Payroll, Benefits, and HRIS

Payroll, Benefits, and Human Resources Information Systems at CSU, Chico

Kendall Hall

All PBHRIS Forms

This is an alphabetical listing of all our forms available from this site.  Many forms are listed multiple times using different descriptions to facilitate finding the form you need.

Click on the icon next to the form name to download that form. This icon also indicates the format of the form.

For our Adobe Acrobat Documents (indicated by Acrobat Logo), it is recommended that Adobe Acrobat Reader 6.0 or greater be used for viewing and printing documents.   The latest version can be downloaded here.

Note that "Acrobat Reader" cannot save completed forms.  If you wish to save the Acrobat Forms on your computer with the information you fill in, you will need to obtain Acrobat Standard, Pro, or Pro Extended.

Click on a letter below to find the form you want.

Then click the icon next to the form name to download the form in that format.

A   B   C   D   E   F   G   H   I   J  K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z

A
Acrobat Document Icon Absence and Additional Time Report
(Word Document IconInstructions)
Word Document Icon Academic App't Form (AAF), Instructional Student Assistant (ISA)
(for class codes 1150, 1151)
Word Document Icon Academic Change Form (ACF), Instructional Student Assistant (ISA)
(for class codes 1150, 1151)
Acrobat Document Icon Academic Pay Plans
Acrobat Document Icon Academic Pay Plans, Temporary Appointment
Excel Spreadsheet Icon Advance Notification of Separation of Employment (ANSE)
 (Financial Services Form)
Acrobat Document Icon Appointment, Bridge Student 
Acrobat Document Icon Attendance Certification
Acrobat Document Icon Attendance Summary (STD640)
Word Document Icon Authorization, Overtime
Acrobat Document Icon Authorization, Signature Authorization for Payroll Documents
Acrobat Document Icon Authorization, Student Employment 
Acrobat Document Icon Award, Summer Fellowship - (STD671)

B
Acrobat Document Icon Benefits Enrollment Worksheet
Acrobat Document Icon Bridge Student Appointment

C
Acrobat Document Icon Career Development Plan (F & S Fee Waiver Program)
Acrobat Document Icon Carryover Form, Vacation
Acrobat Document Icon Certification, Attendance
Acrobat Document Icon Certification Form for Domestic Partners
Acrobat Document Icon Change Course Request, Fee Waiver, Faculty & Staff
Acrobat Document Icon Claim Form, Dependent Care Reimbursement Account
Word Document Icon Clearance, Separation Form 
Acrobat Document Icon Consultant, Special Consultant Timesheet

D
Acrobat Document Icon Dependent Care Reimbursement Account - Claim Form
Acrobat Document Icon Dependent Care Reimbursement Account - Enrollment
Acrobat Document Icon Dependent Certification Form for Domestic Partners
Acrobat Document Icon Domestic Partners, Dependent Certification Form

E
Acrobat Document Icon Employment Authorization, Student 
Acrobat Document Icon Enrollment Form, Dependent Care Reimbursement Account
Acrobat Document Icon Excess Hours, Shift Differential, Special Pay Report

F
Acrobat Document Icon Fee Waiver Application, Dependents
Acrobat Document Icon Fee Waiver Application, Faculty & Staff
Acrobat Document Icon Fee Waiver (Job Related) Application, Graduate
Acrobat Document Icon Fee Waiver (Job Related) Application, Undergraduate
Acrobat Document Icon Final Pay, Request for
Acrobat Document Icon Form, Student Payroll Adjustment (PT11)

H
Acrobat Document Icon Health Care Reimbursement Account Claim Form

I
Word Document Icon Instructional Student Assistant (ISA) Academic App't Form (AAF)
(for class codes 1150, 1151)
Word Document Icon Instructional Student Assistant (ISA) Academic Change Form (ACF)
(for class codes 1150, 1151)

L
Acrobat Document Icon Leave Info, Maternity & Paternity
Acrobat Document Icon Leave Without Pay, Non-Faculty - Application

M
Acrobat Document Icon Maternity & Paternity Leave Info

N
Acrobat Document Icon Non-Faculty Leave Without Pay - Application

O
Word Document Icon Overtime Authorization

P
Acrobat Document Icon Paternity & Maternity Leave Info
Acrobat Document Icon Pay Plans, Academic
Acrobat Document Icon Pay Plans, Academic, Temporary Appointment
Acrobat Document Icon Pay, Request for Final
Acrobat Document Icon Payroll Documents, Signature Authorization for
Acrobat Document Icon Payroll Adjustment, Student (PT11)
Acrobat Document Icon PT11 - Student Payroll Adjustment Form

R
Acrobat Document Icon Reimbursement Account, Dependent Care - Claim Form
Acrobat Document Icon Reimbursement Account, Dependent Care - Enrollment
Acrobat Document Icon Reimbursement Account, Health Care - Claim Form
Acrobat Document Icon Report, Absence and Additional Time
(Word Document IconInstructions)
Acrobat Document Icon Request for Final Pay
Acrobat Document Icon Retiree Vision Enrollment Form

S
Word Document Icon Separation Clearance Form 
Acrobat Document Icon Shift Differential, Excess Hours, Special Pay Report
Acrobat Document Icon Signature Authorization for Payroll Documents
Acrobat Document Icon Special Consultant Timesheet
Acrobat Document Icon Special Pay, Shift Differential, Excess Hours Report
Acrobat Document Icon Staff Absence and Additional Time Report
(Word Document IconInstructions)
Acrobat Document Icon STD640 - Attendance Summary
Acrobat Document Icon STD671 - Summer Fellowship Award
Word Document Icon Student Assistant, Instructional (ISA) Academic App't Form (AAF)
(for class codes 1150, 1151)
Word Document Icon Student Assistant, Instructional (ISA) Academic Change Form (ACF)
(for class codes 1150, 1151)
Acrobat Document Icon Student, Bridge - Appointment
Acrobat Document Icon Student Employment Authorization
Acrobat Document Icon Student Timesheet (for class codes 1868, 1150, 1151)
Excel Spreadsheet Icon Substitute Appointment of a Short Duration
Acrobat Document Icon Summary, Attendance (STD640)
Acrobat Document Icon Summer Fellowship Award - (STD671)

T
Acrobat Document Icon Temporary Appointment Academic Pay Plans
Acrobat Document Icon Timesheet, Special Consultant
Acrobat Document Icon Timesheet, Student (for class codes 1868, 1150, 1151)
Acrobat Document Icon Timesheet, State Employee [Attendance Summary] (STD640)

V
Acrobat Document Icon Vacation Carryover Form
Acrobat Document Icon Vision Enrollment Form, Retirees
Acrobat Document Icon Volunteer Employee Form
Acrobat Document Icon Volunteer Employee Instructions
Acrobat Document Icon VSP Out-of-Network Reimbursement Form
Acrobat Document Icon VSP Video Display Terminal Form