WELCOME Checklist

1. Tuberculosis Forms/Risk Assessment

Tuberculosis (TB) Information & Testing Locations

2.  Request for Live Scan

Instructions for Fingerprinting

3.  Employment Eligibility I-9 Verification Form 

Instructions for Employment Eligibility 1-9 Form

4. CalPERS Retirement Systems 

• CalPERS Reciprocal Self-Certification Form

• CalPERS Confirmation of Intent to Establish Reciprocity

• CalPERS Member Services Letter and List of Qualifying Public Retirement Systems in CA

• CalPERS Reciprocal Form Information & Privacy Notice

5. Statement Concerning Your Employment in a Job Not Covered by Social Security [for Classified less than .5 FTE (50%)]

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

6. Oath of Allegiance

7.  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.

8. Confidential Personal Information Form

9. Retirement Information Form

10. Salary Warrant Distribution Request Form 

Scroll to Payroll, look for Check Distribution.  

11. Direct Deposit Form

Scroll to Payroll, look for Direct Deposit. 

12. Designation of Beneficiary for Deceased Employees Form

13. Receipt of Classified Employment Form

14. Deferred Pay Form
     (for less than 12-month employees)

15. Request for Sick Leave Transfer Form

16. Retirement Services [for Classified less than .5 FTE (50%)]

• Public Agency Retirement Services (PARS) Form

• PARS Website
• PARS Info
• PARS Participant Portal
• Alternative Retirement System (ARS)

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
• Classified SEIU Welcome Letter;  
  Classified SEIU Member Application
• 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]