General Forms
Telework Forms
Benefits Forms
Domestic Partnership Forms
Moving/Address Change Forms
New Baby Forms
New Hire / Rehire Forms
Newly Married Forms
Suddenly Single Forms
All Forms

Telework Forms

Request for Alternative Work Arrangement Form   (Google Form)*

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

Voluntary Telework Agreement - Project/Agency (July 1, 2021)

Voluntary Telework Policy (PDF Format, 111KB)* (July 1, 2021)

General Forms

• Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 7/20/20)
  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)

Benefits Forms

• Aflac Enrollment Form (Mid-year changes)   (PDF Format, 142KB)* (Updated 12/2018)
• Benefits Enrollment/Change Form for Regular Employees   (PDF Format, 1.12MB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Scholar Exempt (SE) Employees   (PDF Format, 1,048KB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Post Docs & Retirees   (PDF Format, 1,016KB)* (Updated 6/2021)
• Discovery Benefits Claim Form   (PDF Format, 266KB)* (Updated 5/2021)
• 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)
• FSA Reimbursement Request Form
• 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)

Moving/Address Change Forms

• Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 7/20/20)
  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".

Becoming a Parent Forms

• Benefits Enrollment/Change Form for Regular Employees   (PDF Format, 1.12MB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Scholar Exempt (SE) Employees   (PDF Format, 1,048KB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Post Docs & Retirees   (PDF Format, 1,016KB)* (Updated 6/2021)
• Hartford Beneficiary Designation/Change Form   (PDF Format, 172KB)* (Updated 1/11/06)
• 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 ( 2023)   (PDF Format, 1,015KB)*

New Hire / Rehire Forms

• DE 4 State of California Employee's Withholding Allowance Certificate (Optional)   (PDF Format, 74KB)*
• Payroll Direct Deposit Enrollment Web Form (Web form to complete and submit through AdobeSign) (Updated 5/3/23)
• W-4 Internal Revenue Service Employee's Withholding Certificate ( 2023)   (PDF Format, 1,015KB)*

Newly Married Forms

• Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 7/20/20)
  If your name has changed you must present new Social Security card with new name to Human Resources Representative.
• Benefits Enrollment/Change Form for Regular Employees   (PDF Format, 1.12MB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Scholar Exempt (SE) Employees   (PDF Format, 1,048KB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Post Docs & Retirees   (PDF Format, 1,016KB)* (Updated 6/2021)
• Hartford Beneficiary Designation/Change Form   (PDF Format, 172KB)* (Updated 1/11/06)
• I-9 Employment Eligibility Verification (PDF Format, 463KB)* (Updated 3/08/13)
  Only required if changing your name. Must bring original document(s) with new name to Human Resources Representative, refer to “Lists of Acceptable Documents" on the last page of the I-9 Form.
• Payroll Direct Deposit Cancellation Form  (Web form to complete and submit through AdobeSign) (Updated 5/3/23)
• Payroll Direct Deposit Enrollment Web Form (Web form to complete and submit through AdobeSign) (Updated 5/3/23)
• 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 ( 2023)   (PDF Format, 1,015KB)*

Suddenly Single Forms

• Address and/or Name Change Web Form (Web form to completed and submit through Adobe Sign) (Updated 7/20/20)
  If your name has changed you must present new Social Security card with new name to Human Resources Representative.
• Benefits Enrollment/Change Form for Regular Employees   (PDF Format, 1.12MB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Scholar Exempt (SE) Employees   (PDF Format, 1,048KB)* (Updated 6/2021)
• Benefits Enrollment/Change Form for Post Docs & Retirees   (PDF Format, 1,016KB)* (Updated 6/2021)
• Domestic Partnership Termination Notice   (PDF Format, 185KB)* (Updated 2013)
• Hartford Beneficiary Designation/Change Form   (PDF Format, 172KB)* (Updated 1/11/06)
• I-9 Employment Eligibility Verification (PDF Format, 463KB)* (Updated 3/08/13)
  Only required if your name has changed. Must bring original document(s) with new name to Human Resources Representative, refer to “Lists of Acceptable Documents" on the last page of the I-9 Form.
• Payroll Direct Deposit Cancellation Form  (Web form to complete and submit through AdobeSign) (Updated 5/3/23)
• Payroll Direct Deposit Enrollment Web Form (Web form to complete and submit through AdobeSign) (Updated 5/3/23)
• 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 ( 2023)   (PDF Format, 1,015KB)*

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