English version)
  Compensación por Accidentes de Trabajo (versión en español)
  Medical Provider Network (MPN) Notice

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