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  • Students | Human Resources | San Jose State University
    Student Forms Student Policies Job Opportunities Resources Student Employees Your Student Rights Forms Policies All Forms Forms by Category Policies and Guidelines Resources Help Benefits Employee Services Job Applicants Leave Programs Payroll Position Management SJSU Home Human Resources Students Students MySJSU Canvas Athletics Give to SJSU Facebook Twitter RSS Navigate BACK to Human Resources Welcome This section is just for SJSU students and contains important information and resources to help you obtain an education at San José State University Discrimination and Harassment Complaints Unit 11 Academic Student Employees CSU Executive Order No 1097 Student Discrimination Harassment Complaints FAQs Health and Safety Student Health Center What Safety Training Do I Need Policies Employment Clearance Form Student Policies Job Opportunities Job Openings SpartaJOBS Spartan Shops Dining Services Student Union Human Resources Student Assistant Jobs Your Student Rights Accommodations For Disabled Employees and Students Harassment Unlawful Discrimination President s Statement Religious Holidays Whistleblower Protection Act FAQs Student Employees Academic Student Employees International Student Employees Mandatory Reporting Child Abuse Student Assistants Work Study Student Assistants What Safety Training Do I Need Student Forms Student Complaint Form for Discrimination Harassment Retaliation Sexual Misconduct under Title IX Domestic Partners Employee Profile Family Care Medical Leave Payroll

    Original URL path: http://www.sjsu.edu/hr/students/index.html (2016-02-13)
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  • Student Forms | Human Resources | San Jose State University
    Programs Employee Discounts Faculty Affairs MPP Toolkit New Employees Performance Management Retirees Spartans Stepping Beyond Staff Fee Waiver Student Employees Student Health Center Students Discrimination Harassment Complaints Health Safety Student Forms Student Policies Job Opportunities Resources Student Employees Your Student Rights Forms Policies All Forms Forms by Category Policies and Guidelines Resources Help Benefits Employee Services Job Applicants Leave Programs Payroll Position Management SJSU Home Human Resources Students Student Forms Student Forms MySJSU Canvas Athletics Give to SJSU Facebook Twitter RSS Navigate BACK to Students Discrimination Employee Discrimination Harassment Retaliation Sexual Misconduct Complaint Form PDF Student Complaint Form for Discrimination Harassment Retaliation Sexual Misconduct under Title IX PDF Family Care Medical Leave Family Medical Leave Certification FML PDF Leave of Absence Request Form PDF Return to Work Certification PDF Payroll Authorization for Extra Hours Overtime PDF Direct Deposit Enrollment Authorization PDF Duplicate W2 Wage and Tax Statement Request Form PDF Hourly Time Sheet xls CSU Student Payroll Action Request PDF Student Assistant New Hire International Student Student Assistant Appointment PDF see the List of Acceptable docs last page of DOHS Form I 9 New Hire Student Assistant Student Assistant Orientation Checklist PDF SJSU Links and Resources Information for Alumni Current

    Original URL path: http://www.sjsu.edu/hr/students/hr_student_form/index.html (2016-02-13)
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  • Student Policies | Human Resources | San Jose State University
    Health Center Students Discrimination Harassment Complaints Health Safety Student Forms Student Policies Job Opportunities Resources Student Employees Your Student Rights Forms Policies All Forms Forms by Category Policies and Guidelines Resources Help Benefits Employee Services Job Applicants Leave Programs Payroll Position Management SJSU Home Human Resources Students Student Policies Student Policies MySJSU Canvas Athletics Give to SJSU Facebook Twitter RSS Navigate BACK to Students Employment Separation Separation from Employment Resignation

