The Human Resources Office provides many important documents that are relevant to both new and current employees. Below you will find a short description for some of the commonly used forms along with a link to access each one.
Campus Technology Separation Form
This Campus Technology Separation Form is to be completed by supervisors when there is a termination of employment. This form provides direction to CTD with regard to the employee’s computer and telephone access.
This form may be completed, printed, signed and submitted to the Campus Technology Department or may be completed, digitally signed and submitted to ctdaju.edu.
Direct Deposit Enrollment Form
The Direct Deposit Enrollment Form may be used by new and current employees. New employees complete and submit this form during New Employee Orientation. Current employees may also use this form when their banking information changes.
Employees must print and complete the form, attach a voided check (as the directions note) and submit to the Payroll Office.
Employee Grievance Form
Current employees may complete the Employee Grievance Form should they wish to file a grievance.
This form, along with a typed summary of events, must include a signature - so employees may complete, print, sign and submit to the Office of Human Resources. Or, the form and summary may be completed, signed digitally and submitted to hraju.edu, along with a copy of the typed summary of events.
Family Medical Leave Act (FMLA) Forms
Federal and California law provides for job protection in certain cases for time taken off of work for a medical leave due to a medical event, pregnancy or when becoming a new parent. This leave may also apply to employees who must take time off of work to care for an eligible family member.
There are two FMLA forms depending on the nature of the medical leave:
- Certification of Health Care Provider for Employee’s Serious Health Condition
- Certification of Health Care Provider for Family Member’s Serious Health Condition
The Medical Certification Form, pages 2-4, must be completed by the employee’s medical provider. These forms, once completed in their entirety, must be submitted to the Office of Human Resources in person.
We encourage any employee who is considering taking a medical leave to come into the Human Resources Office to discuss the process before beginning to navigate the forms.
Current employees may use the Leave Record Form to designate any sick or vacation leave that was taken during a pay period. This form must contain both the signature of the employee and his/her supervisor before it may be submitted to the Payroll Office.
An employee may complete the form, print and sign and submit to his/her supervisor for approval. Or, the form may be completed and digitally signed by the employee and sent to the supervisor. The supervisor may then digitally sign and submit to payrollaju.edu.
Personnel Action Form
Supervisors may access this Personnel Action Form when any of the following events take place for an existing employee whom he/she supervises:
- Change in job title, salary/wage, department, shift or transfer to/from campus
- Employee Resignation or Termination of Employment
This Personnel Action Form may be completed, printed, signed and submitted to the Office of Human Resources or may be completed, digitally signed and submitted to hraju.edu.
Personnel Data Form
This Personnel Data Form is completed by new employees during New Employee Orientation. This form may also be used when a current employee has a change of address, name change, change to contact information or other pertinent personnel information that needs to be updated with the Office of Human Resources.
This Personnel Data Form may be completed, printed, signed and submitted to the Office of Human Resources. Or, the form may be completed, signed digitally and submitted to hraju.edu.
TIAA Salary Reduction Form
New employees are eligible to participate in TIAA’s Supplemental Plan upon hiring. Through this plan, they can designate how much they would like deducted from their paycheck and directed to the TIAA Supplemental Plan by using this TIAA Salary Reduction Form. Once new employees have completed their 90-day probationary period, they are eligible for a university contribution to the TIAA Retirement Plan during the next open enrollment session (January or July).
Current employees who are already enrolled in the supplemental retirement plan through TIAA, may use this form to adjust (increase/decrease) the amount of their contribution. Please note however, that should an employee stop deductions altogether, then he/she must wait until the next open enrollment session (January or July) in order to begin participation in the TIAA plan.
Employees may complete, print, sign and submit this form and return it to the Office of Human Resources. Or, the form may be completed, signed digitally and submitted to hraju.edu.
Should you need any assistance, please visit the HR Office. You can reach our Human Resource Coordinators: Paula Alvarez at 310-440-1235 or Robert Lee at 310-440-1545 or via email at hraju.edu.