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 2022 Kaiser Summary of Benefits Chiropractic Home Delivery Pharmacy Booklet Delta Dental Claim Form
CIGNA Life and Accident Insurance Application 2022 Kaiser Summary of Benefits NorCal Plan Prescription Claim Form Evidence of Coverage and Disclosure Form
  2022 Kaiser Summary of Benefits SoCal Plan Home Delivery Pharmacy Order Form VSP Member Reimbursement Form 
    Member Claim 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:
Gym Membership Reimbursement Form* All Payroll Forms
Wellness Event Reimbursement Form  
(*for employees not on Hilltop campus)

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

To view the PDF documents on this page, Adobe Acrobat Reader software must be installed on your computer. Requests for accessible documents or forms should be sent to humanresources@usfca.edu. Forms with an asterisk '*' must be submitted by hand or via fax to protect your Personal Identifiable Information, specifically your Social Security Number. Unencrypted e-mail transmission of Highly Confidential information is not permitted per the USF Information Security Policy.