Forms

FORM DESCRIPTION DEPARTMENT UPDATED
Application for Library Electronic Key Card Access (.doc) Request Library electronic (key card) access with UCB Cal ID Card activation Library Human Resources Friday, January 17, 2020 - 12:34pm
Berkeley STAR Nomination Forms Berkeley nomination forms for Achievement or Spot awards Library Human Resources Monday, November 14, 2016 - 1:30pm
Biography Form 1501 (.doc) Biography for Academic Personnel U1501 (R7/92) Library Human Resources Wednesday, November 7, 2018 - 8:54am
BluCard Charge Log Form (.xls) Log for documenting multiple bluCard transactions Library Business Services Monday, November 14, 2016 - 1:30pm
BluCard Form (.xls) Form to document approval and amount of bluCard transaction Library Business Services Monday, November 14, 2016 - 1:30pm
Campus Job Description Templates Non-academic staff job description templates provided by campus HR. Required to request a library staff (non-academic) position. Library Human Resources Monday, November 14, 2016 - 1:30pm
Campus Vehicle Rental Program Car Rental Program for UCB Staff Library Business Services Monday, November 14, 2016 - 1:30pm
Certificate of Lost/Missing Receipt Complete this form if a required receipt is lost or unavailable to certify actual expenses. Library Business Services Monday, April 17, 2017 - 4:47pm
Certification Statement - Librarian Series (.docx) Certification statement for librarian review cycle dossiers Library Human Resources Monday, November 14, 2016 - 1:30pm
Change in Staff Reporting and Employee Appointments (.doc)   Library Human Resources Wednesday, November 3, 2021 - 10:10am
Check Request Form (.doc) Request payment for a non-travel/training/development/entertainment expense Library Business Services Monday, November 14, 2016 - 1:30pm
Checklist for bluCard transactions   Library Business Services Monday, November 14, 2016 - 1:30pm
Clerical Unit Represented Employee Probationary Review Form Clerical Unit Review Form Library Human Resources Wednesday, January 8, 2020 - 10:59am
Computer Workstation Assessment Form (.pdf) UCB ergonomic assessment for employee workstations Facilities Monday, November 14, 2016 - 3:04pm
Conference Call Reservation Form (ReadyTalk) (.doc) Submit form to reserve ReadyTalk/web conference call Library Business Services Monday, November 14, 2016 - 1:30pm
Conflict of Interest Certification Required form for potential vendors Library Business Services Monday, May 20, 2019 - 1:11pm
CSS Domestic Travel Reimbursement Claim Form Use this form to log recurrent local travel. Library Business Services Wednesday, July 11, 2018 - 6:44pm
Document Checklist - Berkeley Campus (.doc) Document checklist for librarian review cycle dossier Library Human Resources Monday, November 14, 2016 - 1:30pm
Driver's License Verification Form Complete and upload to Travel Pre-Approval Request when planning to drive on University business Library Business Services Monday, February 13, 2017 - 4:20pm
Entertainment Check Request Form (.xlsx) Request payment for an entertainment expense Library Business Services Thursday, October 25, 2018 - 10:08am
Entertainment Pre-Approval Request Form (.doc) Request pre-approval for an entertainment activity Library Business Services Monday, November 14, 2016 - 1:30pm
Family Leave: Exempt Employee Workweek Agreement (.pdf) Exempt employee workweek agreement for FML leaves taken on a reduced schedule or intermittent basis Library Human Resources Monday, November 14, 2016 - 1:30pm
Foreign Freight Request Form (.doc) Customs Brokerage & International Freight Forwarding Services Library Business Services Monday, November 14, 2016 - 1:30pm
Four Elements Chart Form   Library Business Services Monday, November 14, 2016 - 1:30pm
Safety and Security Incident/Accident/Complaint Report Form Report an incident or accident in the library Security Wednesday, June 5, 2024 - 3:00pm
Intercampus Support Form For financial transactions between campuses Library Business Services Monday, November 14, 2016 - 1:30pm
Interdepartmental Order Form For financial transactions between campus departments Library Business Services Monday, November 14, 2016 - 1:30pm
Job Summary Form (.docx) Job summary form required to request to list a library staff position. Library Human Resources Monday, November 14, 2016 - 1:30pm
Key, Code, and Cal1 Card Access Request Form Required form to submit requests to provide or take back metal keys and electronic access to Doe, Moffitt, and Bancroft. Must be submitted by the employee's supervisor. Facilities Friday, October 25, 2024 - 8:40am
Leave of Absence Request Form   Library Human Resources Wednesday, July 15, 2020 - 10:47am
Librarian Review Self-Evaluation Form (.doc) Self-evaluation form for librarian review cycle dossiers Library Human Resources Monday, November 14, 2016 - 1:30pm
