| RCUH Monthly Premium Rate Sheet — Active Employees | 3.520, 3.520A |
| RCUH Monthly Premium Rate Sheet — COBRA | 3.285, 3.520, 3.520A |
| RCUH Monthly Premium Rate Sheet — Retiree | 3.520, 3.520A, 3.560 |
| RCUH Affidavit of Dependency for Tax Purposes Form (B-16) | 3.520 |
| RCUH Declaration of Domestic Partnership Form (B-14) | 3.215, 3.520, 3.520A |
| RCUH Declaration of Termination of Domestic Partnership Form (B-15) | 3.530, 3.520A |
| RCUH Employee Claimant Consent Form - Workers’ Compensation (Form D-26WC) | 3.580 |
| RCUH Employee Claimant Consent Form – Non-Workers’ Compensation (Form D-26NWC) | 3.640 |
| RCUH Family Leave Application Form: Care for Family Member (B-11) | 3.660 |
| RCUH Family Leave Application Form: Care for Self/Own Condition (B-11a) | 3.660 |
| RCUH Flexible Spending Enrollment/Change Form (B-5F) | 3.530, 3.530A |
| RCUH Group Health Insurance Enrollment/Change Form: Regular-Status Employees (B-5H) | 3.520, 3.540 |
| RCUH Group Health Insurance Waiver Form: Regular-Status Employees (B-5Wb) | 3.340 |
| RCUH Group Health ACA Insurance Enrollment/Change/Waive Form: Non-Recruited Employees (B-5A) | 3.340 |
| RCUH Guidelines and Information on Domestic Partners/Reciprocal Beneficiaries | |
| RCUH ID Card Application Form (E-18) | 3.610 |
| RCUH Leave for Parent-Teacher Conference Request Form (B-1) | 3.520, 3.678 |
| RCUH Life Insurance Change Form (B-5L) | 3.520, 3.540 |
| RCUH Retiree Group Health & Life Insurance Enrollment Application (B-27) | 3.550 |
| RCUH Supplemental Retirement Annuity (TIAA) Agreement for Salary Reduction Form (B-6) | 3.560 |
| RCUH Tuition Reimbursement Program Application Authorization Form | 3.460 |
| RCUH Victims Leave Form (B-21) | 3.650 |
| 2022 Personnel Action & Payroll Calendar | |
| 2022 Personnel Action & Payroll Schedule | |
| 2021 Personnel Action & Payroll Calendar | |
| 2021 Personnel Action & Payroll Schedule | |
| EEO is the Law Poster | 3.110, 3.920 |
| EEO Complaint Form (O-3) | 3.110, 3.120 |
| Equal Employment Opportunity Policy Statement | 3.110 |
| RCUH Withdrawal of Complaint and Release Form (O-4) | 3.110, 3.120 |
| Independent Contractor Memo Template | 3.225 |
| Independent Contractor Memo - Instructions | 3.225 |
| Guest Speaker Memo Template | 3.225 |
| Guest Speaker Memo - Instructions | 3.225 |
| Master EIC Determination - Non-Employee Research Study Participant | 3.225 |
| Master EIC Determination - Non-Employee Non-Compensated Project Support | 3.225 |
| Master EIC Determination - Non-Employee Special Duty Police | 3.225 |
| Employees - Completing an eTimesheet (Standard) | |
| Principal Investigators - Approving eTimesheets (Standard) | |
| Employees - Completing an eTimesheet (Task Order) | |
| Principal Investigators - Approving eTimesheets (Task Order) | |
| Acknowledgement - Receipt of Company Property Financial Obligation Form (O-6) | |
| Ethics Checklist | 3.210 |
| Ethics Guide | 3.210 |
| Form I-9 with RCUH Address | |
| New Hire Reference Guide (for Non-Recruited Hires) | 3.005 |
| New Hire Reference Guide (for Regular Hires) | 3.005 |
| Personnel Action Form | 3.342, 3.350, 3.360, 3.620, 3.674 |
| Student Assistant Pay Schedule | 3.211 |
| HR Portal Access Form | 3.710 |
| HR Portal Access Form — Additional Users | 3.710 |
| RCUH User Acknowledgement | 3.710 |
| Part A - HR Portal User Guide - Overview | 3.710, 3.810 |
| Part B - HR Portal User Guide - Recruitment & Employment I | |
| Part C - HR Portal User Guide - Recruitment & Employment II | |
| Part D - HR Portal User Guide - Payroll | |
