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Pepperdine | Community

Forms

The following is a list of the most frequently used forms in Human Resources, listed by category. If you need assistance, please contact us at extension 4397.

Employment File Format
Introductory Assessment Form LINK
Living Pepperdine Introductory Assessment Form LINK
New Regular FTE Form (Request to add a new regular staff position to your department) PDF
Employment Action Request Form PDF
   

  * Please contact Human Resources regarding position descriptions and job posting requests.

Benefits File Format
Leave of Absence Intake Form FORM
Doctor's Certification Form for Medical and Family Leaves of Absence PDF
California State Disability Insurance Claims LINK
California State Paid Family Leave Claims LINK
Tuition Remission Form LINK

 

Workers Compensation File Format
Employee's Claim for Worker's Compensation Benefits LINK
Employer's Report of Occupational Injury or Illness LINK
Supervisors Accident/Incident Investigation PDF

 

Other File Format
PeopleSoft Human Resources Access Request LINK
Person of Interest Form LINK
Remote Work Procedures PDF
Remote Work Request LINK
Remote Work Continuation Agreement LINK
Request for Accommodation PDF