Chico State Enterprises

Forms Library

Enabling Adobe Reader

To open and download PDF documents, we recommend using the Chrome browser with the Adobe Reader plug-in enabled. For detailed instructions, please review the Knowledge Base article, Opening PDFs from Box(opens in new window).

As you type, only rows with matching text will be shown in the table below. Pressing the escape key will clear the search text.

Forms
TitleDescriptionDepartment

2026 Travel Expense Claim - 1/1/26 or Later(opens in new window)

To report travel expenses January 1, 2026 or later.Accounts Payable

2025 Travel Expense Claim - 01/01/25 - 12/31/25(opens in new window)

To report travel expenses January 1 through December 31, 2025.Accounts Payable

2026 CSR Travel Expense Claim - 01/01/26 or Later(opens in new window)

To report California State Rate (CSR) expenses January 1, 2026 or later.Accounts Payable

2025 CSR Travel Expense Claim - 01/01/25 - 12/31/25(opens in new window)

To report California State Rate (CSR) expenses January 1 through December 31, 2025.Accounts Payable

2026 Mileage Log - 01/01/26 or Later(opens in new window)

To report mileage January 1, 2026 or later.Accounts Payable

2025 Mileage Log - 01/01/25 -12/31/25

To report mileage January 1 through December 31, 2025.Accounts Payable
Authorization to Treat a Minor (PDF)Permits CSE to treat a minor while under the supervision of CSE programs.Human Resources
Check Request (PDF)A fillable form to request payments and reimbursements.Accounts Payable
Check Request 2nd-Page for Additional Detail (PDF)A fillable 2nd-page form to request payments and reimbursements.Accounts Payable
Foreign Travel Request and Questionnaire(opens in new window)Form to request approval for foreign travel at least 45 days in advance.Accounts Payable
Limited Use Student Services Agreement (PDF)Used to request payment for a Chico State student for limited, short-term services when no employment relationship exists and the student is not acting as an employee.Accounts Payable
Non-Student CSE Grant Funded Loan Payment Worksheet(opens in new window)Submit with approved check request for participants in CSE Grant Funded Loan programs who no longer meet the definition of a student. Accounts Payable
Accident Investigation Report (PDF)Form to report an accident in the workplace.Human Resources
Acknowledgment of Mandated Reporter Status (PDF)Document to acknowledge responsibilities as a mandated reporter.Human Resources
Administrative Data Form (PDF)For employees to provide or update their address, phone number, or other contact information.Human Resources
Change in Relationship Notice (PDF)Notifies an employee of a change in the employment relationship.Human Resources
Position Hiring Memo (PDF)To indicate a candidate was hired for a position.Human Resources
Prize/Award Payment Form (PDF)To request award/prize payments in recognition of a charitable, scientific, educational, artistic, literacy, or civic achievement, or prizes from winning a contest, judged competition, or random drawing/raffle. Formerly called "stipend."Accounts Payable
Termination Checklist (PDF)Used by supervisors upon separation or termination of an employee.Human Resources
Campus Program Authorization Form/Enterprise Account Request(opens in new window)To authorize the establishment of a campus program or enterprises (non-grant and contract) project.Finance & Accounting
Procurement Card Request and Update Form (PDF)To request a procurement card or update an existing procurement card.Procurement Services
CDC Conflict of Interest Disclosure Form(opens in new window)To disclose a conflict of interest with the CDC.Sponsored Programs
Vendor Selection/Competitive Bidding Form (for Purchases of $10,000 or More) (PDF)To document the bid process for purchases of $10,000 or more.Procurement Services

DE 4 Form (PDF)

To determine the amount of taxes to be withheld from employee wages to accurately reflect state tax withholding obligations.

Payroll

Deposit Slip (PDF)

Form to include with deposits.

Accounts Receivable

DMV Authorization for Release of Driver Record (PDF)

To authorize DMV to release driver records to CSE.

Human Resources

Donation Payment Form(opens in new window)

Use to request a donation payment.

Accounts Payable

Electronic Fund Transfer Form (Direct Deposit) (PDF)

To begin, add, change, or cancel payroll direct deposits to employee bank accounts.

Payroll

Employee Complaint Form (PDF)

For employees to submit a formal complaint.

Human Resources

Employee Counseling Notes Form(opens in new window)

For supervisors to document employee counseling.

Human Resources

Enterprise Rental Vehicle Request Form (PDF)

To request a rental car.

Procurement Services

FMLA CFRA Certification by Health Care Provider for Employee's Serious Health Condition (PDF)

To request leave due to a serious health condition.

Human Resources

FMLA CFRA Certification by Health Care Provider for Family Member's Serious Health Condition (PDF)

To request leave to care for a family member with a serious health condition.