Library CNS Service Form (.pdf)   Library Business Services Monday, November 14, 2016 - 1:30pm
Library Fine Art Exhibit Form (.doc) Complete form for domestic art exhibit and submit to Purchasing Library Business Services Monday, November 14, 2016 - 1:30pm
Library Researcher Review Checksheet (.docx)     Wednesday, December 16, 2020 - 9:48am
Merit Increase Review for Librarian Series (.docx) Librarian review cycle merit review form Library Human Resources Monday, November 14, 2016 - 1:30pm
Performance Appraisal Form #1 for Represented Employees (.doc) Performance evaluation form appropriate for all represented employees, except Teamsters/CUE-represented employees Library Human Resources Monday, November 14, 2016 - 1:30pm
Performance Appraisal Form #2 for Represented Employees (.doc) Performance evaluation form appropriate for all represented employees, including Teamsters/CUE-represented employees Library Human Resources Monday, November 14, 2016 - 1:30pm
Personnel Action Form (.pdf) Enact employee data and funding changes using this form. Library Human Resources Monday, November 4, 2019 - 9:42am
Petty Cash Request Form (.doc) Request petty cash reimbursement Library Business Services Monday, November 14, 2016 - 1:30pm
Physical, Environmental, and Mental Demands (PEM) Form Non-academic staff job description templates provided by campus HR. Required to request a staff (non-academic) recruitment Library Human Resources Monday, November 14, 2016 - 1:30pm
PPSM Probationary Review Form PPSM Probationary Review Form Library Human Resources Wednesday, January 8, 2020 - 11:05am
Pre-Hire Worksheet Complete prior to hiring independent contractors Library Business Services Monday, February 6, 2017 - 4:01pm
Promotion Review for Librarian Series (.docx) Librarian review cycle promotion review form Library Human Resources Monday, November 14, 2016 - 1:30pm
Recurrent Local Travel Log Tool for documenting local trips for monthly expense reporting. Library Business Services Friday, February 15, 2019 - 10:49am
Represented Employee Review Form (Not CUE) Represented Employee Review Form (Not CUE)   Wednesday, January 8, 2020 - 11:07am
Request for Retirement Initiation Packet (.pdf) Request a retirement initiation packet (includes your personal retirement profile) Library Human Resources Monday, November 14, 2016 - 1:30pm
Request for Service/Warranty Repair Steel Case Warranty Claim Form Design Monday, November 14, 2016 - 1:30pm
Request For Service/Warranty Repair (.docx) Form to request minor furniture adjustments or repairs. Design Monday, February 11, 2019 - 10:24am
Request for Time Off (.doc) Request for time off (adjusted schedule) to attend college, university, or adult education classes Library Human Resources Monday, November 14, 2016 - 1:30pm
Request to Recruit (RTR) Form Required to request a Library job recruitment or waiver. Please make a copy of the form. Library Human Resources Friday, February 11, 2022 - 1:10pm
Security Orientation Form Security orientation and responsibility attestation form required for all Library employees. Must be submitted before keys and/or electronic access is granted to Library spaces Facilities and Security Friday,
October 25, 2024 - 8:45am
Single Source/Sole Source/No-Substitute Justification Form (.pdf) Required if competitive bidding is unavailable Library Business Services Monday, November 14, 2016 - 1:30pm
Steelcase Warranty Claim Form (.doc) Request for service/warranty repair Library Business Services Monday, November 14, 2016 - 1:30pm
Student Application (.pdf) Application for applying for a student job Library Human Resources Friday, March 13, 2020 - 10:21am
Student Employee Separation Form Submit a student separation notification/request to LHRD Library Human Resources Friday, September 6, 2024 - 12:09pm
Student Job Requisition Request to post a student job in the Library. Requires staff log in. Library Human Resources Monday, November 14, 2016 - 1:30pm
Systems New Hire Checklist (.docx) Request a computer workstation setup for new employees. Library Human Resources Monday, November 14, 2016 - 1:30pm
Telecommuting Agreement Model telecommuting agreement provided by campus HR. Webpage also contains links to the policy and guidelines. Library Human Resources Monday, November 14, 2016 - 1:30pm
Travel Pre-approval Request Request funding approval prior to taking a business trip or participating in a professional development activity. Click the "Make a copy" button. Library Business Services Wednesday, June 5, 2024 - 3:00pm
Upay 850 Health Insurance Change Form (.pdf) Upay 850 Health Insurance Change Form to enroll, change or cancel Library Human Resources Monday, November 14, 2016 - 1:30pm