LHRD Online Forms - The Library - UC Berkeley



	Available On-line Forms
	Most of these forms are now available by clicking below. Recruitment Performance Review/Evaluation Benefits FMLA HCRA/DepCare Worker's Comp/Disability Management General Personnel Actions Keys If you wish for an emailed version of any of these forms, then please contact Laurie Pangelina, and she will send you the form via e-mail within 24 hours. The campus Human Resources Department has forms available on their website for a wide variety of actions. For Library Business Services forms, including travel reimbursement, please refer to the LBS webpage. Recruitment Academic Recruitment (the forms below are required to initiate the Academic Recruitment process) Request to Recruit (.doc) Physical, Environmental and Mental Demands (The PEM) (.doc) About the PEM form Staff Recruitment (all forms below are required to list a Staff job) Job Description (.doc) Job Summary (.doc) Physical, Environmental and Mental Demands (The PEM) (.doc) About the PEM form Request to Recruit (.doc) Training Plan according to department/position needs Current Department Organizational Chart (Org Chart examples) PA/CRM Questionnaire for PA or CRM positions only Related forms for Staff Recruitment Interview Data Form (.doc) Student Employee Recruitment Student Requisition (.doc) back to top Performance Review/Evaluation Librarian Review Cycle Librarian Review Information Biography for Academic Personnel U1501 (R7/92) (.doc) Librarian Self-Evaluation (.doc) Merit Increase Review Form (.doc) Promotion Review Form (.doc) Document Checklist (.doc) Certification Statement (.doc) Staff Performance Evaluations Performance Appraisal 1 (.doc) - for Non-CUE employees only Performance Appraisal 2 (.doc) - May be used for all classifications including CUE-represented employees Overall Performance Rating (.doc) back to top Benefits UPAY 850 - Add new family members, change disability waiting period etc. Fitsco - Sign up or change your 403(b) contributions To change your address or tax status, use the At Your Service website HCRA/DepCare HCRA Reimbursement Claim Form (.pdf) DepCare Reimbursement Claim Form (.pdf) SHPS - EFT Agreement Form back to top FMLA - Family Medical Leave Act Absence Request Form Certification Form Return to Work Certification Form back to top Worker's Compensation/Disability Management Employer's Report of Incident Form (.pdf) - Worker's Compensation Pre-Claim Form Personal Physician Pre-Designation Form (.pdf) Volunteer Form (.pdf) Transitional Work Assignment Agreement (.pdf) You can find these worker's compensation/disability management forms and more information through University Health Services. back to top General Personnel Actions Appointment Change/Personnel Action Request (The Blue) (.doc) Supervisor's Checklist (.doc) Telecommunication Agreement Request for Time Off (.doc) Resignation Form (.doc) Student Reason for Leaving Questionnaire back to top Keys Key Request Form (.doc) Application for Library Electronic Key-Card Access (.doc) back to top HOME

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