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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)

Form 64a - Application (Large Font Format): APT Positions

Form 64 - Application: APT Positions (MS/WORD)

Form 64 - Application: APT Positions (MS/WORD-Reader Accessible)

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: Non-Civil Service Application

Form 315A/UH-OHR: Competitive Internal Application

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

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 278: Non-Civil Service Application

HRD Form 305: Instruction for Certificate of Eligibles

HRD Form 315A: Competitive Internal Application

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

UH Form 2: Leave of Absence Change Form

UH Form 5: Leave of Absence Transaction Change 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