Leave Forms and Reports
- Online Leave System
- Request for Leave Without Pay Form (UH Form 62)
- Application for Family Leave Form (UH Form 46)
- Leave Sharing Form (UH Form 68)
Employment/Hiring Forms
Required information to bring with you before filling out personnel paperwork
- Social Security card and Driver’s License or Passport
- For foreign hires, Passport, I-20, Employment Authorization Card
- Names, addresses, relationships, social security and phone numbers of beneficiaries
- TB clearance (For employees and volunteers coming from outside a school or post-secondary school setting in Hawaiʻi, the certificate must be issued within twelve (12) months prior to the start of employment or volunteer service totaling more than fifteen (15) days, not necessarily consecutive, within any calendar year.)
- C.V. or Resume
Applicant will be required to have a savings or checking account for direct payroll deposit
CTAHR Personnel Checklist
- I-9, Employee Eligibility Verification (fill in Section one only and sign, attach necessary documents) Must provide a local address, no P.O. boxes.
- HW-4 Employee’s Withholding Allowance & Status Certificate – State of Hawaiʻi. Must provide a local address, no P.O. boxes.
- W-4, Employee’s Withholding Allowance Certificate – U.S. Treasury. Must provide a local address, no P.O. boxes. (The W-4 forms for non-resident aliens (students) should be marked single” for marital status regardless of their actual marital status and claim “1” on the number of allowances. Non-aliens cannot claim “exempt” withholding status.)
- Employment Self-Identification
- D-60 Salary Assignment/Cancellation Form (for direct deposit of salary, PLEASE TYPE and must be signed in blue ink on all three signature areas.)
- D-90, Employee’s Designation of Beneficiary – State of Hawai‘i (For unpaid wages) DRAFT COPY – Just fill in the information. DO NOT SIGN. DO NOT GET NOTARIZED.
- EC-1, EUTF Enrollment Form (see website http://eutf.hawaii.gov/ for plans and rates)
- Group Life Insurance Beneficiary Designation Form
- ERS-1, ERS Membership Enrollment Form (if applicable)
- Certification of State of Hawaiʻi Employee’s Retirement System (ERS) Membership
- Contributory/Hybrid Plan Designation of Beneficiary (DRAFT COPY – To be printed on goldenrod paper – DO NOT SIGN. DO NOT GET NOTARIZED.
- Invitation to Identify Disability or Veterans Status (if applicable)
- Official Notice to Faculty, Staff and Students re: Substance Abuse
- Invention Disclosure & Assignment Agreement (for faculty)
- Invention Disclosure & Assignment Agreement (for APTs, graduate assistants, casual hires, non-comp appt)
- Vacation Addendum for Extra-Curricular Fund Appointees (if applicable)
- UH Form 12, Employee’s Claim for Prior Creditable Service (if applicable)
- UH Form 20, Hiring of Relatives (if applicable)
- UH Form 88, Disclosure of the Employment of Relatives (if applicable)
- Employment Not Covered by Social Security (Form SSA-1945)
- UH Form 92 General Non-Confidentiality Notice
Other Personnel Forms
- Changes or corrections of key personal data of employee
- Faculty/Staff Identification Application
- UH Overload Request Form
- Report of Work-Related Injury/Illness
- Parent/Teacher Conference Request Form (for BOR employees)
- Parent/Teacher Conference Request Form (for Civil Service employees)
- Accidental Injury or Illness Form (UH Form 29)
- Premium Conversion Plan Election Change Form
Casual Hire/Overload Documents
- Social Security card and Driver’s License or Passport
- For foreign hires, Passport, I-20, Employment Authorization Card
- Names, addresses and social security numbers of beneficiaries
- TB clearance
- I-9, Employee Eligibility Verification (fill in Section 1 only and sign, attach necessary documents)
- HW-4 Employee’s Withholding Allowance & Status Certificate – State of Hawaiʻi
- W-4, Employee’s Withholding Allowance Certificate – U.S. Treasury (The W-4 forms for non-resident aliens (students) should be marked “single” for marital status regardless of their actual marital status and claim “1” on the number of allowances. Non-aliens cannot claim “exempt” withholding status.)
- D-60 Salary Assignment/Cancellation Form (for direct deposit of salary, PLEASE TYPE and must be signed in blue ink on all three signature areas.)
- UH Overload Request Form
- D-90, Employee’s Designation of Beneficiary –State of Hawai‘i (For unpaid wages) DRAFT COPY – Just fill in the information. DO NOT SIGN. DO NOT GET NOTARIZED.
- Official Notice to Faculty, Staff and Students re: Substance Abuse
- Invention Disclosure & Assignment Agreement (for APTs, graduate assistants, casual hires, non-comp appt.)
- Employment Not Covered by Social Security (Form SSA-1945)
- Employment Self-Identification
