Forms

FORM DESCRIPTION DEPARTMENT UPDATED
Application for Library Electronic Key Card Access (.doc) Request Library electronic (key card) access with UCB Cal ID Card activation Library Human Resources Friday, January 17, 2020 - 12:34pm

Berkeley STAR Nomination Forms

Berkeley nomination forms for Achievement or Spot awards Library Human Resources Monday, November 14, 2016 - 1:30pm

Biography Form 1501 (.doc)

Biography for Academic Personnel U1501 (R7/92) Library Human Resources Wednesday, November 7, 2018 - 8:54am

BluCard Charge Log Form (.xls)

Log for documenting multiple bluCard transactions Library Business Services Monday, November 14, 2016 - 1:30pm

BluCard Form (.xls)

Form to document approval and amount of bluCard transaction Library Business Services Monday, November 14, 2016 - 1:30pm

Campus Job Description Templates

Non-academic staff job description templates provided by campus HR. Required to request a library staff (non-academic) position. Library Human Resources Monday, November 14, 2016 - 1:30pm

Campus Vehicle Rental Program

Car Rental Program for UCB Staff Library Business Services Monday, November 14, 2016 - 1:30pm

Certificate of Lost/Missing Receipt

Complete this form if a required receipt is lost or unavailable to certify actual expenses. Library Business Services Monday, April 17, 2017 - 4:47pm

Certification Statement - Librarian Series (.docx)

Certification statement for librarian review cycle dossiers Library Human Resources Monday, November 14, 2016 - 1:30pm

Change in Staff Reporting and Employee Appointments (.doc)

  Library Human Resources Wednesday, November 3, 2021 - 10:10am

Check Request Form (.doc)

Request payment for a non-travel/training/development/entertainment expense Library Business Services

Monday, November 14, 2016 - 1:30pm

Checklist for bluCard transactions

  Library Business Services Monday, November 14, 2016 - 1:30pm
Clerical Unit Represented Employee Probationary Review Form Clerical Unit Review Form Library Human Resources Wednesday, January 8, 2020 - 10:59am

Computer Workstation Assessment Form (.pdf)

UCB ergonomic assessment for employee workstations Facilities Monday, November 14, 2016 - 3:04pm

Conference Call Reservation Form (ReadyTalk) (.doc)

Submit form to reserve ReadyTalk/web conference call Library Business Services Monday, November 14, 2016 - 1:30pm

Conflict of Interest Certification

Required form for potential vendors Library Business Services Monday, May 20, 2019 - 1:11pm

CSS Domestic Travel Reimbursement Claim Form

Use this form to log recurrent local travel. Library Business Services Wednesday, July 11, 2018 - 6:44pm

Document Checklist - Berkeley Campus (.doc)

Document checklist for librarian review cycle dossier Library Human Resources Monday, November 14, 2016 - 1:30pm

Driver's License Verification Form

Complete and upload to Travel Pre-Approval Request when planning to drive on University business Library Business Services Monday, February 13, 2017 - 4:20pm

Entertainment Check Request Form (.xlsx)

Request payment for an entertainment expense Library Business Services Thursday, October 25, 2018 - 10:08am

Entertainment Pre-Approval Request Form (.doc)

Request pre-approval for an entertainment activity Library Business Services Monday, November 14, 2016 - 1:30pm

Family Leave: Exempt Employee Workweek Agreement (.pdf)

Exempt employee workweek agreement for FML leaves taken on a reduced schedule or intermittent basis Library Human Resources Monday, November 14, 2016 - 1:30pm

Foreign Freight Request Form (.doc)

Customs Brokerage & International Freight Forwarding Services Library Business Services Monday, November 14, 2016 - 1:30pm

Four Elements Chart Form

  Library Business Services Monday, November 14, 2016 - 1:30pm

Safety and Security Incident/Accident/Complaint Report Form

Report an incident or accident in the library Security Monday, November 14, 2016 - 1:30pm

Intercampus Support Form

For financial transactions between campuses Library Business Services Monday, November 14, 2016 - 1:30pm

Interdepartmental Order Form

For financial transactions between campus departments Library Business Services Monday, November 14, 2016 - 1:30pm

Job Summary Form (.docx)

Job summary form required to request to list a library staff position. Library Human Resources Monday, November 14, 2016 - 1:30pm

Key Request Form (.doc)

Request a metal key for a library employee. Request must be authorized by a supervisor. Facilities Monday, November 14, 2016 - 1:30pm

Keycard Request Form (.doc)

  Facilities Wednesday, November 3, 2021 - 10:18am

Leave of Absence Request Form

  Library Human Resources Wednesday, July 15, 2020 - 10:47am

Librarian Review Self-Evaluation Form (.doc)

