Hiring Packet - Administrator

Administrator Hiring Packet

To All New Hires:

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If you are using a Mac computer to fill out the PDF forms, please make sure you are not on "Apple Preview" mode because the data entered in the form fields will not show when the documents are printed.

Forms To Be Filled Out And Submitted Please Print Each Form Individually (Single-sided)	Information as Applicable
	WELCOME Checklist
1. Tuberculosis Forms/Risk Assessment	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	CalSTRS Retirement System Election Instructions and Information
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
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 Withholdings. You will need to fill out both forms.
9. Confidential Personal Information Form
10. Retirement Information Form
11. Salary Warrant Distribution Request Form	Scroll to Payroll, look for Check Distribution.
12. Direct Deposit Form	Scroll to Payroll, look for Direct Deposit.
13. Designation of Beneficiary for Deceased Employees 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 CLPCCD Technology Systems Access Request Form for All Hires [Submit completed form to the CLPCCD ITS Help Desk]

Hiring Packet - Administrator

Human Resources

Administrator Hiring Packet

To All New Hires:

Informational Items:

For Hiring Administrator:

For questions, please contact Jennifer Druley at (925) 485-5240.