Human Resources

Forms

The following is a list of the most frequently-used forms in Human Resources, listed by category. If you need assistance, feel free to contact us.

 

Employment File Format
New Hire Forms (for Staff) PDF
New Hire Forms (for Faculty) PDF
Employment Eligibility Verification Form (Form I-9) PDF
Background Screening Request Form PDF

Hohenstein Programs PAR

PDF
Introductory Assessment Form PDF
Job Posting Request  (Requisition to post a vacant position) PDF 
New FTE/Position Request  (Add a New Position/FTE to a Department) PDF
Position Description Questionnaire (PDQ) PDF 
Position Description Questionnaire Instructions PDF
Service/Maintenance/Skilled Crafts PDQ WORD 
Restricted/Transfer Request  (Hire for a restricted or non-posted position) PDF
Staff Change Request  (Change an existing position/employee job record) PDF
Temporary Hire Request Form  (Hire or extend temporary staff) PDF

  

Benefits File Format
Blue Cross Patient Claim Form PDF
Family Leave (FMLA/CFRA) Application PDF
Family Leave (FMLA/CFRA) Doctor's Certification Form PDF
PayFlex FSA Claim Form PDF
VSP Vision Plan Out of Network Reimbursement Form PDF
State Disability Claim Instructions LINK
State Disability Claim Form LINK
Tuition Remission LINK
Waiver of Group Medical Coverage PDF
Wellness PPAC Calendar WORD

 

Staff Career and Spiritual Development Leave File Format
Application for Career and Spiritual Development Leave WORD
Summary Report Form for Career and Spiritual Development Leave WORD

 

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

 

Performance Assessment File Format
Annual Employee Assessment Form PDF
Annual Career Development Review Form WORD
Notes on Performance Assessment Interview PDF
Supplemental Evaluation Form WORD

 

Other File Format
Consultant Services Agreement WORD
PeopleSoft Human Resources Access Application PDF

Contact Information

Main Office

Phone: (310) 506-4397
Fax: (310) 506-4839
E-mail: humanresources@pepperdine.edu

Office Location:
Thornton Administration Center, Suite 120

Mailing Address:
24255 Pacific Coast Highway
Malibu, CA 90263-4397
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