Forms

Background Check

The background check policy applies to employees in positions that are designed as critical. These can include career, limited appointment, contract, and casual-restricted (student assistant) employees. The program applies to all represented and non-represented staff in the Senior Managers (SMG), Managers and Senior Professionals (MSP) and Professional and Support Staff (PSS) programs.

Child Abuse Notification

California’s Child Abuse and Neglect Reporting Act (“CANRA”) requires employers, including the University, to identify “Mandated Reporters” (individuals required to report observed or suspected child abuse or neglect to designated law enforcement or social service agencies) and secure, as a condition of employment, acknowledgement of their status and reporting obligations.

Compensatory Time Off Election

The PPSM Compensatory Time Notification form is used to document the employee's agreement that the department can choose whether to compensate premium overtime with pay or compensatory time off. The CX, SX, F3, TX, RX or HX Compensatory Time Agreement form is used to document the employee's annual agreement on a method of compensation.  For any questions on how to use these forms, please contact Christine Wolle at cewolle@ucdavis.edu or (530) 752-6664.

Contract Appointments

Professional & Support Staff Contract - Exempt Employees (MSWord)

Professional & Support Staff Contract - Nonexempt Employees (MS Word)

Manager & Senior Professional Contract (MSWord)

Elder Abuse Notification

Employees who are likely to provide health or social services to elders or dependent adults must sign a statement that they are aware of the law and will comply with its provisions.

License or Certification Requirements and Verification

The department must verify the applicants license upon hire, promotion, transfer, or reclassification if it is required for the job by law.  Contact your Employment Consultant/Recruiter for more information. 

License or Certification Requirements and Verification

Near Relatives Request

For more information about the use of these documents please contact your Employment Consultant/Recruiter or your Employee and Labor Relations Consultant

Near Relative Request for New Hire Employment

Near Relative Request for Change of Relationship of Employees in the Same Department

New Employee Checklist OHS - PrePlacement Medical Exams

OHS - Pre-Placement Medical Exams

OHS - Request and Authorization for Medical Services

Partial Year Career Certification

A department uses this form to notify an employee at the time of hire that there will be annual furlough periods.

Partial Year Career Certification MSWord

Partial Year Career Certification PDF