Forms, Schedules & Resources

Offer Letters

Use the Contingent Offer Letter for all offers that have pre-employment contingencies.

For internal promotions and employment offers that have no contingencies, please contact HRPOC Talent Acquisition to request a combination letter.

For more information on Employment Offer Letters, visit the New Hire Process page.

Welcome Letter Templates

Different Welcome Letters Templates will be used based on the collective bargaining agreement/policies covering the position and the appointment type the individual is being hired in to.

Forms

Please submit all completed forms to ASKHRPOC@chr.ucla.edu.

Benefits/Worker’s Compensation Forms:

• Enrollment, Change, Cancellation or Opt Out Form (UPAY850) [PDF]
• Notice to UC of a COBRA Qualifying Event Form (UBEN 109)
• Incident Report and Referral for Medical Treatment
• TRTW Agreement Template
• UCLA Campus Catastrophic Leave Program – Donor Form
• UCLA Campus Catastrophic Leave Donation Program – Recipient Application

Compensation Forms:

• HRPOC Individual Salary Action Authorization Form (optional)

Employee Performance Evaluation Information:

• • Performance Evaluation Form
  • Employee Self-Appraisal Form
  • Performance Evaluation Guide

Other:

• Brentview Medical Treatment Authorization Form
• Retired Employee Approval Form (UBEN 138)
• The UCLA Employment Application is to be used when hiring students. It should also be used when hiring staff in the following classifications: limited appointment and per diem, where the recruitment process was done outside the PeopleAdmin system.
• Resources for Remote Working
• Blood Donation Electronic Submission to the HR & Payroll Center – North office
• Work Study Posting — Template

Payroll Forms:

• Automatic Meal Deduction Form
• AWS (Alternate Work Schedule) Agreement Form
• ERIT:
  • ERIT Program
  • ERIT Contract
  • ERIT Contract Amendment
• HRPOC Individual Salary Action Form (optional)
• Kronos Correction Slip (DocuSign)
• Kronos Correction Slip (PDF)
• STAR Award Nomination Guidelines/Form
• Vacation Accrual Maximum Exception Request Form
• UCPath Personnel Action Forms by Action:
  • Termination/End of Appointment
  • Student FTE Change
  • Extension of Appointment
  • Reclassification
  • Stipend
  • Equity Increase
  • New Hire/Rehire/Concurrent Hire/Promotion/Demotion/Transfer
  • Contingent Worker
  • Other Actions

DMV Pull Forms:

• Driver’s License Employer Pull Notice Program Applicant Information
• Employer Pull Notice (EPN) Program Driver’s License Notification to Employees
• UCLA Employer Pull Notice (EPN) Program – Add, Delete, Update Form

Resources

Benefits:

• Guide to Filing for Disability
• Pregnancy, Newborn, Adoption Fact Sheet
• UCRP/CalPERS Reciprocity Fact Sheet and Election Form
• Your Guide to UC Disability Benefits

Employee Resources:

• Behavioral Intervention Team (BIT) Brochure
• Career Information for Veterans
• Employee Ergonomics
• Employment, Income Verification through The Work Number
• Resources for Veterans
• Staff & Faculty Counseling Center (SFCC) Brochure
• Staff 911 Guide for Students (Red Folder)
• Understanding Your Direct Deposit Statement
• Whistleblower Policy

New Hire/Manager Resources:

• List of Acceptable Documents for I-9
• List of Jobs Requiring Physicals
• HHS Manager and Supervisor Toolkit
• New Hire Flowchart
• Separation Reason Code Description

Compliance

The link below contains all workplace posters required to be posted as well as posting guidelines:

• UCLA Required Workplace Posters

Once posted, complete and submit the following Mandatory Workplace Postings form (submission instructions are on the form).

Maps:

• Directions Guide to get to the HRPC — North Office
• UCLA Campus Map
• UCLA Interactive Map

Calendars and Schedules

Calendars:

• 2023 Biweekly Payroll Calendar
• 2023 Kronos Biweekly Payroll Calendar
• 2022 Biweekly Payroll Calendar
• 2022 Kronos Biweekly Payroll Calendar
• Work Study Calendar

Schedules and Deadlines:

• 2023 Kronos Employee & Editor Schedule
• 2023 TRS Employee & Supervisor Schedule
• 2022 Kronos Employee & Editor Schedule
• Kronos iCalendars: Downloadable iCalendar Importing Instructions
  • 2023 BW Edits Deadlines (iCal)
  • 2023 MO Edits Deadlines (iCal)
  • 2023 BW Employee Edits Deadline Reminder (iCal)
• ERIT Payroll Schedule

Inquiries and Feedback

We want to help. If you have questions, please submit your inquiry to ASKHRPOC@chr.ucla.edu.