    Original URL path: http://www.sjsu.edu/hr/students/student_hr_policies/index.html (2016-02-13)
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  • All Forms | Human Resources | San Jose State University
    1083 Attachment A Acknowledgment of Mandated Reporter Status pdf Child Abuse Executive Order 1083 Attachment B Certificate of Training Completion pdf Child Abuse Executive Order 1083 Attachment C Penal Code Sections 11165 7 11166 and 11167 pdf Child Abuse Executive Order 1083 Attachment D Suspected Child Abuse Report Form SS 8872 pdf Child Abuse Executive Order 1083 Attachment D Suspected Child Abuse Report Form SS 8872 Definitions and General Instructions pdf Classification or Compensation Review Staff docx Conduct Agreement pdf Confidential Employee Completion Form docx Confidential Employee Improvement Plan docx Confidential Employee Performance Evaluation docm Confidential Employee Performance Evaluation Guidelines docx Confidential Exit Survey pdf Confidentiality Agreement pdf Conflict of Interest Form 700 U Statement of Economic Interests for Principal Investigators pdf Conflict of Interest Form 700 Statement of Economic Interests pdf Conflict of Interest Form 801 Gift to Agency pdf Conflict of Interest Form 802 Ceremonial Role Events and Ticket Pass Distributions pdf Back to top D Data Request Form pdf Declaration of Domestic Partnership pdf Department Safety Inspection Checklist pdf Direct Deposit Enrollment Authorization pdf Disclosures and Privacy Information pdf Duplicate W2 Wage and Tax Statement Request Form pdf Back to top E Election to Continue Direct Pay for Employees on Leave of Absence pdf Employee Action Request pdf Employee Appointment Form pdf Employee Clearance Form pdf Employee Discrimination Harassment Retaliation Sexual Misconduct Complaint Form pdf Employee Profile pdf Employer Zip Code Form pdf Employer s Report of Occupational Injury or Illness pdf Ergonomic Self Evaluation Sheet pdf Excess Vacation Accrual Carry Over Request pdf eBenefits Self Service Electronic Signature Authorization Form pdf Back to top F Family Medical Leave Certification FML pdf Form I 9 Instructions for Employment Eligibility Verification List of acceptable documents pdf see last page of document Back to top G Guidelines for Writing Effective Goals Worksheet pdf Back to top H Hazard Assessment Survey and Analysis Personal Protective Equipment pdf Hourly Time Sheet xls Back to top I Indoor Air Quality Questionnaire pdf Interview Evaluation Spreadsheet xlsx Back to top L Leave of Absence Request pdf Back to top M MPP Improvement Plan docx MPP Performance Evaluation docm MPP Performance Evaluation Instructions and Guidelines docx Back to top N Notice of Alternate Work Schedule pdf Notice of Personal Chiropractor or Acupuncturist pdf Back to top O Outside Employment Disclosure and Acknowledgement Form pdf Back to top P Person of Interest pdf Position Description Instructions and Form docx Position Management Action Form pdf Pre designation of Personal Physician Form pdf Back to top R Recruitment Checklist for Hiring Managers pdf Reference and Background Check Package pdf Release of Confidential Information pdf Release of Liability Form pdf Release of Liability Handbook pdf Report of Employee Performance Unit 4 Academic Support pdf Reporting Informal Leave without Pay Docks pdf Request Amend Personal Health Plan Information pdf Request for Accounting of Non Routine Disclosures of Personal Health Plan Information pdf Request for Confidential Communications of Personal Health Plan Information pdf Request for Restricted Use of Personal Health

