WELCOME Checklist

1. Tuberculosis Forms

Tuberculosis (TB) Information & Testing Locations

2. Request for Live Scan

Instructions for Fingerprinting

3. Employment Eligibility Verification I-9 Form  

Instructions for Employment Eligibility Verifications

4. CalSTRS Retirement System Elections (for CalSTRS job or as permissable)

•  ES0372 Form

5. Statement Concerning Your Employment in a Job Not Covered by Social Security (Not applicable to CalPERS members)

Information about Social Security Form SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security (Not applicable to CalPERS members)

6. CalPERS Retirement System Forms

• CalPERS Reciprocal Self-Certification Forms

• CalPERS Confirmation of Intent to Establish Reciprocity

CalPERS Member Services Letter and List of Qualifying Public Retirement Systems in California;

CalPERS Reciprocal Form Instructions & Privacy Notice

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 Withholdings.  You will need to fill out both forms.

11. Salary Warrant Distribution Request Form      

12. Direct Deposit Form      

14. Request for Sick Leave Transfer 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
• Workers' Compensation Information for New Hires
• 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