Human Resources Forms

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Forms (Human Resources)

Reasonable Accommodation Request Form (Web form to complete and submit through Adobe Sign)*

Voluntary Telework Policy (PDF Format, 111KB)* (March 20, 2024)

Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 2/12/24)
You must present new Social Security card with new name to Human Resources Representative.
Additional Compensation Form (PDF Format, 601KB)* (Updated 9/29/14)
Report of Performance Form (PDF Format, 258KB)*
Report of Performance Form Instructions (PDF Format, 230KB)*
Tuition Support Policy (PDF Format, 149KB)* (Updated 1/27/21)
Tuition Support Request and Reimbursement Form (PDF Format, 712KB)* (Updated 1/27/21)
Volunteer Forms (PDF Format, 548KB)* (Updated 12/3/21)
SDSURF Live Scan Fingerprinting Procedures Form (PDF Format, 478KB)* (Updated 7/20/15)

Domestic Partnership Forms
- SDSURF Declaration of Domestic Partnership Form (PDF Format, 30KB)* (Updated 2006)
- SDSURF Domestic Partner Tax Dependency Certification Form (Word Format, 398KB)* (Updated 2/25/10)
- State of California Declaration of Domestic Partnership Form (PDF Format, 45KB)* (Updated 1/2012)
- State of California Domestic Partnership Termination Notice (PDF Format, 185KB)* (Updated 2013)
Hartford Beneficiary Designation/Change Form (PDF Format, 172KB)* (Updated 1/11/06)
Hartford Certificate of Life Insurance (PDF Format, 684KB)* (Updated 1/2010)
Hartford Supplemental Life and Voluntary AD&D Enrollment Form (PDF Format, 204KB)* (Updated 12/2016)
Kaiser HIPAA Release (PDF Format, 27KB)* (Updated 10/2003)
TIAA Address Change: Please go to www.tiaa.org and log in. Select the "My Profile" tab. Click on "Personal Information" and then "Update Your Contact Information".
TIAA Name Change: Please go to www.tiaa.org and search for "name change". Select "Notice of Name Change (PDF). Complete the form, print it out and mail it with the appropriate documentation to: TIAA, PO Box 1259, Charlotte, NC 28201-1259.
TIAA Beneficiary Change: Please go to www.tiaa.org and log in. Select the “My Portfolio” tab, and then click on “Beneficiaries".
TIAA Online Enrollment Instructions (PDF Format, 361KB)* (Updated 9/2019)
WEX Claim Form (PDF Format, 96KB)*

Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 2/12/24)
You must present new Social Security card with new name to Human Resources Representative.
TIAA Address Change: Please go to www.tiaa.org and log in. Select the "My Profile" tab. Click on "Personal Information" and then "Update Your Contact Information".

TIAA Beneficiary Change: Please go to www.tiaa.org and log in. Select the “My Portfolio” tab, and then click on “Beneficiaries".
W-4 Internal Revenue Service Employee's Withholding Certificate ( 2024) (PDF Format, 1,007KB)*

Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 2/12/24)
If your name has changed please contact your Human Resources Representative to update your I-9 to reflect your name change.
I-9 Employment Eligibility Verification (PDF Format, 463KB)* (Updated 3/08/13)
Please contact your Human Resources Representative to update your I-9 to reflect your name change.
Payroll Direct Deposit Cancellation Form (Web form to complete and submit through AdobeSign) (Updated 2/13/24)
Payroll Direct Deposit Enrollment Web Form (Web form to complete and submit through AdobeSign) (Updated 1/23/24)
TIAA Address Change: Please go to www.tiaa.org and log in. Select the "My Profile" tab. Click on "Personal Information" and then "Update Your Contact Information".
TIAA Name Change: Please go to www.tiaa.org and search for "name change". Select "Notice of Name Change (PDF). Complete the form, print it out and mail it with the appropriate documentation to: TIAA, PO Box 1259, Charlotte, NC 28201-1259.
TIAA Beneficiary Change: Please go to www.tiaa.org and log in. Select the “My Portfolio” tab, and then click on “Beneficiaries".
W-4 Internal Revenue Service Employee's Withholding Certificate ( 2024) (PDF Format, 1,007KB)*

Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 2/12/24)
Please contact your Human Resources Representative to update your I-9 to reflect your name change.
Domestic Partnership Termination Notice (PDF Format, 185KB)* (Updated 2013)
I-9 Employment Eligibility Verification (PDF Format, 463KB)* (Updated 3/08/13)
Please contact your Human Resources Representative to update your I-9 to reflect your name change.
Payroll Direct Deposit Cancellation Form (Web form to complete and submit through AdobeSign) (Updated 2/13/24)
Payroll Direct Deposit Enrollment Web Form (Web form to complete and submit through AdobeSign) (Updated 1/23/24)
Payroll Direct Deposit Enrollment Form (Form to fax or mail to payroll department) (PDF Format, 358KB)* (Updated 3/05/12)
TIAA Address Change: Please go to www.tiaa.org and log in. Select the "My Profile" tab. Click on "Personal Information" and then "Update Your Contact Information".
TIAA Name Change: Please go to www.tiaa.org and search for "name change". Select "Notice of Name Change (PDF). Complete the form, print it out and mail it with the appropriate documentation to: TIAA, PO Box 1259, Charlotte, NC 28201-1259.
TIAA Beneficiary Change: Please go to www.tiaa.org and log in. Select the “My Portfolio” tab, and then click on “Beneficiaries".
W-4 Internal Revenue Service Employee's Withholding Certificate ( 2024) (PDF Format, 1,007KB)*

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