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CalHR Forms

To find publications, please visit our Publications page.

Your personnel office can provide paper copies of many of these forms.

Please note:

  • 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.

 

Affo​rdable Care Act (ACA)

Annual Leave

Arduous Work Pay Requests

Cash Options

Consolidated Benefits (CoBen)

For excluded employees and eligible represented employees in bargaining units 2, 7, 8, 16, 17, 18, and 19. 

FlexElect

For all other employees. 

CEA and Exempt Appointees - forms for Personnel Offices 

Confidential Designation Request

Criminal Record Supplemental Questionnaire

Dental 

Dental COBRA Forms 

Delegation

Duty Statement

Employee Suggestion Program

For Employees/Suggesters

For Evaluators

EEO Questionnaire  

Examination/Employment Application - STD 678

Family and Medical Leave Act (FMLA) 

FlexElect Reimbursement Accounts 

Reimbursement Accounts COBRA Forms 

COBRA administrators can find Word versions of COBRA forms on HR Net.

Grievances

Layoff

Forms from Section 400 of the Layoff Manual 

Forms from Section 700 of the Layoff Manual 

Forms from Section 900 of the Layoff Manual 

Leave Management

Medal of Valor 

Merit Award 

Military Leave 

Negri Award 

Partial Service Retirement

Pre-tax Parking 

Retired Annuitant Certification 

Retirement Designation Request

Seniority 

State Restriction of Appointments 

Travel, Relocation, Reimbursement 

Transfer Determination

Vision Benefits 

Vision COBRA Forms  

Workers' Compensation

 

Please visit our Publications page to get the Workers' Compensation Claim Kit.

​ 

 

 

Hernandezhttp://www.calhr.ca.gov/Lists/Contacts/DispForm.aspx?ID=2MarcosHernandez916-323-4021Forms Managermarcos.hernandez@calhr.ca.govSacramento1515 S Street Suite 500CA95817US

  Updated: 8/7/2017
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