    Original URL path: http://www.sjsu.edu/hr/all_forms/index.html (2016-02-13)
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  • Forms by Category | Human Resources | San Jose State University
    1083 Attachment D Suspected Child Abuse Report Form SS 8872 Definitions and General Instructions PDF Top Classification and Compensation Classification or Compensation Review docx Position Description Instructions and Form docx Salary Stipend Request for UAPD and CSUEU Employees PDF Salary Stipend Request for SUPA Employees PDF Top Confidentiality Buckley Amendment PDF Confidentiality Agreement PDF Confidentiality Statement Recruitment Interview Selection Process PDF Top Conflict of Interest Conflict of Interest Form 700 Statement of Economic Interests PDF Conflict of Interest Form 700 U Statement of Economic Interests for Principal Investigators PDF Conflict of Interest Form 801 Gift to Agency Report PDF Conflict of Interest Form 802 Agency Report of Ceremonial Role Events and Ticket Pass Distributions PDF Top Discrimination Employee Discrimination Harassment Complaint Form PDF Student Applicant for Admission Discrimination Harassment Retaliation Complaint Form PDF Top Domestic Partners Declaration of Domestic Partnership PDF Top Employee Separation Employee Clearance Form PDF Confidential Exit Survey PDF Top Employee Profile Employee Profile PDF Release of Confidential Information PDF Top Health Insurance Portability And Accountability Act HIPAA Authorization to Use and or Disclose Personal Health Plan Information PDF Request for Access to Inspect and Copy Personal Health Plan Information PDF Request for Accounting of Non Routine Disclosures of Personal Health Plan Information PDF Request for Confidential Communications of Personal Health Plan Information PDF Request for Restricted Use of Personal Health Plan Information PDF Request to Amend Personal Health Plan Information PDF Top Leave Catastrophic Leave Donation Form PDF Catastrophic Leave Donation Program Participation Request PDF Certification of Health Care Provider for Employee s Pregnancy Disability PDF Certification of Qualifying Exigency for Military Family Leave Form PDF Certification for Serious Injury or Illness of Covered Servicemember PDF CSU Difference in Pay Military Worksheet PDF Election to Continue Direct Pay for Employees on Leave of Absence PDF Family Medical Leave Certification FML PDF Leave of Absence Request PDF Return to Work Certification PDF Top Payroll Authorization for Extra Hours Overtime PDF Direct Deposit Enrollment Authorization PDF Duplicate Wage and Tax Statement Request PDF Employee Action Request PDF Employee Appointment Form PDF Excess Vacation Accrual Carry Over Request PDF Hourly Time Sheet xls Notice of Alternate Work Schedule PDF Reporting Informal Leave without Pay Docks PDF Salary Advance Request PDF Special Consultant Payment PDF Substitute Faculty Payment Request PDF Warrant Release Authorization Form PDF Top Performance Evaluations Confidential Employees Confidential Employee Performance Evaluation Guidelines docx Confidential Employee Performance Evaluation docm Confidential Employee Improvement Plan docx Confidential Employee Completion Form docx Tracking Feedback PDF Top Performance Evaluations MPP MPP Performance Evaluation Instructions and Guidelines docx MPP Performance Evaluation docm MPP Improvement Plan docx Outside Employment Disclosure and Acknowledgement Form PDF Tracking Feedback PDF Top Performance Review APC Unit 4 Report of Employee Performance Unit 4 Academic Support PDF Guidelines for Writing Effective Goals PDF Staff Pre Performance Review Worksheet PDF Top Performance Review CSUEU Units 2 5 7 9 CSUEU Annual Performance Review xls CSUEU Pre Performance Review PDF CSUEU Probationary Performance Review xls Top Performance Review SETC Unit 6

