Records (UC Davis Health) Forms

Form

Description

Campus

Employee Separation Complete this form when an employee is separating.
Submit to: Shared Services Organization, UC Davis Health Records Unit
UC Davis Health
Property Recovery & Access Termination
Supervisors acknowledge that they have recovered University property and revoked University systems access for separating employees.
Submit to: UC Davis Health HR Records
UC Davis Health
Request for Staff Records Form Complete to request the personnel records of current staff members.
Submit to: hrrecords.dist@ucdmc.ucdavis.edu.
UC Davis Health
Separation Checklist 
A checklist of employee and supervisor responsibilities when an employee separates.
Submit to: For employee and supervisor use only. 
UC Davis Health
Separation Checklist for Supervisors A checklist of responsibilities when a supervisor separates.
Submit to: For supervisor use only.
UC Davis Health
Verification of Licensure or Certification
Complete this form to verify that an employee has a current license or certificate required for their job.
Submit to: UC Davis Health HR Records
UC Davis Health