Appointment Paperwork – Transfer Employee (New to CDCR)
Complete all applicable documents.
Questions will be addressed during On-Boarding with a Personnel Staff Member.
Benefit Forms
- CalPERS Beneficiary Designation (PERS-BSD-241)
- Benefits Paperwork – No Paperwork Required. Benefits will remain with employee upon transfer. If changes are required, due to life changing events (Permitting Events), contact the Benefit Staff for further assistance
Personnel Forms
- A Guide to the CalPERS Special Power of Attorney (PUB 30)
- CalPERS Justification for Absence of Spouse or Registered Domestic Partner’s Signature
- Designation of Person(s) Authorized to Receive Warrants (STD. 243)
- Election Of Optional Membership – State Appointee – CalPERS 0842 – CalPERS optional membership form (if applicable)
- Military Service Declaration (STD. 912)
- New California State Employee’s Guide to Workers’ Compensation 13546
Forms provided by Personnel Liaison
- 2020 Annual TB Detailed Instructions (Intranet)
- 2020 Tuberculosis Testing / Evaluation Page (Intranet)
- California Department of Corrections and Rehabilitation Secretary’s Welcome Letter (2019)
- CDCR 3056 – Request for Live Scan Service (Intranet)
- CDCR 7354 – TB Infectious Free Staff Certification
- CDCR 894-A – Personnel Identification Card Information (Intranet)
- CDCR Family Rights Act, Family and Medical Leave Act, and Pregnancy Disability Leave Notification
- Computing Technology Use Agreement (CDC 1857)
- Emergency Notification Information (CDCR 894)
- Employee Action Request (STD. 686)
- Employee Tuberculin Skin Test and Evaluation (CDCR 7336)
- Live Scan Fingerprint Intake Form
- Pre-Tax Parking Payroll Authorization (CDCR 1164) HQ Only
- Zero Tolerance Regarding the “Code of Silence” Memorandum
Revision 09/2021