Human Resources, Diversity and Inclusion Forms
- eBenefits Self-Service Electronic Signature Authorization
- All other Benefits forms are available through the Portal. Click on Titan Online, select eContent, My WorkPlace, eForms - Human Resources, and Benefits.
- Emeritus Request Form
- Request for Formal Leave of Absence
- Request for Formal Leave of Absence (for iPad)
Diversity and Inclusion
Documents & Records
Electronic Campus Forms
- Confidential Staff Performance Evaluation
- Confidential Self-Evaluation
- MPP Admin Review
- MPP Perform Eval
- MPP Self-Evaluation/Core Competencies
- Pre-Evaluation Worksheet
- Training Doc & Compliance
- Unit 1 Performance
- Units 2,5,7,9 Performance
- Unit 4 Performance Evaluation
- Unit 6 Performance
- Unit 8 Performance
- Whistleblower Complaint Form
- Whistleblower Retaliation Complaint Form
Some forms require that you use the Informed Filler program.
- Absence Management Employee Schedule Change Form
- Absence Management Prior Pay Period Leave Adjustment Form
- Hourly Intermittent Prior Pay Period Adjustment Form
- Beneficiary Designation
- Delegation of Authority Change Request form
- Employee Action Request Form (equivalent of W-4, use for tax withholding allowance or address changes)
- Foreign National Information Form (Fillable)
- Foreign National Information Form (Non-Fillable)
- I9 Form - Employment Eligibility Verification
- Payroll Expenditure Transfer Form
- Warrants Returned to Payroll
- Work Study Authorization Form
Performance Evaluation forms are available in eForms. Log in through the Online Portal .
- Click on the "Titan Online" tab
- Scroll down and click "My WorkPlace" in eContent
- Select "eForms - Human Resources"
- Select "Search All Form Templates"
- Enter "Performance" in the search field
- Select the appropriate form
For questions or concerns on the Position Management forms below, please email Position Management.
Position Action Form
Complete this form to request the creation of positions, position data changes and split funding costs in CMS.
Multiple Position Action Form
Complete this form to request changes for multiple positions. Changes can include creating a new position, inactivating or reactivate a position or updating data on existing positions.
Student Task Profile Form
Complete this form to create, change or inactivate Student Task Profiles. If you have specific questions on the use or set up of Task Profiles, your Division Finance Coordinator or College Budget Analyst are good resources.
Accessing Multiple Position Action Form
All Position Management forms are available online via My Workplace. To access the forms, please do the following:
- Go to your Portal
- Click on “Titan Online”
- Click on “My Workplace” in eContent
- Click on “Payroll” in the eForms – Human Resources section
NOTE: The Multiple Position Action Form can be found within the “Department Summary Forms” folder with the Payroll section.
Safety / Risk Management
Send all Worker' Compensation forms to Risk Management CP 700.
- Employee/Volunteer Injury/Illness Report
- Employee’s Claim for Workers’ Compensation Benefits (DWC-1) (Firefox users must download this form before filling out)
- Medical Service Order
- Physician Pre-Designation
- Notice of Personal Chiropractor or Personal Acupuncturist
- Medical Mileage Reimbursement
- Departmental W.C. Posting Notice (Fullerton)
- Departmental W.C. Posting Notice (Irvine)
- Guidelines for Contact with Employees Off Work Due to an Injury or Illness
- Americans with Disabilities - Certification of Healthcare Provider
- First Fill Prescription Form