Resources

Displaying 1 - 19 of 19

Concern Flyer

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Concern Flyer (501.64 KB) 501.64 KB
Personnel
Personnel Resources, Benefits

CalFresh Response to COVID-19

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CalFresh Information regarding COVID-19 Response (91.59 KB) 91.59 KB
Health & Human Services
FAQ, Benefits, Food Safety, General

Request For Reasonable Accommodation

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Request for Reasonable Accommodation (1.17 MB) 1.17 MB
Personnel
Personnel Resources, Leave Request, Forms

Overview of Protected Leaves

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Overview of Protected Leaves (1.84 MB) 1.84 MB
Personnel
Leave Request, Personnel Resources

Preliminary Designation Notice - Department Use

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Preliminary Designation Notice (187.67 KB) 187.67 KB
Personnel
Personnel Resources, Leave Request, Forms

Physician Certification of a Serious Health Condition for a Family Member

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Physical Certification of a Serious Health Condition for a Family Member (355.53 KB) 355.53 KB
Personnel
Personnel Resources, Leave Request, Forms

Physician Certification of a Serious Health Condition for a Family Member

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Physician Certification of a Serious Health Condition for a Family Member (232.57 KB) 232.57 KB
Forms, Leave Request

Military FMLA Leave Request Form

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Military FMLA Leave Request Form (195.21 KB) 195.21 KB
Personnel
Personnel Resources, Leave Request, Forms

Overview of Protected Statutory Leaves

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Overview of Protected Leaves (215.56 KB) 215.56 KB
Personnel
Benefits, Personnel Resources

Return to Work Authorization GCPER31

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Return to Work Authorization - GCPER31 (185.24 KB) 185.24 KB
Personnel
Personnel Resources, Leave Request, Forms

Physician Certification of a Serious Health Condition GCPER30

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Physician Certification of A Serious Health Condition GCPER30 (275.75 KB) 275.75 KB
Personnel
Personnel Resources, Leave Request, Forms

Coordination of Benefits While on a Leave Form

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Coordination of Benefits While on a Leave Form (78.79 KB) 78.79 KB
Personnel
Forms, Leave Request, Personnel Resources

Leave Request Form GCPER14

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Leave Request Form GCPER14 (179.83 KB) 179.83 KB
Personnel
Personnel Resources, Leave Request, Forms

Catastrophic Leave Request Form

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Catastrophic Leave Request Form (47.71 KB) 47.71 KB
Personnel
Personnel Resources, Leave Request, Forms

Pregnancy Leave Information Packet

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Pregnancy Leave Information Packet (266.89 KB) 266.89 KB
Personnel
Personnel Resources, Benefits

Cash In-Lieu of Health Coverage

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Cash In-Lieu of Health Coverage (34.24 KB) 34.24 KB
Personnel
Benefits, Forms, Health, Personnel Resources, Programs

CalPERS Health Enrollment Form

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CalPERS Health Enrollment Form (385.19 KB) 385.19 KB
Personnel
Personnel Resources, Programs, Benefits, Health, Forms

Symetra Beneficiary Change Form

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Symetra Beneficiary Change Form (330.47 KB) 330.47 KB
Personnel
Benefits, Forms, Health, Personnel Resources, Programs

Symetra Group Life Insurance and Disability Income Insurance Enrollment Form

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Attachment Size
Symetra Life Insurance (562.94 KB) 562.94 KB
Personnel
Benefits, Forms, Health, Personnel Resources, Programs