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Human Resources Forms

Page last modified 13:27, 26 Apr 2017 by HR_Admin
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    Benefits

    Date Composed: 01/24/2005 Date Modified: 02/28/2012, 03/27/2013, 04/03/2013, 03/27/2014, 07/11/2014, 07/26/2014, 11/19/2014, 04/21/2015, 09/14/2015, 09/24/2015

    Form

    Related Policy / Procedure

    Family Leave Request Form (B-11)

    3.660

    Health Insurance Marketplace Coverage  

    RCUH Group Health Enrollment/Change Form (Form B-5H)

    3.520

    RCUH Group Life Insurance Beneficiary Form (Form B-5L) 3.540
    RCUH Health Insurance Waiver Form B-5W  

    RCUH Administrative Leave for Parent-Teacher Conference Request Form (Form B-1)

    3.678

    Retiree Health Enrollment Form

    3.550

    Supplemental Retirement Annuity or Tax-Deferred Annuity Agreement Form

    3.560

    Tuition Reimbursement Application/Authorization Form

    3.460

    National Benefit Services Flexible Spending Account (FSA) Claim Form

    3.530

    National Benefit Services Dependent Care Expense Worksheet Continual Reimbursement Form

    3.530

    National Benefit Services Dependent Care Receipt Form

    3.530

    National Benefit Services Orthodontic Expense Worksheet/Continual Reimbursement Form 3.530

    National Benefit Services Parking Claim Form

    3.530

     

     

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    Calendars

    Date Composed: 01/24/2005 Date Modified: 12/06/2011, 11/06/2014, 07/16/2015

     

     

    Form

    2017 Personnel Action & Payroll Calendar

    2017 Personnel Action & Payroll Schedule

     

     

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    EEO

    Date Composed: 01/24/2005 Date Modified: 02/08/2007

    Form

    Related Policy / Procedure

    EEO Complaint Form (O-3)

    3.110

    Withdrawal of Complaint and Release Form (O-4)

    3.110

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    Employee/Independent Contractor

    Date Composed: 01/24/2005 Date Modified: 08/18/2005, 02/13/2017

    Form

    Related Policy / Procedure

     EIC Memo Description

    3.225

    EIC Memo - Independent Contractor 

    3.225

    EIC Memo - Non-Employee - Guest Speaker

    3.225

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    Hiring

    Date Composed: 01/24/2005 Date Modified: 01/02/2012, 07/23/2014, 07/30/2014, 08/06/2014

    Form

    Related Policy / Procedure

    Direct Deposit Agreement Form (D-23)

    3.236, 3.825

    Employment of Relatives Form (E-6)

    3.236, 3.255

    Federal Exemption from Withholding on Compensation for Independent Personal Services of a Nonresident Alien Individual (Form 8233)

     

    Employee's Withholding Allowance Certificate (W-4)

    3.236

    Hawaii State Employee’s Statement to Employer - Nonresidence in State of HI (HW-6)

    3.236

    Hawaii State Employee’s Withholding and Allowance Certification (HW-4)

    3.236

    I-9 Form

     
    PCSU Volunteer Emergency Firefighter Disaster Relief Worker Acknowledgement Form (E-7)  

    Personnel Action Form

    3.236

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    HR Portal

    Date Composed: 01/24/2005 Date Modified: 05/04/2009

    Form

    Related Policy / Procedure

    HR Portal Access Form

    3.710

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    Other

    Date Composed: 01/24/2005 Date Modified: 09/28/2009, 07/28/2014, 01/12/2015

    Form

    Related Policy / Procedure

    Acknowledgement/Receipt of Company/Project Property (O-6)

     
    Authorization for Employment Information (O-2)  

    Employee/Claimant Consent Form

    3.930

    Job Physical Analysis Form

    3.640

    Journal Entry Form / Instructions

     

    Supervisor’s Report of Industrial Injury

    3.930

    Sample Leave Authorization Form (HR-2) 3.620, 3.640, 3.810
    Voluntary Self-Identification of Disability (Form CC-305)  

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    Performance Evaluation

    Date Composed: 01/24/2005 Date Modified:04/08/2009, 04/06/2015, 04/16/2015

    Form

    Related Policy / Procedure

    Annual Performance Evaluation - Scored Rating Long Form

    3.410

    Annual Performance Evaluation - Short Form

    3.410

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    Recruitment

    Date Composed: 01/24/2005 Date Modified: 05/29/2012

    Form

    Related Policy / Procedure

    Applicant Review and Selection Summary

    3.235

    Job Description Template

    3.234

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    Termination

    Date Composed: 01/24/2005 Date Modified:09/28/2009

    Form

    Related Policy / Procedure

    Termination of Employment Form

    3.285

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    Timesheets

    Date Composed: 01/24/2005 Date Modified:08/24/2005, 05/21/2015

    Form

    Related Policy / Procedure

    Timesheet Templates

     

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