Regular Part-Time Employees (less than 75% FTE)

Received by Department → Return to Beth Minka in PD

• ID Request Card
  • Include cover sheet if requesting access to:
    • City Hall
    • Police Department
    • Public Works

Received by Department → Return to HR 

1. PAR (Personnel Action Report) Form
2. Employee Emergency Information Form
3. W-4 Federal Employee’s Withholding Allowance
   • Must be a clean copy; no white out or crossed out info
4. DE-4 State of Calif. Employee’s Withholding Allowance
   • Must be a clean copy; no white out or crossed out info
5. I-9 Form and I-9 Instructions
   • Original documents must be reviewed and form signed off by department. Copies of documents must be attached to form.
6. SSA-1945 Form (Statement concerning employment not covered by Social Security)
7. PARS Info Handout
   • Available in Spanish
8. PARS Beneficiary form
9. Direct Deposit Form
   • Attach voided check
10. Oath Document and Disaster Service Worker Brochure 
11. Mandated Reporters Policy & Mandated Reporters Acknowledgment (For Police & Fire ONLY)

ONLY IF APPLICABLE

• Hep-B Fact Sheet and Hep B Declination or Request Form

(Check the following list of job classifications that are considered to have occupational exposure)

• DMV Pull Notice Authorization Form (ONLY if driving is a part of regular assigned job duties)

 

Regular hire employees should contact HR @ 415-485-3474 as soon as possible to schedule a Benefits Orientation. All benefits paperwork will be provided at the orientation