Forms

Leave

• Leave Request Form
• FMLA Certification of Health Care Provider
• Request for Leave of Absence Without Pay (Staff and MPP employees)

For other Leave Forms, please contact Human Resources.

Payroll

• United States Savings Bonds Purchase / Payroll Deduction Authorization

Performance

Please visit the Performance Management Page for more information 

• Performance Evaluation Matrix for CSUEU

Personnel File

To review or request copies of your personnel file, please email the completed "Personnel File Request Form" to HR@csusb.edu. A representative from the Human Resources Operations & Compliance department will review and respond to your request within the timeframe outlined by the CBAs.

• Personnel File Request Form

Recognition

• Nomination Form – President's Staff Award for Outstanding Employee
• Nomination Form – President's Staff Award for Special Achievement
• Nomination Form – President's Staff Award for Team Achievement
• Contact the Faculty Senate for more information on the Outstanding Professor and Golden Apple Award
• Contact Staff Council for more information on the Augie Award

Recruitment

• Position (Job) Description Form
• Professional Reference & Employment Verification Form
• Fair Housing and Employment Fact Sheet
• MPP Justification Form

Retirement

• Part-time, Seasonal, and Temporary Employees Retirement Program Benefit Payment Application

Security

The below forms utilize Adobe Sign and may request that you authenticate via MyCoyote. The contents of the form will be populated after entering the appropriate recipient and clicking Send. Learn How to Complete Compliance Forms

• R04 Staff Confidentiality Compliance Form (Online) 
• Consultant/Third Party Confidentiality Compliance Form (Online) 
• Faculty Confidentiality Compliance Form (Online)
• Staff Confidentiality Compliance Form (Online) 
• Student Employment Confidentiality Compliance Form (Online) 
• UEC Confidentiality Compliance Form (Online) 

Fee Waiver & Reduction Program

• Career Development Plan (CDP) Form
• Education Update Form
• CSUSB Hardship Request Form for Fee Waiver Taxation
• Student Records Release Form

Other Forms

• Alternate Work Schedule Request Form
• Change in Working Title Request Form
• Update Affirmed First Name Request Form
• Paycheck Mailing Request Form
• Personnel Action Request
• CSUSB Volunteer Identification Form (Updated 05/06/2022)
• Executive Order 1115 - Complaint Procedures for Protected Disclosure of Improper Governmental Activities and/or Significant Threats to Health or Safety (effective 9-12-18)
• Executive Order 1116 - Complaint Procedure for Allegations of Retaliation for Having Made a Protected Disclosure under the California Whistleblower Protection Act (effective 9-12-2018)
• CSUSB Third Party Identification Form

Updated: 04/08/24