Human Resources

Foreign National Tax Information Collection Form (PDF)To be completed by potential CSE employees who are not a citizen of the United States.Human Resources
Funding Search Request(opens in new window)To request a funding search by a CSE development specialist.Grant Development
Honorarium Payment Form (PDF)To request an honorarium payment.Accounts Payable
HRSA Conflict of Interest Disclosure Form - New(opens in new window)To disclose conflict of interest with the  Health Resources and Services Administration (HRSA).Sponsored Programs
HRSA Conflict of Interest Disclosure Form - Renewal(opens in new window)To renew disclosure of a conflict of interest with the Health Resources and Services Administration (HRSA).Sponsored Programs
Incident Report Form (PDF)To report an incident in the workplace (also includes non-employees).Human Resources
Invention Disclosure Form(opens in new window)To document and disclose an invention.Sponsored Programs
Invoice Request Form (PDF)To request an invoice for charges.Accounts Receivable
Leave of Absence Request Form (PDF)To request a leave of absence.Human Resources
Leave Sharing Form (Donor) (PDF)To donate leave hours to another employee.Human Resources
Lost Receipt Notification (opens in new window)Complete when reporting a lost receipt for a business-related purchase.Accounts Payable
Meal Break Waiver (PDF)To waive a meal break if working six hours or less.Human Resources
Meal Break Waiver 2nd Meal (PDF)To waive a 2nd meal break if working twelve hours or less.Human Resources
Multiple Travelers Claim(opens in new window)To document the travelers involved in a single travel claim.Accounts Payable
NIH Financial Interest Disclosure Form A(opens in new window)To disclose financial interest with NIH.Sponsored Programs
NIH Financial Interest Disclosure Form B(opens in new window)To be completed if you answered "yes" to any question on NIH Financial Interest Disclosure Form A.Sponsored Programs
Notice of Intent to Submit a Proposal (PDF)To be completed if intending to submit a proposal.Grant Development
NSF Conflict of Interest Disclosure Form(opens in new window)To disclose conflict of interest with the National Science Foundation (NSF).Sponsored Programs
Payee Data Record Form (PDF)Required when the payment is tax reportable by CSE or The UF.Finance & Accounting
Performance Evaluation Form(opens in new window)Form for supervisors to write an employee's performance evaluation.Human Resources
Performance Improvement Plan Form(opens in new window)For supervisors to document a plan for an employee's performance improvement.Human Resources
Permission to Publish Photos(opens in new window)To provide approval to publish photos from CSE-related activities.Human Resources
Personnel Action Form (PAF) (PDF)For supervisors to request a personnel action for an employee.Human Resources
Petty Cash Custodian Form (PDF)Form for low dollar reimbursement using petty cash.Accounts Receivable
PHS Conflict of Interest Disclosure Form(opens in new window)To disclose a conflict of interest with PHS.Sponsored Program
Personal Physician Pre-Designation Form (PDF)To designate a physician to treat a workplace injury/illness.Human Resources
Position Description Template(opens in new window)To describe the essential job duties of a position.Human Resources
Property Inventory Form (PIF) (PDF)Information on purchased items that will be tagged/tracked through Property.Accounts Payable
Purchase Order Request(opens in new window)Request approval to purchase goods or services totaling up to $10,000.Procurement Services
Request for Recruitment (PDF)To request to begin the recruitment process for a position.Human Resources
FE Access Request Form (PDF)To request FE access.Finance & Accounting
Safety Hazard Report (PDF)To report a safety hazard.Human Resources
Sole Source/Sole Brand Justification Form (PDF)To provide justification for using a single vendor for purchases of goods, materials, and services totaling $10,000 or more.Procurement Services
State of California Workers' Compensation Claim Form (DWC 1) (PDF)To file a workers' compensation claim.Human Resources
Stipend Payments for Non-Chico State Students/Non-CSU/CSE Employees(opens in new window)To request a stipend for non-Chico State students/non-CSU/CSE employees.Accounts Payable
Transfer Request Form (PDF)To transfer costs from one project to another project .Finance & Accounting
Travel Approval &/or Advance Request (PDF)To request approval for overnight travel and/or an advance for travel expenses.Accounts Payable
Vehicle Use Certification (PDF)To certify that the CSE vehicle use policy will be adhered to.Human Resources
Volunteer Information Form (PDF)To record volunteer information.Human Resources
Volunteer Time Record (PDF)To log individual volunteer hours in support of projects.Human Resources
W-4 Form (PDF)To withhold federal income tax from pay.Human Resources
W-9 Form (PDF)To obtain tax information for independent contractors.Finance & Accounting
700U Nongovernmental Entities (New/Renewal) (PDF)To disclose the personal financial interests of principal investigators and faculty for research projects sponsored by nongovernmental entities.Sponsored Programs
Waiver of Liability (PDF)To release CSE of liability for specific CSE-related activities.Human Resources
Wireless Device Stipend Authorization Form (PDF)To request a stipend for a wireless device.Human Resources
Request for Quotation (RFQ)(opens in new window) To request a quote from a vendor.Procurement Services
Host Family Pre-Payment Agreement(opens in new window)Pre-payment agreement for host families to provide meals and lodging.Sponsored Programs
Host Family Payment Agreement(opens in new window)Agreement for host families to provide meals and lodging.Sponsored Programs
CSE Employment Application (PDF)Complete and submit to apply for posted job opportunities.Human Resources
Charge Authorization Form (CAF) for Auxiliaries (PDF)CAF for auxiliary accounts.CSU, Chico Financial Services
Record of Discussion (PDF)Use to document verbal discussions with employees.Human Resources
Personnel Action Form (PAF) Page 2 (PDF)PAF second page for additional detail.Human Resources

Employer's Report of Occupational Injury or Illness (Form 5020) (PDF)

Employer's report of occupational injury or illness.Human Resources
California SB 1159 Reporting for COVID-19 (PDF)Employees complete this form on the same day they test positive for COVID-19. This form collects all information required by SB 1159. Human Resources
Leave Sharing Form - Recipient (PDF)Leave sharing form for recipients.Human Resources
Designated Person Request Form for Paid Sick Leave (PSL) (PDF)Form to request paid sick leave (PSL) for diagnosis, care or treatment of an existing health condition of, or preventive care for, a designated person.Human Resources
Personnel Records Request Form (PDF)Form to request personnel records from CSE Human Resources.Human Resources