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HSU Forms

Staff

Form Number Title/Detailssort icon Department Direct Link To Form
Work Request Form Facilities Management
Whistleblower Complaint Form Human Resources
W-4 W-4 - Employee's Witholding Allowance Certificate Human Resources

http://www.irs.gov/pub/irs-pdf/fw4.pdf

W-2 (replacement request) Human Resources

http://www.sco.ca.gov/ppsd_empinfo_dpw-2.html

Vice Presidents Evaluations - Administrative Review Form Human Resources
Units 2, 5, 7 & 9 - CSUEU - Temporary Employee Evaluation Human Resources
Units 2, 5, 7 & 9 - CSUEU - Permanent Employee Evaluation Human Resources
Units 2, 5, 7 & 9 - CSUEU - Probationary Employee Evaluation Human Resources
Unit 8 - SUPA (Statewide University Police Association) - Temporary Employee Evaluation Human Resources
Unit 8 - SUPA (Statewide University Police Association) - Probationary Employee Evaluation Human Resources
Unit 8 - SUPA (Statewide University Police Association) - Permanent Employee Evaluation Human Resources
Unit 6 - SETC (State Employee Trades Council) - Temporary Employee Evaluation Human Resources
Unit 6 - SETC (State Employee Trades Council) - Probationary Employee Evaluation Human Resources
Unit 6 - SETC (State Employee Trades Council) - Permanent Employee Evaluation Human Resources
Unit 4 - APC (Academic Professionals of California) - Unit 4 Employee Evaluation Human Resources
Unit 4 - APC (Academic Professionals of California) - Annual Employee Evaluation Human Resources
Unit 1 - UAPD (Union of American Physicians and Dentists) - Temporary Employee Evaluation Human Resources
Unit 1 - UAPD (Union of American Physicians and Dentists) - Probationary Employee Evaluation Human Resources
Unit 1 - UAPD (Union of American Physicians and Dentists) - Permanent Employee Evaluation Human Resources
Travel Expense Claim Financial Services

http://www.humboldt.edu/univtravel/

Symposium: Ecological and Human Health Impacts of the Marijuana Industry in the Emerald Triangle Sponsored Programs Foundation
Student Petition to Raise Unit Cap Office of the Registrar

http://www.humboldt.edu/reg/forms/RaiseUnitCap.lc.pdf

BS-FS-024A Student Award Request Form Financial Services
Student Affairs Special Funding Request (by SA dept) Office of the Vice President, Student Affairs
Student Affairs Position Justification and Budget Verification Office of the Vice President, Student Affairs
Student Affairs Position Change Funding report Office of the Vice President, Student Affairs
STD 270 Report of Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std270.pdf

268 STD 268 Report of Non-Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std268.pdf

SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security Human Resources
Staff Evaluation Forms Human Resources

