Forms

Employee Forms

Address/Name Change

Notice of Separation

Personnel File Review Request

Payroll Forms (W4, Direct Deposit, Check Release, Sick Leave Transfer request, etc.)

Remote Work Agreement

Doctoral Stipend

Employee Self- Service Guide

Public Service Loan Forgiveness

Bilingual Interpreters List

Bilingual Stipend Request

PFF/District Negotiated Forms

Part-Time Faculty Office Hours

Part-Time Faculty Committee Participation

Course Maximum Change

Load Bank Application

Evaluation Forms

Classified Employee Evaluation Instructions

Classified Evaluation Form – (Word) (Adobe PDF)

Administrative/CAST Evaluation Instructions

CAST Evaluation

Administrative Employee Evaluation

Administrative Employee Mid-Term Evaluation

Catastrophic Illness Leave Forms

Classified Catastrophic Leave Donation

Classified Catastrophic Leave Application

CAST Catastrophic Leave Donation

CAST Catastrophic Leave Request

Administrative Catastrophic Leave Donation

Administrative Catastrophic Leave Request

Faculty Catastrophic Leave Donation

Full-Time Faculty Catastrophic Leave Application

Part-Time Faculty Catastrophic Leave Application

Part-Time Counselor of Librarian Catastrophic Leave Application

Department Use Forms

Action Form for Short-term Employees

Action Form for Student Employees

Request/Recommendation for Volunteer Service

Out of Classification Request for Expanded Duties – Use this form to request out-of-classification pay for expanded duties (duties performed at a higher level)

Shift Differential Request – Use this form to begin/change/end a shift differential

For questions, email HRhelp@palomar.edu

Position Request and Classification Forms

Position Authorization Request – After you complete the form (#1-4), please route for all signatures (#5-9) in order via Adobe Sign.

Out-of-Classification Replacement Request – This form is to be used to request a full out-of-class replacement for a vacant position.

Classified Reclassification Request – Classified employees or their supervisors may use this form to request reclassification of classified positions. Please contact Human Resource Services if you have questions or need further support at HRhelp@palomar.edu.

Leave Forms

Request for Family Medical Leave

Request for Non-Medical (Personal) Leave

Certification of Health Care Provider Form – Employee’s Illness

Certification of Health Care Provider Form – Family Member

Grievance Forms

Classified Staff Grievance/Complaint

Administrative Association Grievance/Complaint

CAST Grievance/Complaint

Academic Due Process Procedure

Request for Academic Due Process