Self-evaluation form for librarian review cycle dossiers Library Human Resources Monday, November 14, 2016 - 1:30pm

Library CNS Service Form (.pdf)

  Library Business Services Monday, November 14, 2016 - 1:30pm

Library Fine Art Exhibit Form (.doc)

Complete form for domestic art exhibit and submit to Purchasing Library Business Services Monday, November 14, 2016 - 1:30pm

Library Researcher Review Checksheet (.docx)

    Wednesday, December 16, 2020 - 9:48am

Merit Increase Review for Librarian Series (.docx)

Librarian review cycle merit review form Library Human Resources Monday, November 14, 2016 - 1:30pm

Performance Appraisal Form #1 for Represented Employees (.doc)

Performance evaluation form appropriate for all represented employees, except Teamsters/CUE-represented employees Library Human Resources Monday, November 14, 2016 - 1:30pm

Performance Appraisal Form #2 for Represented Employees (.doc)

Performance evaluation form appropriate for all represented employees, including Teamsters/CUE-represented employees Library Human Resources Monday, November 14, 2016 - 1:30pm

Personnel Action Form (.pdf)

Enact employee data and funding changes using this form. Library Human Resources Monday, November 4, 2019 - 9:42am

Petty Cash Request Form (.doc)

Request petty cash reimbursement Library Business Services Monday, November 14, 2016 - 1:30pm

Physical, Environmental, and Mental Demands (PEM) Form

Non-academic staff job description templates provided by campus HR. Required to request a staff (non-academic) recruitment Library Human Resources Monday, November 14, 2016 - 1:30pm

PPSM Probationary Review Form

PPSM Probationary Review Form Library Human Resources Wednesday, January 8, 2020 - 11:05am

Pre-Hire Worksheet

Complete prior to hiring independent contractors Library Business Services Monday, February 6, 2017 - 4:01pm

Promotion Review for Librarian Series (.docx)

Librarian review cycle promotion review form Library Human Resources Monday, November 14, 2016 - 1:30pm

Recurrent Local Travel Log

Tool for documenting local trips for monthly expense reporting. Library Business Services Friday, February 15, 2019 - 10:49am

Represented Employee Review Form (Not CUE)

Represented Employee Review Form (Not CUE)   Wednesday, January 8, 2020 - 11:07am

Request for Retirement Initiation Packet (.pdf)

Request a retirement initiation packet (includes your personal retirement profile) Library Human Resources Monday, November 14, 2016 - 1:30pm

Request for Service/Warranty Repair

Steel Case Warranty Claim Form Design Monday, November 14, 2016 - 1:30pm

Request For Service/Warranty Repair (.docx)

Form to request minor furniture adjustments or repairs. Design Monday, February 11, 2019 - 10:24am

Request for Time Off (.doc)

Request for time off (adjusted schedule) to attend college, university, or adult education classes Library Human Resources Monday, November 14, 2016 - 1:30pm

Request to Recruit (RTR) Form

Required to request a Library job recruitment or waiver. Please make a copy of the form. Library Human Resources Friday, February 11, 2022 - 1:10pm

Single Source/Sole Source/No-Substitute Justification Form (.pdf)

Required if competitive bidding is unavailable Library Business Services Monday, November 14, 2016 - 1:30pm

Steelcase Warranty Claim Form (.doc)

Request for service/warranty repair Library Business Services Monday, November 14, 2016 - 1:30pm

Student Application (.pdf)

Application for applying for a student job Library Human Resources Friday, March 13, 2020 - 10:21am

Student Employee Separation Form

  Library Human Resources Wednesday, April 14, 2021 - 3:09pm

Student Job Requisition

Request to post a student job in the Library. Requires staff log in. Library Human Resources Monday, November 14, 2016 - 1:30pm

Student Separation Form (.doc)

Submit a student separation notification/request to LHRD Library Human Resources Monday, November 14, 2016 - 1:30pm

Systems New Hire Checklist (.docx)

Request a computer workstation setup for new employees. Library Human Resources Monday, November 14, 2016 - 1:30pm

Telecommuting Agreement

Model telecommuting agreement provided by campus HR. Webpage also contains links to the policy and guidelines. Library Human Resources Monday, November 14, 2016 - 1:30pm

Travel Pre-approval Request

Request funding approval prior to taking a business trip or participating in a professional development activity. Requires staff log in. Library Business Services Monday, November 14, 2016 - 1:30pm

Upay 850 Health Insurance Change Form (.pdf)

Upay 850 Health Insurance Change Form to enroll, change or cancel Library Human Resources Monday, November 14, 2016 - 1:30pm