    Original URL path: http://www.sjsu.edu/hr/all_forms/forms_by_category/index.html (2016-02-13)
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  • Policies & Guidelines | Human Resources | San Jose State University
    Compensation Guidelines Conflict of Interest Employee Relations Employment Employment Separation Safety Workers Compensation Accidents Death of Employee Guideline Checklist PDF Injury Illness Reporting PDF Top Benefits COBRA Continuation Requirements PDF Leave of Absence for Employees PDF New Health Insurance Coverage Options and Your Health Coverage doc Revised CSU Privacy Policy PDF Telecommuting Policy and Forms Package PDF Appropriate Administrator s Checklist for Telecommuters PDF Equipment List for Telecommuters PDF Telecommuter s Agreement PDF Telecommuter s Home Safety Checklist PDF Telecommuting FAQ s PDF Telecommuting Policy PDF Top Child Abuse Mandatory Reporting Child Abuse Executive Order 1083 PDF Child Abuse Executive Order 1083 Attachment A Acknowledgment of Mandated Reporter Status PDF Child Abuse Executive Order 1083 Attachment B Certificate of Training Completion PDF Child Abuse Executive Order 1083 Attachment C Penal Code Sections 11165 7 11166 and 11167 PDF Child Abuse Executive Order 1083 Attachment D Suspected Child Abuse Report Form SS 8872 PDF Child Abuse Executive Order 1083 Attachment D Suspected Child Abuse Report Form SS 8872 Definitions and General Instructions PDF Classification Compensation Guidelines Classification or Compensation Review docx Position Descriptions Guidelines PDF Top Conflict of Interest Conflict of Interest Designated Positions Conflict of Interest Form 700 Statement of Economic Interests PDF Conflict of Interest Form 700 U Statement of Economic Interests for Principal Investigators PDF Conflict of Interest Form 801 Gifts to Agency and Instructions PDF Conflict of Interest Form 802 Tickets Provided by Agency Reporting and Instructions PDF Top Employee Relations Workplace Violence Policy PDF Top Employment Casual Worker Appointments PDF Emergency Hire Guidelines PDF Fingerprinting and Criminal History Record Check for Animal Care Lab Employees PDF Fingerprinting and Criminal History Record Check for Unescorted Access to Radioactive Material in Quantities of Concern PDF Nepotism PDF Pre Employment Fingerprinting PDF Pre Employment Inquiry Guidelines PDF Recruitment Search

    Original URL path: http://www.sjsu.edu/hr/all_forms/policies_guidelines/index.html (2016-02-13)
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  • Resources | Human Resources | San Jose State University
    Forms Policies All Forms Forms by Category Policies and Guidelines Resources Help Benefits Employee Services Job Applicants Leave Programs Payroll Position Management SJSU Home Human Resources All Forms Resources Resources MySJSU Canvas Athletics Give to SJSU Facebook Twitter RSS Navigate BACK to All Forms Credit Unions Santa Clara County Federal Credit Union Complaints Complaint Procedure for Allegations of Retaliation for Having Made a Protected Disclosure under the California Whistleblower Protection Act Executive Order 1058 Employee Discrimination Harassment Retaliation Sexual Misconduct Complaint Form Student Complaint Form for Discrimination Harassment Retaliation Sexual Misconduct under Title IX Flexible Spending Benefits Application Software Inc Flex ASIFlex IRS Publication 502 Medical and Dental Expenses FlexCash Plan and Tax Advantage Premium Plan Health Benefits Benefits Program Frequently Called Numbers Blue Shield Access and HMO CalPERS Health Benefits Programs Delta Dental Cal State University Dental Plan Summary Kaiser Permanente Vision Service Plan Find a VSP Doctor Other Benefits A Plus Auto and Home Insurance Plus administered by California Casualty Standard Voluntary Life Insurance Life Disability Insurance Standard Insurance Company Standard AD D Insurance Standard Insurance Company CSU LTD Insurance Retirement Benefits CalPERS Retirement Plan Department of Personnel Administration Part Time Seasonal or Temporary Employees Retirement Program Supplemental

    Original URL path: http://www.sjsu.edu/hr/all_forms/resources/index.html (2016-02-13)
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  • Benefits | Human Resources | San Jose State University
    Position Management SJSU Home Human Resources Benefits Benefits Benefits MySJSU Canvas Athletics Give to SJSU Facebook Twitter RSS Navigate BACK to Benefits Benefits Help FAQs I am expecting a baby soon Can I add my baby to my coverage Can my dependent parents be covered How long may my dependent children remain covered under my benefit plans Am I eligible for CSU health dental vision plan coverage When can I enroll in benefits What supporting documentation and information are required to enroll my family members Can I opt out of insurance if I am covered by another insurance program What is the Flexcash benefit Will I receive health dental vision insurance cards What is the name of our vision plan and what plan information is required for services How can I find out what benefits my family and I are enrolled in and if HR has my correct address as well as emergency contact information Am I able to change health dental plans I am resigning or my appointment expires at the end of the month How long will my coverage be in effect Can I continue my health benefits if I resign or when my appointment expires When are

    Original URL path: http://www.sjsu.edu/hr/benefits/benefits_help/index.html (2016-02-13)
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