Employee Resources

• Employee Separation Form
• Change of Address Form
• Performance Evaluation Form 
• Transaction Form (Full-Time, Benefited Positions Only)
• Foundation Fringe Benefit Rate Sheet (effective 7/1/2024)

Driving on Auxiliary Business

• Criteria for Driving on Auxiliary Business
• Private Vehicle Use Authorization Form

Employee Handbooks

• Agricultural Foundation
• Associated Students, Inc.
• Association
• Athletic Corporation
• Foundation
• Programs for Children

Information Sheets for Students/Part-Time Employees

• Agricultural Foundation 
• Associated Students, Inc. 
• Association 
• Athletic Corporation 
• Foundation 
• Programs for Children 

Notice of Pay Rate (AB469) for Students/Part-Time Employees

• Agricultural Foundation 
• Associated Students, Inc. 
• Association 
• Athletic Corporation 
• Foundation 
• Programs for Children 

Meal Waiver Forms

• Association Meal Waiver
• Foundation Meal Waiver

New Hire Packets for Students/Part-Time Employees 

• Agricultural Foundation (Effective 1/1/2024)
• Associated Students, Inc. (Effective 1/1/2024)
• Association (Effective 1/1/2024)
• Athletic Corporation (Effective 1/1/2024)
• Foundation (Fillable PDF - Effective 7/1/2024)
  • Drugfree Workplace Policy
  • Injury and Illness Prevention Program
  • Workplace Violence Prevention Program (coming soon)
• Programs for Children (Effective 1/1/2024)

Payroll Forms

• 2024 Foundation Hourly Time and Effort Report
• 2025 Foundation Hourly Time and Effort Report
• Foundation Flat Rate Justification Form
• 2024 Athletic Corporation Hourly Time and Effort Report
• 2025 Athletic Corporation Hourly Time and Effort Report
• Athletics Flat Rate Justification Form
• 2024 Ag Foundation Hourly Time and Effort Report
• 2025 Ag Foundation Hourly Time and Effort Report
• 2024 Hourly/Student Payroll Schedule
• 2025 Hourly/Student Payroll Schedule
• 2024 Salary Payroll Schedule
• 2025 Salary Payroll Schedule
• Monthly Attendance Report (Fillable, For Benefited Employees Only)
• Request for Duplicate W-2 Form (Fillable)
• 2024 Foundation Federal W-4
• 2024 Association Federal W-4
• Foundation DE-4 State Tax Form
• Association DE-4 State Tax Form
• Direct Deposit Form

Recruitment

• Job Requisition Form

Required Notices

• California Child Abuse and Neglect Reporting Act (CANRA)
  • http://www.fresnostate.edu/adminserv/hr/compliance/childreport.html
• DFEH 185 - Sexual Harassment
• DE 1857A - Notice to Employees, State of California Leaves
• DE 2511 - Paid Family Leave
• DE 2515 - Disability Insurance
• EEOC - Know Your Rights
• Jeanne Clery Disclosure of Campus Security and Campus Crime Statistics Act (The Clery Act)
• Labor Commissioner's Office Victims of Domestic Violence, Sexual Assault, and Stalking Notice
• State of California Civil Rights Department Fact Sheets
• Workers Compensation Physician Pre-Designation Form (Foundation)
• Workers Compensation Physician Pre-Designation Form (Association)
• Employee Assistance Program

Technology Purchase Program (Association only)

• Technology Purchase Payroll Deduction Program
• Payroll Deduction Agreement Form

Workers' Compensation Packets

• Ag Foundation
• Association
• Associated Students, Inc.
• Foundation
• Programs for Children

 

Benefit Forms

Association and Athletic Corporation

Association Benefit Premium Sheets

• 2024 Association Benefit Premium Sheet (effective 1/1/2024)
• 2025 Association Benefit Premium Sheet (effective 1/1/2025)

Athletic Corporation Benefit Premium Sheets

• 2024 Athletic Corporation Medical Benefit Premium Sheet (effective 1/1/2024)
• 2025 Athletic Corporation Medical Benefit Premium Sheet (effective 1/1/2025)
• 2024/25 Athletic Corporation Dental and Vision Premium Sheet (effective 7/1/2024)

Medical

• Anthem Blue Cross HMO Select Benefit Summary
• Anthem Blue Cross HMO Traditional Benefit Summary
• Blue Shield Access+ HMO Benefit Summary 
• Kaiser Benefit Summary
• UnitedHealthcare HMO Benefit Summary
• PERS-Platinum Benefit Summary
• PERS-Gold Benefit Summary
• CalPERS Health Enrollment Form

Medical - Open Enrollment (Effective 1/1/2025)

• Anthem Blue Cross HMO Select Benefit Summary
• Anthem Blue Cross HMO Traditional Benefit Summary
• Blue Shield Access+ HMO Benefit Summary 
• Kaiser Benefit Summary
• UnitedHealthcare HMO Benefit Summary
• PERS-Platinum Benefit Summary 
• PERS-Gold Benefit Summary
• CalPERS Health Enrollment Form

Retirement

• CalPERS Beneficiary Designation Form

Dental

• Premier Access Benefit Summary
• Premier Access Enrollment/Change Form

Vision

• VSP Vision Benefit Summary
• VSP Vision Enrollment/Change Form
• Athletic Corporation VSP Vision Benefit Summary

Life Insurance

• SunLife Benefit Summary (Non-Exempt employees)
• SunLife Benefit Summary (Exempt employees)
• SunLife Insurance Basic/Supp. Enrollment/Beneficiary Form

Flex Cash

• Association Flex Cash Enrollment Form
• Athletic Corporation Flex Cash Enrollment Form

Foundation, Agricultural Foundation, Associated Students Inc. and Programs For Children

Benefit Premium Sheets

• Foundation Benefit Premium Sheet - Option A 100% Employer Contribution (effective 7/1/2024)
• Foundation Benefit Premium Sheet - Option B Employee Only + 50/50 Dependent Cost Share (effective 7/1/2024)
• Foundation Benefit Premium Sheet - Option C Employee Only Contribution (effective 7/1/2024)
• Agricultural Foundation Benefit Premium Sheet (effective 7/1/2024)
• Programs for Children Benefit Premium Sheet (effective 7/1/2024)
• Associated Students, Inc. Benefit Premium Sheet (effective 7/1/2024)

401k (Foundation Only)

• 401k Empower Enrollment/Change/Beneficiary Form

Medical-Blue Shield

• Blue Shield PPO Benefit Summary
• Blue Shield HMO Benefit Summary
• Blue Shield Enrollment Form
• Blue Shield Change Form

Medical-Kaiser

• Kaiser Permanente Benefit Summary
• Kaiser Permanente Enrollment/Change Form

Dental

• Premier Access Benefit Summary 
• Premier Access Enrollment/Change Form

Vision

• VSP Benefit Summary
• VSP Vision Enrollment/Change Form

Life Insurance

• SunLife Benefit Summary (Non-Exempt employees)
• SunLife Benefit Summary (Exempt employees)
• SunLife Insurance Basic/Supp. Enrollment/Beneficiary Form

Flex Cash

• Foundation Flex Cash Enrollment 
• Agricultural Foundation Flex Cash Enrollment
• Programs for Children Flex Cash Enrollment 
• Associated Students, Inc. Flex Cash Enrollment