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Welcome to the forms web page of the Human Resources web site.

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Benefits Forms text graphic        
Dental Claim   Click here to download this form in Adobe Acrobat file format (pdf).      
Benefits New Enrollment Form       Click here to download this form in Microsoft Word file format (doc).  
Benefits Open Enrollment Form       Click here to download this form in Microsoft Word file format (doc).  
Benefits Changes Form       Click here to download this form in Microsoft Word file format (doc).  
HCRA-DCRA Enrollment   Click here to download this form in Adobe Acrobat file format (pdf).      
HCRA-DCRA Claim       Click here to download this form in Microsoft Word file format (doc).  
Long Term Care Application   Click here to download this form in Adobe Acrobat file format (pdf).      
Salary Reduction Agreement   Click here to download this form in Adobe Acrobat file format (pdf).      
SPP Enrollment   Click here to download this form in Adobe Acrobat file format (pdf).      
TSA CatchUp Worksheet   Click here to download this form in Adobe Acrobat file format (pdf).      
TSA Cert. of Establishment   Click here to download this form in Adobe Acrobat file format (pdf).      
Vision VDT Form   Click here to download this form in Adobe Acrobat file format (pdf).      
Vision Out-of-Network Form   Click here to download this form in Adobe Acrobat file format (pdf).      
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Compensation Forms text graphic        
In-Range Progression       Click here to download this form in Microsoft Word file format (doc).  
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Employment Forms text graphic        
CSUSB Application   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
Foundation Application   Click here to download this form in Adobe Acrobat file format (pdf).      
Student Union Application   Click here to download this form in Adobe Acrobat file format (pdf).      
ASI Application       Click here to download this form in Microsoft Word file format (doc).  
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Performance Forms text graphic        
Annual Evaluation   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
MPP Evaluation   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
Temp Evaluation     Click here to download this form in Microsoft Excel file format (xls).    
Unit 4 Evaluation       Click here to download this form in Microsoft Word file format (doc).  
3-Month Probationary     Click here to download this form in Microsoft Excel file format (xls).    
6-Month Probationary     Click here to download this form in Microsoft Excel file format (xls).    
9-Month Probationary     Click here to download this form in Microsoft Excel file format (xls).    
11-Month Probationary     Click here to download this form in Microsoft Excel file format (xls).    
12-Month Probationary     Click here to download this form in Microsoft Excel file format (xls).    
18-Month Probationary     Click here to download this form in Microsoft Excel file format (xls).    
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Recruitment Forms text graphic        
Job Description       Click here to download this form in Microsoft Word file format (doc).  
Search Committee Access Request       Click here to download this form in Microsoft Word file format (doc).  
Search Committee Member BPG       Click here to download this form in Microsoft Word file format (doc).  
Staff / MPP Requisition     Click here to download this form in Microsoft Excel file format (xls).    
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Reclassicifation Forms text graphic        
Reclassification Request   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
Reclass Part A   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
Reclass Part B   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
Position Description   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
Supervisory Questionnaire   Click here to download this form in Adobe Acrobat file format (pdf).   Click here to download this form in Microsoft Word file format (doc).  
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Security Forms text graphic        
CIAR (Access Request)   Click here to download this form in Adobe Acrobat file format (pdf).      
Confidentiality & Compliance (staff)   Click here to download this form in Adobe Acrobat file format (pdf).      
R04 Confidentiality & Compliance   Click here to download this form in Adobe Acrobat file format (pdf).    
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Training & Development Forms text graphic        
Career Development Plan   Click here to download this form in Adobe Acrobat file format (pdf).    
Out-Service Training Funds     Click here to download this form in Microsoft Word file format (doc).
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Workers' Compensation Forms text graphic        
WC Claim Form   Click here to download this form in Adobe Acrobat file format (pdf).    
Supervisor's Injury Report   Click here to download this form in Adobe Acrobat file format (pdf).    
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Other Forms text graphic        
Volunteer Form   Click here to download this form in Adobe Acrobat file format (pdf).    
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Some files might require the Adobe Acrobat Reader, click here to download the Reader.
Human Resources Department Sierra Hall, Room 110 5500 University Parkway San Bernardino, CA 92407 Voice: (909) 537-5138 Fax: (909) 537-7019 Job Hotline: (909) 537-5139 TDD: (909) 537-5555
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