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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. 

Affordable Care Act (ACA)

Annual Leave

Arduous Work Pay Requests

Bicycle Commuter Program

Cash Options

Consolidated Benefits (CoBen)

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


For all other employees. 

CEA and Exempt Appointees - forms for Personnel Offices 

Confidential Designation Request

Criminal Record Supplemental Questionnaire


Dental COBRA Forms 


Dependent Re-Verification

Duty Statement

In order to access the Duty Statement template/sample, click the link, save the form to your computer, and open the form via Adobe Acrobat or Adobe Acrobat Reader. If you need assistance, contact​

EEO Questionnaire  

Employee Suggestion Program

For Employees/Suggesters

For Evaluators

Employee Wellness

Examination/Employment Application - STD 678

Family and Medical Leave Act (FMLA) 

FlexElect Reimbursement Accounts 

Reimbursement Accounts COBRA Forms 

COBRA administrators can find Word version​s of COBRA forms on HR Net.


Group Legal Services Insurance Plan


Hire Above Minimum


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

Savings Plus


State-owned Housing

T​ravel, Relocation, Reimbursement 

Transfer Determination

Veterans' Preference

Vision Benefits 

Vision COBRA Forms  


Workers' Compensation

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




  Updated: 4/27/2023
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