HR Forms
HR Forms
FORMS |
DESCRIPTION |
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LEAVES |
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These forms must be completed for absences more than 20 consecutive work days |
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Use this form to determine if an employee/contractor has returned all district property prior to leaving the District. |
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Certification by health care provider of employee's or family members serious health condition. |
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Certification for Serious Injury or Illness of a Current Servicemember For Military Family Leave |
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FMLA Military Exigency July 2015 |
Certification of Qualifying Exigency For Military Family Leave |
FMLA Veteran Service Member July 2015 | Certification for Serious Injury or Illness of a
Veteran For Military Family Leave |
PAYROLL |
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Certification/Request of absence for illness, family illness, or new child |
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Certification/Request of absence for non-illness |
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Certification/Request of absense for Families First Coronavirus Response Act |
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California Form DE 4 - Employee's Withholding Allowance Certificate |
Complete this State of California form to designate withholding from your pay. |
Complete this form if your home address has changed. |
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Form to notify of employee death. |
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Complete this form to request overtime in advance for classified and non-management employees. |
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Request for service regarding payroll issues. |
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Complete this IRS form to designate withholding from your pay. |
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Complete this form to request the use of employees on unassigned days “outside” of their calendar basis. |
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MISCELLANEOUS |
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Form to request a LAUSD badge |
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Assist family members with reporting an employee's death. |
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Complete this form at the time of the first assignment and every time the employee changes job classifications. |
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Request for freeze exemption: Staffing |
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New Health Insurance Marketplace Coverage Options and Your Health Coverage |
This memo provides information on the Affordable Care Act (ObamaCare) |
This report must be completed within 24 hours of an accident involving an injury to students, employees or visitors. |
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This form contains personal physician information. It must be maintained at the work location in the employee’s personnel file. |
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Complete this form to register personal property brought by employees for use in schools or offices. |
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Language differential request for bilingual skills. |
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Request to reinstate for employees who resigned in good standing. |
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Application for temporary assignments. |
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Request to change work location. |
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Vehicle Accident Report Form |
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Complete this worksheet when a work-related injury or illness occurs. |