To find publications, please visit our Publications page.
Your personnel office can provide paper copies of many of these forms.
Some forms can't be filled out on your computer. You'll need to print them and fill them out by hand.
Forms that can be filled out on your computer generally can't be saved. You'll fill them out on your computer and print them each time you use them.
You can't submit these forms online or by email.
Some forms listed below may still be branded as "DPA" forms. CalHR is updating these forms as time permits. In the meantime, continue to use the DPA forms.
You can also get standard forms from the DGS Forms Search website.
Affordable Care Act (ACA) Notification Checklist - CalHR 782
Annual Leave - Sick Leave/Vacation - Election Form CalHR 875
Arduous Work Pay Request Form - CalHR 777
For excluded employees and eligible represented employees in bargaining units 2, 7, 8, 16, 17, 18, and 19.
Consolidated Benefits Cash Enrollment Election Form - STD 702
For all other employees.
Cash Option Enrollment Authorization - STD 701C
CalPERS Health Benefits Enrollment Form - HBD-12 - (Navigate to form on CalPERS web site)
Dental Enrollment Form - STD 692
CEA Position Request - CalHR 881
Employee Suggestion Form - STD 645
Employee Suggestion Evaluation Report - STD 645A
State Employee Race/Ethnicity Questionnaire for New Hires and Rehires -CalHR 1070
Examination/Employment Application - STD 678
Notice of Eligibility and Rights and Responsibilities - CalHR 752
Designation Notice - CalHR 753
Certification of Health Care Provider for Employee's Serious Health Condition - CalHR 754
Certification of Health Care Provider for Family Member's Serious Health Condition - CalHR 755
Reimbursement Account Enrollment Authorization - STD 701R
Premium Only Plan Request for Disenrollment - CalHR 006
Flex Elect Reimbursement Claim Form - CalHR 351
Letter of Medical Necessity - ASI
Qualified Reservist Distribution (QRD) Request Form - CalHR 902
COBRA administrators can find Word versions of COBRA forms on HR Net.
Employee Contract Grievance - STD 630
Excluded Employee Grievance - STD 631
Job Description Form - CalHR 651 Note: Employees filing an out-of-class grievance should complete a Job Description Form and submit it to their personnel office along with their grievance form.
Layoff Plan and Request for Preliminary Seniority Scores - CalHR 009 Note: CalHR 009 has been replaced by the online, electronic Layoff Tool. Do not use CalHR 009 form unless you have contacted your department's assigned CalHR Layoff Consultant about your layoff and you have been directed to use it.
Notice of Involuntary Transfer, Demotion, or Termination - CalHR 015
Report of Current Performance - CalHR 040
Establishing Reemployment Lists - CalHR 016 | Instructions
Governor's State Employee Medal of Valor Special Act / Special Service Award Nomination - CalHR 012
Superior Accomplishment Gift or Cash Award Recommendation - STD 278
Military Leave Worksheet
Certification of Qualifying Exigency for Military Family Leave (Family and Medical Leave Act) - CalHR 756
Certification for Serious Injury or Illness of Covered Servicemember for Military Caregiver Leave - CalHR 757
Nomination form - CalHR 601
Partial Service Retirement Application - CalHR 062
Pre-Tax Parking/Third-Party Administrator/Reimbursable Account Claim - CalHR 681
Account Enrollment Form - CalHR 682
Retired Annuitant Self-Certification - CalHR 715
Retirement Designation Request - CalHR 619
Final Seniority Score Package - CalHR 700
SROA Scantron Form | SROA Scantron Form - Text Only (RTF)
Travel Expense Claim - STD 262
Hotel/Motel Transient Occupancy Tax Waiver - STD 236
Excess Lodging Rate Approval (with Attachment ) - STD 255C
Out-of-State Travel Approval Request - STD 257
Out-of-State Travel Approval Request (Trip Description) - STD 257C
Blanket Approval for Out-of-State Travel - STD 260
Authorization to Use Private Owned Vehicle on State Business - STD 261
Insurance Verification & Authorization to Operate Privately Owned/Rented/Leased Aircraft on State Business - STD 265
Transfer Eligibility Worksheet - CalHR 880
Industrial Disability Leave With Supplementation Benefits Information and Option Selection - STD 618S
Please visit our Publications page to get the Workers' Compensation Claim Kit.