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To find publications, please visit our
Your personnel office can provide paper copies of many of these 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.
CEA Position Request - CalHR 881
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 PMD@calhr.ca.gov.
State Employee Race/Ethnicity Questionnaire for New Hires and Rehires - CalHR 1070
Employee Suggestion Evaluation Report - STD 645A
Examination/Employment Application - STD 678
COBRA administrators can find
Word versions of COBRA forms on HR Net.
Hire Above Minimum
Establishing Reemployment Lists - CalHR 016 |
Governor's State Employee Medal of Valor Special Act / Special Service Award Nomination - CalHR 012
Nomination form - CalHR 601
Partial Service Retirement Application - CalHR 062
Retired Annuitant Self-Certification - CalHR 715
Final Seniority Score Package - CalHR 700
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.