WELCOME Checklist

1. Tuberculosis Forms

Tuberculosis (TB) Information & Testing Locations

2. Request for Live Scan

Instructions for Fingerprinting

3. Employment Eligibility I-9 Verification Form

Instructions for Employment Eligibility I-9 Form

4. CalSTRS Retirement Systems Elections (ES0372) Form

CalSTRS Retirement System Election Instructions and Information

5.  Statement Concerning Your Employment in a Job Not Covered by Social Security by Social Security

Information about Social Security Form SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security

6. Verification of Work Experience

7. Oath of Allegiance

8. Tax Forms

• IRS W-4 Form
• Employee’s Withholding Allowance Certificate

Forms are also located:  http://www.clpccd.org/business/FormTemplate.php 

Scroll to Payroll, look for Tax Witholdings.  You will need to fill out both forms.

9. Confidential Personal Information Form

10. Retirement Information Form

11. Salary Warrant Distribution Request Form 

12. Direct Deposit Form

13. Designation of Beneficiary for Deceased Employees Form

14. Deferred Pay Form

Informational Items

• Board Policy 3430:  Prohibition of Harassment
• Chabot-Las Positas 403(b) and 457(b) Plan Highlights
• Plan Comparison of 403(b) and 457(b)
• Equal Employment Opportunity Compliance Notice
• Employee Rights and Responsibilities Under the Family and Medical Leave Act (FMLA)
• Health Reimbursement Arrangement (HRA)
• New Health Insurance Marketplace Coverage Options and Your Health Coverage
• Public Service Loan Forgiveness (PSLF) Application and Program Information;
• Workers’ Compensation Information for New Hires
• Faculty Welcome Letter; 
  CLPFA Membership Application Form
• Transit Commuter Flyer
  • Transit Commuter Enrollment Form           

For Hiring Administrator:

Form(s) To Be Filled Out And Submitted With New Hire Paperwork

• Personnel Action Form (PAF)
• PAF Instructions
• Reference Check Form