Department of Human Resources Forms and Office Locations – Government Agency in California

1 - 20 of 55 forms

Form Title	Topics
Account Enrollment Form - CalHR 682
Affidavit for Domestic Partners Being Claimed as Economic Dependents - CalHR 680
Affidavit of Parent-Child Relationship - CalHR 025
Affordable Care Act (ACA) Notification Checklist - CalHR 782
Annual Leave - Sick Leave/Vacation - Election Form CalHR 875
Arduous Work Pay Request Form - CalHR 777
Automated Dental Plan Enrollment Authorization - STD 692 (redirect to Benefits Calculator)
Bicycle Commuter Program Quarterly Self-Certification - CalHR 873
Cash Option Enrollment Authorization - STD 701C
CEA Position Request - CalHR 881
CEA Return Rights Worksheet - CalHR 769
COBRA Calendar
COBRA Election Form - CalHR 689
COBRA Election Form - CalHR 767
Confidential Designation Request Form - CalHR 124
Consolidated Benefits Cash Enrollment Election Form - STD 702
Criminal Record Supplemental Questionnaire
Dental Plan Direct Payment Authorization - STD 696
Dependent Eligibility Checklist - CalHR 781
Dependent Re-Verification (DRV) Appeals Intake Form - CalHR 277

Department of Human Resources