http://www.humboldt.edu/hsuhr/employee/evaluation/index.html

SPF: Title III and V Eligible Institution, Waiver of the Non-Federal Share Matching Requirements Sponsored Programs Foundation
SPF Trust Fund Agreement Form Sponsored Programs Foundation
SPF Travel Expense Claim Sponsored Programs Foundation
SPF Student Funding Opportunities: How You Can Help Them Find Support Sponsored Programs Foundation
SPF Separating Employee Clearance Form Sponsored Programs Foundation
SPF Request for Release Time Form: Appendix A Sponsored Programs Foundation
SPF Purchasing Policy Sponsored Programs Foundation
SPF Purchase Request Form Sponsored Programs Foundation
SPF Principal Investigators and Project Directors Policy Sponsored Programs Foundation
SPF Pre-Award Timeline for Proposal Submission Sponsored Programs Foundation
SPF Position Description Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Manual Sponsored Programs Foundation
SPF Payroll, Benefits, and HR Directory of Services Sponsored Programs Foundation
SPF Payroll Schedule 2014 Sponsored Programs Foundation
SPF Overview of the Reasonable Accomodation Process Sponsored Programs Foundation
SPF OBI Off-Campus Access Intructions Sponsored Programs Foundation
SPF NON-STUDENT Time Sheet 2014 Sponsored Programs Foundation
SPF Multiple Projects Appointment Form Attachment Sponsored Programs Foundation
SPF Monthly Absence Report Sponsored Programs Foundation
SPF Modification Routing Form Sponsored Programs Foundation
SPF Lost Receipt Form Sponsored Programs Foundation
SPF Level of Effort Certification 2014 Sponsored Programs Foundation
SPF Job Duty Evaluation Checklist Sponsored Programs Foundation
SPF Institutional Routing and Authorization Form Sponsored Programs Foundation
SPF Indirect Rate Policy Sponsored Programs Foundation
SPF Indirect Rate Policy Sponsored Programs Foundation
SPF Guidelines for Evaluating Impairments Sponsored Programs Foundation
SPF Financial Statements Audit 2011 Sponsored Programs Foundation
SPF Federally Negotiated Indirect Cost Rate Sponsored Programs Foundation
SPF Excess Indirect Revenue Distribution Policy Sponsored Programs Foundation
SPF Discrimination Complaint Form Sponsored Programs Foundation
SPF Direct Deposit Payroll Application Sponsored Programs Foundation
SPF Deposit Slip Sponsored Programs Foundation
SPF Confidentiality Form Sponsored Programs Foundation
SPF Certificate of Good Standing Sponsored Programs Foundation
SPF Budget Template Sponsored Programs Foundation
SPF Budget Guidebook Sponsored Programs Foundation
SPF Authorization to Release Medical Records Sponsored Programs Foundation
SPF Audited Financial Statements, period ending June 30, 2014 Sponsored Programs Foundation
SPF Audited Financial Statements, period ending June 30, 2012 Sponsored Programs Foundation
SPF Appointment Process Chart Sponsored Programs Foundation
SPF Alistair & Judith McCrone Graduate Fellowship Award Sponsored Programs Foundation
SPF Accomodation Request Form Sponsored Programs Foundation
SPF 700-U Form (Conflict of Interest) Sponsored Programs Foundation
Special Consultant Request Instructions Human Resources
Special Consultant Request Human Resources
Separating Employee Clearance Form Human Resources
Separating Employee Checklist for Digital Resources Information Technology Services
Security Incident Response Short Form Information Technology Services
Security Incident Response Long Form Information Technology Services
Secure Destruction E-Waste Collection and Chain of Custody Form Financial Services
SeaGrant Directors Presentation September 2011 at HSU Sponsored Programs Foundation
RM - Field Trip Sign Out Release Agreement Contracts, Procurement and Risk Management
RM - Field Trip Participant Roster Contracts, Procurement and Risk Management
001 Reservation Request for the Native American Forum (BSS162) Center for Indian Community Development
Required Notification for Employees Not Covered by Social Security (SSA-1945 Form) Human Resources
Request For Record Information University Police Department
Request for International Travel Financial Services
Request for Authorization to Travel (Domestic travel) Financial Services
Form 109 Report of Separation for Staff - Please print on green paper Human Resources
Form 104 Report of Appointment for Staff Human Resources

https://accountcenter.humboldt.edu:4443/p/r/f?p=141:DOC1

Rental Vehicle Request Form Facilities Management
Receipting Instruction for Deposits at the Cashier’s Office Financial Services
Protected Information Rescan Survey Information Technology Services
n/a Procure - Signature Authority Form 2014-15 Contracts, Procurement and Risk Management
ProCard Lost Receipt Memo Contracts, Procurement and Risk Management
Procard 13-14 Cycle Dates Contracts, Procurement and Risk Management
Position Description/Classification Guide Human Resources

http://www.humboldt.edu/hsuhr/employee/position/description.html

Position Description Form Human Resources
Position Change Form Human Resources
Portal Change Request Form Information Technology Services
Pool Vehicle Request Form Facilities Management
Petty Cash form Financial Services
Performance Pay Salary Increase Recommendation - Unit 4 Human Resources

