Forms · CSUDH Foundation

Name	Description	Revised
2021 Payroll Calendar	2021 Payroll Calendar – Hourly and Salaried employee payroll and holiday schedule.	12/04/2020
AOA Annual Notices CSU Dominguez Hills Foundation 2019	Important notice from CSU Dominguez Hills Foundation about your prescription drug coverage and medicare.	02/26/2019
Authorization To Use Private Vehicle for Foundation Business	Plan to use a non-Foundation owned vehicle, such as our own, for business? You must fill out the form provided.	10/13/2017
California Required Notices	California required notices.	02/20/2019
Change or Update Employee Information	Update your information such as address, last name, or other contact information using this form.	10/03/2018
Defensive Driving Program Instructions	Managers and employees defensive driving procedure	09/29/2021
Employee Information	Employee information regarding workers compensation should one need to utilize it.	08/31/2018
Employee Report of Accident, Illness or Incident	If you have an accident, experience illness, or have an incident as an employee, you are required to fill out this form.	08/31/2018
Employee Separation Checklist	A checklist for what to do during separation of an employee from the Foundation.	10/13/2017
ID Card Request	Request an ID card from the campus.	10/13/2017
Meal Break Waiver	You would use this form if an employee is not able to take regular meal breaks due to the nature of their work.	08/31/2018
New Hire Packet	This packet should be distributed to all new employees.	08/31/2018
Notice to Employees	Workers compensation notice to all employees.	10/13/2017
Notices and Pamphlets for New Hires	A list of notices and pamphlets which should be distributed to new hires.	10/13/2017
Performance Evaluation - Employee Self	Use this as a template for filling in your own self evaluation.	08/31/2018
Predesignation of a Personal Physician	If you would like to choose to utilize your own doctor in the event of workplace injury or sickness, you should fill out this form.	10/13/2017
Workers Compensation Claim Form	Fill out this form if you are making a workers compensation claim.	10/13/2017

Name	Description	Revised
Employee Confidential Data	When an employee is hired, this form should be filled out. Also included in the New Hire Documents packets, listed in this same area.	08/31/2018
EVerify Notice - English		10/13/2017
EVerify Notice - Spanish		10/13/2017
New Hire or Rehire Documents for CSU Staff, Faculty and MPP	Documents to fill out if you are being hired at the Foundation, and are currently an employee of the CSU	02/25/2020
New Hires - I9 Instructions	Instructions on the I9 for new hires	10/13/2017
New Hires Required Hiring Forms	These documents are required to be filled out by any new hires	02/21/2020
Right to Work - English		10/13/2017
Right to Work - Spanish		10/13/2017

Name	Description	Revised
Disciplinary Action Form	Form to utilize for disciplinary action.	08/31/2018
Guidelines for Rest and Meal Breaks	Follow these simple guidelines for rest and meal breaks	10/13/2017
Performance Evaluation Form	Use this form to execute performance evaluations.	08/31/2018
SMART Goals	Use this as guidelines for performance evaluations	11/19/2019

Name	Description	Revised
Fringe Benefit Rates FY 21-22		06/03/2021
Hiring Student and Part Time Employees Through the Foundation	A how to guide for hiring Students and Part-Time employees through the Foundation	09/13/2018
Job Requisition Form		08/31/2018
Personnel Transaction Request	Fill this form out when you are applying to hire a new employee.	01/10/2020
Position-Description-Form	A template to fill out to assist in building or describing a position for a hire.	10/23/2018
Sensitive Position Determination Form	Fill this form out when hiring a new employee. This will determine if their position should be defined as sensitive.	09/13/2018
Separation/Leave Form	Use this form whenever an employee is separating or taking leave.	08/31/2018
Volunteer Application	An application form/waiver for volunteers. All volunteers must fill out this application in order to work with the Foundation. Volunteers MUST complete the Foundation’s Self-Certification of COVID-19 Vaccination Status Form and COVID-19 Acknowledgement form.	10/06/2021

