Forms
Title | Short Description | Topic | Campus | |
---|---|---|---|---|
Access Violation Report | Department fills out form when employee organizations commit unauthorized or illegal actions. |
Employee and Labor Relations | UC Davis | Download |
All UC Davis Campus Payroll forms | Accounting & Financial Services website. |
Payroll | UC Davis | Link |
Authorization to Release Information (LiveScan Background Check) | Certain positions at UC Davis and UC Davis Health require a successful background check as a condition of employment/assignment. |
Recruitment | UC Davis and UC Davis Health | Download |
Background Check Authorization | Certain positions at UC Davis Health require a successful background check as a condition of employment. |
Recruitment | UC Davis Health | Download |
Background Check Worksheet | For department heads to list reasons for background check. Submit to: Hiring Manager |
Recruitment | UC Davis and UC Davis Health | Download |
Career Ladder Voluntary Reassignment | This form is to request a voluntary reassignment from Clinical Nurse III to the classification of Clinical Nurse II. |
All | UC Davis Health | Download |
Catastrophic Leave - Donation Form (Exhibit C) | Form through which employees who wish to donate their accrued vacation leave to colleague who have exhausted their own leave options. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
Catastrophic Leave - Employee Request for Catastrophic Leave | Form through which employees who have exhausted their personal leave options can request leave donations from colleagues or the University pool for Catastrophic Leave. |
Employee and Labor Relations | UC Davis and UC Davis Health | Download |
Catastrophic Leave - Request for Donations (Exhibit B) | Email template for departments to use to notify employees of a colleague’s request for Catastrophic Leave donations. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
Child Abuse and Neglect Reporting Act (CANRA) Acknowledgment Form | Employees must sign this statement if they're deemed a “mandated reporter” under CANRA/Presidential Policy on Reporting Child Abuse and Neglect (See Appendix A-Mandated Reporter Categories. All UCD Health hires are mandated reporters). |
Onboarding | UC Davis and UC Davis Health | Download |
Classification Review Request | This form may be used for any internal department or division approval processes. |
Compensation | UC Davis Health | Download |
Cognos Report/UCPath Access Request Form | Departments use this online form to request employees be provisioned access to Cognos Reports and/or UCPath security roles. Visit the local UCPath Security webpage for instructions on using the form and a list of Security Liaisons. |
All | UC Davis and UC Davis Health | Link |
Compensatory Time Notification Form (CX Unit) (Davis Campus Only) | Allows employees in the Clerical and Allied Services Unit (CX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (EX Unit) (Davis Campus Only) | Allows employees in the Patient Care Technical Unit (EX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (F3 Unit) (Davis Campus Only) | Allows employees in the Fire Fighter Unit (F3) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (HX Units) (Davis Campus Only) | Allows employees in the Health Care Professionals Unit (HX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (K3 Unit) (Davis Campus Only) | Allows employees in the Skilled Trades Unit (K3) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (Non-Represented Staff) (Davis Campus Only) | Non-exempt employees on the Davis campus are entitled to either Over Time or Compensatory Time Off (CTO). Comp. Time is allowed at the manager’s discretion. This form allows the employee to opt for CTO in lieu of OT if approved. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (RX Unit) (Davis Campus Only) | Allows employees in the Research Support Professionals Unit (RX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (SX Unit) (Davis Campus Only) | Allows employees in the Service Unit (SX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Compensatory Time Notification Form (TX Unit) (Davis Campus Only) | Allows employees in the Technical Unit (TX) to elect how they receive compensation for overtime. For all UC Davis Health employees, supervisors and managers are responsible for identifying eligible employees under UCDH Policy 2920 (CTO Accrual for Eligible Employees) and obtaining approval for CTO enrollment from Employee and Labor Relations. Once eligibility has been confirmed, Payroll will create a CTO bank for the employee. |
Employee and Labor Relations | UC Davis | Download |
Course Roster for Training | To be used to record in-service educational training at UC Davis Health. |
All | UC Davis Health | Download |
Demographic Data | Complete this form to provide demographic information for employment. |
Recruitment | UC Davis Health | Download |
Direct Deposit Election | Allows new and rehires to provide banking information for e-direct deposits. |
Payroll | UC Davis and UC Davis Health | Link |
Elder and Dependent Adult Abuse - Employee Notification | Certain employees are mandated reporters and must sign this form prior to employment. Hiring departments are required to complete this form during onboarding. |
Onboarding | UC Davis and UC Davis Health | Download |
Employee Separation | Complete this form when an employee is separating. |
Records | UC Davis Health | Download |
Employee Time Record | Employees can fill out this form to record hours worked prior to online TES/Ecotime account activation. |
Onboarding | UC Davis and UC Davis Health | Download |
Employee-Student Fee Reduction Authorization | For employees who are eligible to receive reduced fees. |
All | UC Davis and UC Davis Health | Download |
Employment Eligibility Verification Form (Form I-9) | This form is used to verify the identity and legal authorization to work of all paid employees in the United States. |
Onboarding | UC Davis and UC Davis Health | Download |
Equity Adjustment Request | This form may be used for any internal department or division approval processes. |
Compensation | UC Davis Health | Download |
Exceed Maximum Vacation Accrual Limit Request | Managers and employees can use this form to when the employee exceeds the vacation accrual threshold. |
Leave/Time-Off | UC Davis | Download |
Fingerprint Authorization (LiveScan Background Check) | This form is completed by HR and must be taken to the fingerprinting appointment along with the Authorization to Release Information form. |
Recruitment | UC Davis and UC Davis Health | Download |
Flexible Work Agreement/Remote Work Agreement (UC Davis Health) | Use the Flexible Work Agreement form when employees will work 100% onsite but have a flexible schedule. Use the Remote Work Agreement form when employees will work remotely. Please refer to the Digital Workplace Program website for more information on remote work arrangements. |
All | UC Davis Health | |
Flexible Work Arrangements - Policies & Application (Davis Campus) | Learn about the various flexible work options and use the proposal form to request a flexible work schedule. |
All | UC Davis | Link |
FML/PDL Intermittent Tracking Form | Assists departments in tracking intermittent usages of family medical leave (FML) or pregnancy disability leave (PDL). |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
FMLA Certification for Leave Arising out of Active Duty | For employees requesting FML for a covered military member being called to active duty. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
FMLA Certification of Health Care Provider for Employee's Own Condition | For employees requesting FML or CFRA for themselves, this form documents their qualifying condition. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
FMLA Certification of Health Care Provider for Family Member | For employees requesting FML or CFRA to care for a family member, this form documents the family member's qualifying condition. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |
FMLA Declaration of Relationship | Employees are eligible for family medical leave for certain life events that impact relatives. This form helps ensure the relationship is FML eligible. |
Leave/Time-Off | UC Davis | Download |
FMLA Military Caregiver Leave Certification | Employees are Eligible for protected leave to care for the serious injury or illness of a covered service member. |
Leave/Time-Off | UC Davis and UC Davis Health | Download |