http://www.humboldt.edu/hsuhr/employee/information/unit4.html

Payment Request Form Financial Services
Password Group Setup form (Aging) Information Technology Services
Overview of Funding Opportunities at the National Science Foundation Division of Undergraduate Education: Advanced Technological Education (ATE) Sponsored Programs Foundation
Outgoing International Wire Request Financial Services
ORSP Winter 2013 Bulletin Sponsored Programs Foundation
ORSP Summer 2012 Bulletin Sponsored Programs Foundation
ORSP Newsletter Spring 2012 Sponsored Programs Foundation
ORSP Logo Design Contest Sponsored Programs Foundation
ORSP Fall 2011 Newsletter Sponsored Programs Foundation
ORSP Bulletin Summer 2013 Sponsored Programs Foundation
ORECD Org Chart Sponsored Programs Foundation
Online Informed Consent Checklist Sponsored Programs Foundation
NSF Major Research Intrumentation Sponsored Programs Foundation
Model Release (4 per page) Marketing and Communications
Model Release Marketing and Communications
Minutes of September 30, 2013 Board Meeting Sponsored Programs Foundation
Minutes of September 30, 2013 Annual Board Meeting Sponsored Programs Foundation
Minutes of September 28, 2010 Board Meeting Sponsored Programs Foundation
Minutes of September 28, 2010 Annual Board Meeting Sponsored Programs Foundation
Minutes of September 27, 2012 Board Meeting Sponsored Programs Foundation
Minutes of September 27, 2012 Annual Board Meeting Sponsored Programs Foundation
Minutes of September 15, 2011 Board Meeting Sponsored Programs Foundation
Minutes of September 15, 2011 Annual Board Meeting Sponsored Programs Foundation
Minutes of May 9, 2013 Board Meeting Sponsored Programs Foundation
Minutes of May 5, 2011 Board Meeting Sponsored Programs Foundation
Minutes of May 3, 2012 Board Meeting Sponsored Programs Foundation
Minutes of March 7, 2014 Board Meeting Sponsored Programs Foundation
Minutes of March 7, 2013 Board Meeting Sponsored Programs Foundation
Minutes of March 10, 2011 Board Meeting Sponsored Programs Foundation
Minutes of March 1, 2012 Board Meeting Sponsored Programs Foundation
Minutes of December 8, 2011 Board Meeting Sponsored Programs Foundation
Minutes of December 6, 2013 Board Meeting Sponsored Programs Foundation
Minutes of December 6, 2012 Board Meeting University Budget Office
Minutes of December 16, 2010 Sponsored Programs Foundation
Mendocino Stakeholders Open Forum Presentation 1-16-13 Sponsored Programs Foundation
Major Academic Plan (MAP) Template Office of the Registrar

http://www.humboldt.edu/reg/forms/4-yrPlan.lc.pdf

Lost Receipt Memo Financial Services
Letterhead Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

ITS Project Request Information Technology Services
IRB Registration Form Human Subjects - Institutional Review Board (IRB)

http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Registration.pdf

IRB Registration Sponsored Programs Foundation
IRB Policy for the Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Implementaion of the Policy for Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Full Board Review SCHEDULE 14-15 Sponsored Programs Foundation
IRB Consent Checklist Sponsored Programs Foundation
IRB Application for Review Human Subjects - Institutional Review Board (IRB)

http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Application_for_R...

IRB Application for Review Sponsored Programs Foundation
Invoice Form Contracts, Procurement and Risk Management
PR 8 Intermittent Hourly Time Voucher Payroll
PR8 Intermittent Hourly Time Voucher Payroll
Instructions to Complete Digital Signature on Position Change Form Human Resources
Incident Report Form Office of the Vice President, Student Affairs

https://publicdocs.maxient.com/reportingform.php?HumboldtStateUniv&layou...

In-Range Progression Request Form Human Resources
Humboldt Institute for Interdisciplinary Marijuana Research (HIIMR) Charter Sponsored Programs Foundation
HSU's Office of Research Spring 2014 Newsletter Sponsored Programs Foundation
HSU Wireless Device Reimbursement Rates Financial Services
HSU Volunteer Form Processing Instructions Human Resources
HSU Volunteer Form Human Resources
HSU Overview of Reasonable Accommodation Human Resources
HSU Job Duty Evaluation Checklist Human Resources
HSU Guidelines for Evaluating Impairments Human Resources
HSU Green and Gold Calendar for 2012-2013 Payroll Department
HSU Green and Gold Calendar for 2011-2012 Human Resources
HSU Green and Gold Calendar for 2010-2011 Human Resources
HSU Centennial Letterhead Template (MS Word) Marketing and Communications

http://www.humboldt.edu/marcom/campusResources.php?section=templates

HSU Authorization to Release Medical Records Human Resources
HSU Accommodation Request Form Human Resources
HSU - Release of Liability Contracts, Procurement and Risk Management
Housing & Dining Services Separating Employee Clearance Form Human Resources
STD 236 Hotel/Motel Transient Tax Waiver Financial Services
Guest Lecturer / Service Provider / Independent Contractor Agreement and Payment Request Financial Services
Grant Furlough Exemption Form Human Resources
Form 990 for 2010-2011 Sponsored Programs Foundation
Field Trip Policy Contracts, Procurement and Risk Management
Fee Waiver Application-Self Academic Personnel Services and Human Resources

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:11

Fee Waiver Application-Dependent Academic Personnel Services and Human Resources

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:10

FEE REQUEST FORM Financial Services
Executive Summary - 2012 Campus Dialogue on Race Retention
PR 11 Evening and Night Shift Differential Time Voucher Payroll
Establish Petty Cash or Change Fund Form Financial Services
EO 1074 Student Affirmative Action Complaints Actions Resources Table Human Resources
Envelope Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

