Home EMPLOYEE RESOURCES Links and Forms



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Helpful Links and Forms for Community Action Partnership Employees

For your convenience we have included some of the most employee requested forms. To use just click on the form to open, print, fill out and mail to Human Resources at 1030 Southwood Drive, San Luis Obispo, CA 93401. Sorry we cannot accept emailed forms since original signatures are required.

HR Forms

Employee Accommodation Request Form
Employee Complaint Form
Employee Change of Personal Information Form

Benefits Forms

403(b) Plan Summary
403(b) Contribution Change Form (Not to be used as an enrollment form)
Blue Cross Pharmacy Claim Form
Medical Evidence of Coverage Booklet
Dental Evidence of Coverage Booklet
Vision Evidence of Coverage Booklet
Life/AD&D Evidence of Coverage Booklet
Express Scripts Mail Order Form
Cafeteria Plan Claim Form
Cafeteria Plan Dependent Care Claim Form
Principal Vision Claim Form
Disability Claim Form
Workers' Compensation Claim Form
Workers' Compensation Medical Provider Network
Employee Accident Report
WC Employee Rights Notification - English
WC Employee Rights Notification - Spanish

Payroll Forms

Holiday Schedule
2011 Payroll Schedule
2012 Payroll Schedule 

Meal Period Waiver Agreement
W4 Form
Direct deposit form

Employee Timesheet - this is a Microsoft Excel document - 

to save, right click link and choose "Save Target as...". This version requires manual totaling of hours.

Employee Timesheet (formatted) - this is a Microsoft Excel document - 
to save, right click link and choose "Save Target as...". This version is formatted
to automatically total hours. 


Time must be entered in a standard hour, minutes am/pm format (see included example).
Any overtime hours must be manually entered. 

Links

Medical - www.anthem.com/ca
Dental/Vision - www.principal.com
403(b) - www.californiapensions.com
403(b) - www.vanguard.com
SESLOC Federal Credit Union - www.sesloc.com
Employee Assistance Program - www.savesb.org