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Checklists
Employee Checklists for New Hires and Separating Employees
Board of Regents Appointments
UH Form SF-1: Request for Position Action
UH Form 27A: Application: CC Faculty or E/M
UH Form 33: Changes & Corrections of Key Personal Data
UH Form 39: Position Description
UH Form 63: Exec/Managerial Position Description
Form 64 - Application: APT Positions (form fillable)
Suggested Resume Format for APT applications
Form 64a - Application (Large Font Format): APT Positions
Suggested Resume Format for APT applications (Large Font Format)
Form 64b - Application (Screen Reader Accessible): APT Positions
UH Form 70: APT Performance Evaluation Form
UH Form 70 IT: Information Technology Specialist Performance Evaluation Form
UH Form 91: Authorization Certificate for Release of Information
UH Form 101: Certification of Retirement Period from the State or County
UH Form 107: Certification of State of Hawai‘i Employees’ Retirement Service (ERS) Membership
Personnel Record Card
Faculty Level Pay Option Agreement Form
Employee Tuition Waiver Forms moved to Tuition Waiver Section Below
Civil Service Appointments
Non-Civil Service (89 Day Hire) Appointment Request Form
Leave Without Pay Form
Personnel Record Card
UH Form 13: Request for Filling a Civil Service Position
UH Form 101: Certification of Retirement Period from the State or County
UH Form 107: Certification of State of Hawai‘i Employees’ Retirement Service (ERS) Membership
HRD Form 278: Application for Non-Civil Service Service Appointment
HRD Form 315a: Internal Vacancy Announcement
Application Supplement: For Clerical Positions
Form 329c: Request for Criminal History Record Clearance for State Civil Service Employment
Form 355: Verification of Satisfactory Service with the State Executive Branch
Casual/Overload Appointments - CURE application
UH Form 6: Casual and Overload (for Dept use only)
UH Form 25: Casual and Overload (for Dept use only)
State Dept of Accounting & General Services (DAGS)
Form D-90: Employee's Designation of Beneficiary
Note: Form D-90 must be printed on yellow paper only and the instructions must be printed on the reverse side of the form.
Form D-60: Salary Assign/Cancel - Bank Assignment
Employees' Retirement System (ERS)
Link to ERS forms page
Unused Sick Leave and Vacation Transmittal Form
Retro/Overpayment Breakdown Template (Sample)
Calculation of Contributions for Military Leave Under the Servicemen's Act (Sample)
Form EC&B-45A: Request for Retirement Estimate
Form 1551: Request to Acquire Previous Military Service
UHM, Equal Employment Opportunity
Online Form 17: BOR Recruitment/Selection Online Application
Form 17: Online Manual - DRAFT
Form 17a: Civil Service Selection Form
Form 17g: Graduate Assistant Selection Form
Flexible Spending Account
Link to OHR Benefits Page
Health Benefits - Employee Union Trust Fund (EUTF)
Link to OHR Benefits Page
State Dept of Human Resources & Development (DHRD)
HRD-1: Position Action Form (Civil Service)
How the General Public may apply for Civil Service Positions
HRD Form 10: Notification of Temporary Assignment (Excel file)
HRD Form 305: Instruction for Certificate of Eligibles
HRD Form 319b: Hawai'i Residency Acknowledgment
HRD Form 319b Instructions: Hawai'i Residency Form
Form 329c: Request for Criminal History Record Clearance for State Civil Service Employment
HRD Form 355: Verification of Satisfactory Service with the State Executive Branch
HRD Form 397: Request for Non C/S 89-Day Appt (Extension)
HRD Form 380: ACT 179 Acknowledgement Form and HRD ACT 179 Flyer
HRD Form 381: Request for Approval of Civil Service or Exempt Position as Act 179 Labor Shortage or Act 179 Difficult-To-Fill
HRD Form 397a: Request for Non C/S TAOL
HRD Form 399: Extension of Temporary Appointment (Excel file)
Position Description Template
Position Description Instruction
Immigration Form I-9
Q & A - Revised Form I-9
About Form I-9, Employment Eligibility Verification
Instructions, Form I-9, Listing of Acceptable Documents
Handbook for Employers
Leave System
UH Form 1: Application for Leave of Absence
Listing of Leave Codes
Parent-Teacher Conference Form
Error Reporting Worksheet (Excel File)
Advance Accrual Form
UH Form 2: Leave of Absence Change Form
UH Form 5: Leave of Absence Transaction Change Form
UH Form 68: Leave Sharing Form
Form G-2: Instructions for Completing Form G-2
Form G-2: Application for Transfer of Vacation & Sick Credit
Form G-2A: Instructions for Completing Form G-2A
Form G-2A: Early Payout of Accumulated Vacation Leave Credits
Family and Medical Leave Act (FMLA) Poster
Form WH-380-E: Certification of Health Care Provider for Employee’s Serious Health Condition
Form WH-380-F: Certification of Health Care Provider for Family Member’s Serious Health Condition
Form WH-381: Notice of Eligibility and Rights & Responsibilities
Form WH-382: Designation Notice
Form WH-384: Certification of Qualifying Exigency For Military Family Leave
Form WH-385: Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave
DPS Form 7: 2012-2018 Attendance and Leave Record (Excel file)
DPS Form 7: 2009-2011 Attendance and Leave Record (Excel file)
DPS Form 7: 2007-2008 Attendance and Leave Record (Excel file)
DPS Form 7: 2003-2006 Attendance and Leave Record (Excel file)
DPS Form 7: 2002 Attendance and Leave Record (Excel file)
DPS Form 7: Leave Record Code Listings
Part-Time, Temporary & Seasonal/Casual (PTS)
Link to OHR Benefits Page
Performance Appraisal System (PAS)
The revised Supervisory Manual for the Performance Appraisal System (PAS), PAS forms, and PAS Summary for Employees are available for viewing/printing. The revisions to the PAS for civil service employees became effective July 1, 2001.

Link to Electronic PAS Web Application

  • Supervisory Manual
    NOTE: Download this version of the Supervisory Manual.
  • Frequently Asked Questions & Answers
    NOTE: Download this version of the Questions and Answers.
  • PAS Summary for Employees
  • Premium Conversion Plan (PCP)
    Link to OHR Benefits Page
    SCOPIS - Refer to Casual/Overload Section above
    Service Awards
    UH Form 12: Employee's Claim for Creditable Service for Awards
    Link to Purchase of Service Awards Items
    Social Security Administration
    Form SSA-1945: Employment in a Job Not Covered by Social Security
    Tax-Deferred Annuities 403(b)
    Link to UH 403(b) Third Party Administrator
    Temporary Disability Benefits
    Link to Risk Management Website
    Training
    UH Form 410 (OHR): Training Request Form
    Tuition Waiver
    Employee Tuition Waiver
    Employee Declaration of Marital Status or Domestic Partnership
    Vacation Pay Deferral Program
    Information Sheet
    Miscellaneous
    Creditable State Service for Service Awards
    Delegation of Authority
    General Confidentiality Notice
    Manual Payroll Notification Form (PNF)
    Fallback Salary Worksheet


    Copyright © 1999 University of Hawai'i, Office of Human Resources
    Feb-7-2014