Employee Fee Waiver-Frequently Asked Questions Human Resources
Employee Assistance Program (EAP) Human Resources
STD. 686 Employee Action Request (EAR) Human Resources
EHOS Ergonomics Program Human Resources
Discrimination Complaint Resources Human Resources
Direct Pay form Financial Services
STD-699 Direct Deposit Form Human Resources
Direct Deposit for Employee Reimbursements Financial Services
Designated Positions Human Resources
Data Center Security Training Check-Off Information Technology Services
Curriculum: HSU Program Change Academic Programs
Curriculum: HSU New Major/Degree Program Academic Programs
Curriculum: HSU New Course Proposal Academic Programs
Curriculum: HSU Course Change Academic Programs
Curriculum: DCG Matrix for Certification Academic Programs
Curriculum Proposal e-forms Academic Programs

https://accountcenter.humboldt.edu:4443/p/r/f?p=136:1

HR 2005-26 CSU Volunteer Policy Human Resources
CSU Volunteer Identification Form Facilities Management

http://www.humboldt.edu/forms/node/350

CSU Family Medical Leave (FML) Human Resources
CSC Campus Change Report 2010-2011 Change Steering Committee
003G Controlled IT Spaces Visitor Log Information Technology Services
003D Controlled IT Spaces Access Control List Information Technology Services
003C Controlled IT Spaces Access Authorization Form Information Technology Services
Confidentiality Statement for Academic Professionals (Unit 4) Human Resources
Confidential Employee Evaluations - Temporary Employee Human Resources
Confidential Employee Evaluations - Probationary Employee Evaluation Human Resources
Confidential Employee Evaluations - Permanent Employee Evaluation Human Resources
Check Request form Financial Services
Chartfield Request Form University Budget Office
Change Request Form Financial Services
Career Development Plan Human Resources
Business Card Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

Budget Transfer Template University Budget Office

http://www2.humboldt.edu/budget/documents/forms/Budget%20Transfer%20Temp...

STD 261 Authorization to Use Privately Owned Vehicle Financial Services
Application Procedures for Leave of Absence without Pay Human Resources
107 Application for Leave of Absence Human Resources

http://humboldt.edu/hsuhr

American Psychological Foundation Presentation Sponsored Programs Foundation
American Psychological Foundation Funding Opportunites Sponsored Programs Foundation
Alcohol Approval Request Office of the Vice President, Student Affairs
Agenda: Mendocino Stakeholders Open Forum 1-26-13 Sponsored Programs Foundation
Agenda for September 30, 2013 Board Meeting Sponsored Programs Foundation
Agenda for September 30, 2013 Anuual Board Meeting Sponsored Programs Foundation
Agenda for September 28, 2010 Board Meeting Sponsored Programs Foundation
Agenda for September 28, 2010 Annual Board Meeting Sponsored Programs Foundation
Agenda for September 27, 2012 Board Meeting Sponsored Programs Foundation
Agenda for September 27, 2012 Annual Board Meeting Sponsored Programs Foundation
Agenda for September 15, 2011 Board Meeting Sponsored Programs Foundation
Agenda for September 15, 2011 Annual Board Meeting Sponsored Programs Foundation
Agenda for May 9, 2014 Board Meeting Sponsored Programs Foundation
Agenda for May 9, 2013 Board Meeting Sponsored Programs Foundation
Agenda for May 5, 2011 Board Meeting Sponsored Programs Foundation
Agenda for May 3, 2012 Board Meeting Sponsored Programs Foundation
Agenda for March 7, 2014 Board Meeting Sponsored Programs Foundation
Agenda for March 7, 2013 Board Meeting Sponsored Programs Foundation
Agenda for March 10, 2011 Board Meeting Sponsored Programs Foundation
Agenda for March 1, 2012 Board Meeting Sponsored Programs Foundation
Agenda for December 8, 2011 Board Meeting Sponsored Programs Foundation
Agenda for December 6, 2013 Board Meeting Sponsored Programs Foundation
Agenda for December 6, 2012 Board Meeting Sponsored Programs Foundation
Agenda for December 16, 2010 Board Meeting Sponsored Programs Foundation
Activities Requiring Humboldt State University IRB Approval Sponsored Programs Foundation
Accounts Receivable Billing Request Financial Services
Accounts Payable Change Request Financial Services

https://www.humboldt.edu/forms/content/change-request-form

Access Request Form (ARF) ITS Administrative Support
3rd Annual PI Celebration! Sponsored Programs Foundation
2012 SBIR STTR Seminar HSU Sponsored Programs Foundation
Job Submission Form Marketing and Communications

http://www.humboldt.edu/marcom/workRequest_part1.php