Name	Description	Revised
10.7.2021-Purchase-Order-w-Justification-002	Attach this form to Purchase Order Form for procurement of items that are deemed theft sensitive or have a value at or above $5,000.	10/15/2021
Account-Application	Use this form to create a new account with the Foundation	03/05/2021
Billing and Invoice Request	For Invoicing Stateside (CSUDH University) or Outside Entity Accounts	10/12/2018
Catering Exception Request Form	Use this form to request an exception to purchase food or beverages not directly related to off-campus entertainment and for any event or program that takes place on campus and does not use Foundation Dining Services for catering.	09/23/2021
Community Relations Approval	Use this form to gain approval for community relations reimbursements	08/31/2018
Contracted-Services-Standard-Agreement	Contractor, As opposed to an Independent Contractor, a company of Consultants or group of individuals providing a service are considered Contractors. A company providing services requires an agreement, but they are not required to fill out the Independent Contractor forms. Consultants whether a company or an individual give professional or technical advice, such as lawyers, accountants, or engineers. All Consultants need a Standard Contractor agreement or Independent Contractor agreement.	10/11/2021
Corporate-Credit-Card-Reconciliation	Use this spreadsheet to reconcile your monthly credit card statement	05/08/2020
Daily Mileage Log	If you are using your personal vehicle for CSUDH or Foundation use, please fill out this form to gain mileage reimbursement	03/18/2019
Deposit Memo	Utilize this form when making deposits with the Foundation	08/31/2018
Direct Deposit and DirectPay Signup	Sign up for Direct Deposit and Direct Pay using this form.	08/30/2018
Fund Transfer Request	To make transfers to and from Foundation Accounts	02/06/2019
Gift Cards/Gift Certificates	Governed by the Hospitality Policy Forms: Gift Card/Gift Certificate Purchase Request Form. Gift Card Tracking Log.	03/22/2021
Guidelines for Classifying Independent Contractors	A list of guidelines for classifying independent contractors	05/24/2018
Hospitality Authorization Forms	For Food, Beverage, Catering, Events, Tangible Gifts and Incentives (For Gift Cards/Gift Certificates, use the Gift Card/Gift Certificate Purchase Request Form).	03/22/2021
Independent Contractor Process Approval Form	If you are paying an independent contractor, you must fill out this form to certify them as such.	08/31/2018
Independent-Contract-Packet	A packet for independent contractors to fill out	04/24/2020
Independent-Contractor-Standard-Agreement	Departments and Programs must seek approval from Foundation HR before entering into this agreement. Independent Contractor Agreements are to be used for those individuals defined as non-employees that provide contractual services to Foundation. Customize this Word document for your engagement, filling in the highlighted areas, remove the highlights and turn it into a PDF. Please note that the Independent Contractor should supply the “Scope of Work” and “Fee Schedule” that is agreeable to the department. The SOW/Fee schedule will be Exhibit A and will be attached to the “Standard Agreement.”	10/11/2021
Insurance Requirements for Most Contracts	A list of insurance requirements for most contracts with external vendors	05/24/2018
International Travel Request	If you are travelling internationally, fill this form out prior to travel to receive authorization or to receive an advance	08/31/2018
Lost-Receipt-Form-2020	If you lost a receipt, and need to either be reimbursed or have your credit card reconciliation completed, use this form	10/15/2021
OneSolution User Account Setup	If you, or a member of your team, needs access to a OneSolution account, or you need to remove access to an account, please fill out this form.	08/31/2018
Payment-Check-Request	Use this form to request payment to a vendor or for requests for reimbursement	04/16/2021
Performance-Artist-Speaker-Standard-Agreement	Performance Artists/Speakers are Individuals or groups who use their creative and artistic abilities in exchange for a fee. Examples of services include speakers, musical and theatrical performances. If you are contracting with one individual performance artist, this individual is an Independent Contractor. If you are contracting with a company that represents several artists they are a Contractor. All Performance Artists/Speakers need a standard contractor agreement or Independent Contractor Agreement.	10/11/2021
Preferred-Vendor-Standard-Agreement	Vendor is a person or company that sells products, usually similar to different customers. Vendors are required to have a vendor agreement if they supply services or goods on a regular basis. The purpose of the agreement is to document terms of deliverables, payment, etc. during the exchange of goods and services and the consequences if those expectations are not met. This will enable Foundation to mitigate risk by negotiating vendor contracts at the start of any business/partnerships.	10/11/2021
Purchase Justification Form	Before making a purchase, fill this form out and submit it to the Foundation	12/11/2019
Purchase Order	Fill out this form when you need to execute a purchase order	10/15/2021
Renewal/Revision of Existing Account	Use this form to make changes to your existing Foundation accounts. Download and complete in order to sign digitally.	07/08/2020
Request for Exception from Catering Policy	Catering on campus MUST be through Dining Services, if you wish to request to use an outside catering service, fill out this form.	11/27/2018
Return Process Form	How to make returns from a purchase	10/15/2018
Stipend Certification and Payment Request	Fill out this form to request a stipend.	03/20/2019
Student Support Notification Form		11/27/2018
Student Travel Waiver - Spanish	Student Travel Waiver Form (Spanish) – Students that are travelling with the Foundation (non-ASI travel) should fill out this waiver form prior to travel	12/04/2019
Student-Travel-Waiver	Students that are travelling with the Foundation (non-ASI travel) should fill out this waiver form prior to travel	04/24/2020
Travel-Authorization-and-Advance	If you are travelling, fill this form out prior to travel to receive authorization to travel or to receive an advance	04/23/2020
Travel-Expense-Advance-Reconciliation	After travelling, use this form to request a reimbursement or to reconcile your travel expenses	04/21/2020
Vendor-Data-Record-2020	Each vendor must fill out this form so that the Foundation has their information on file	04/30/2020

Name	Description	Revised
2020-W-4	2020 W-4 Form	01/21/2020
Attendance Report for Exempt Employees	Use this form to manually account for exempt employees time and attendance.	08/31/2018
Direct Deposit and DirectPay Signup	Sign up for Direct Deposit and Direct Pay using this form.	08/30/2018
Employee Gift & Award Reporting Form	Use this form to report any cash value or non-cash gifts and awards >$100 conferred to Foundation employees for payroll tax reporting purposes.	09/29/2020
LSU 2020 Payroll Schedule	Loker Student Union payroll schedule – For LSU employees only.	12/02/2019
Modified Work Schedule	Use this form to seek approval to temporarily modify your work schedule during the campus repopulation period. The use of Modified schedules will end 12/31/2021.	06/30/2021
Overtime Request	Use this form to pre-authorize overtime requests.	01/22/2018
Payroll Cost Transfer Form		01/22/2018
Payroll Deduction for Parking Permit	If you wish to have your employee parking permit fees subtracted from your paycheck, you would use this form.	08/30/2018
Payroll Timesheet	Paper based timesheet to use if you missed entering your time electronically.	01/22/2018
Prior Period Absence Report for Exempt Employees	If you already submitted a time card, but missed a day of work, use this form to notify your employer.	08/30/2018
Request For Duplicate W2	Request a duplicate W2	08/30/2018
Salary Reduction Agreement	Employees signing up for a TIAA CREF retirement account need to fill out this form to allow funds to be automatically subtracted from each paycheck.	08/30/2018
Student Acknowledgement of FICA Tax Exemption		08/30/2018

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