| Part E - HR Portal User Guide - HR Information Systems I | |
| Part F - HR Portal User Guide - HR Information Systems II | 4.400 |
| Confidentiality Requirements for Personal Identifiable Information Acknowledgement Form | 3.480 |
| Memo - Unforeseen Disruption in Work Schedules | 3.262 |
| Model RCUH Safety Program | 3.930 |
| Supervisors Report of Industrial Injury Form | 3.930 |
| RCUH 12-Month/Needs Based Performance Evaluation Short Form (Excel Format) | 3.410 |
| RCUH 12-Month/Needs Based Performance Evaluation Long Form (Excel Format) | 3.410 |
| Attachment B User Guide | 3.234 |
| Common External Publications | 3.234 |
| Employment of Relatives & Other Close Relationships Form | 3.255, 3.262 |
| Interview Comment Sheet | 3.235 |
| Job Description Template | 3.234 |
| Position Requisition Form | 3.234 |
| RCUH Certification of Compliance - Prospective New Hire | |
| Telephone Reference Check Form | 3.235 |
| HMSA Akamai Advantage Form | 3.550 |
| HMSA Automatic Payment Application | 3.550 |
| HMSA Authorized Contact Form | 3.550 |
| HMSA Akamai Advantage Summary of Benefits | 3.550 |
| Kaiser Senior Advantage Form | 3.550 |
| Kaiser Automatic Payment Application | 3.550 |
| Kaiser Senior Advantage Summary of Benefits | 3.550 |
| MetLife Life Insurance Policy (RCUH Retirees) | 3.550 |
| Termination of Employment Form | 3.285 |
| Termination General Information (Regular, Non-Regular, Relief status employees) | 3.285 |
| Termination General Information (Non-Recruited Employees) | 3.285 |
| COBRA Monthly Rate Sheet (Medical and Dental premiums): Effective 07/01/2021 - 06/30/2022 | 3.285 |
| COBRA Notification - For reference only (actual notification to be sent upon processing of termination action) | 3.285 |
| HDS (Dental) COBRA Enrollment Form | 3.285 |
| Kaiser (Medical) COBRA Enrollment Form | 3.285 |
| UNUM (Long Term Care) Continuation of Coverage Application | 3.285 |
| MetLife (Life Insurance) Portability Application | 3.285 |
| MetLife (Life Insurance) Conversion Application | 3.285 |
| NBS (Flexible Spending Healthcare) Continuation of Coverage Application | 3.285 |
| TIAA (Retirement Account) Options When Terminating with RCUH | 3.285 |
| RCUH Mahalo Survey | 3.285 |
| Employee Time/Leave Certification Form | 3.340, 3.342, 3.344, 3.620, 3.640, 3.650, 3.670, 3.672, 3.674, 3.676, 3.678 |
| RCUH Request for Timesheet Correction Form | 3.810 |
| Dependent Information Form | 3.212 |
| E-3 Request Form | 3.212 |
| H-1B Request Form | 3.212 |
| J-1 Change Form | 3.212 |
| J-1 Completion Form | 3.212 |
| J-1 Request Form | 3.212 |
| J-2 Information Form | 3.212 |
| O-1 Request Form | 3.212 |
| RCUH Pre-Arrival and Orientation Information for J-1 Exchange Visitors | 3.212 |
| TN Request Form | 3.212 |
| Belgium (Research) | |
| Bulgaria (Research) | |
| China (Research) | |
| Commonwealth of Independent States (Research) | |
| Czech Republic (Research) | |
| Egypt (Research) | |
| France (Research) | |
| Germany (Research) | |
| Greece (Research) | |
| Hungary (Research) | |
| India (Research) | |
| Indonesia (Research) | |
| Israel (Research) | |
| Italy (Research) | |
| Jamaica (Research) | |
| Korea (Research) | |
| Luxembourg (Research) | |
| Netherlands (Research) | |
| Norway (Research) | |
| Pakistan (Research) | |
| Phillipines (Research) | |
| Portugal (Research) | |
| Romania (Research) | |
| Slovak Republic (Research) | |
| Slovenia (Research) | |
| Thailand (Research) | |
| Trinidad & Tobago (Research) | |
| United Kingdom (Research) | |
| Venezuela (Research) | |
| Belgium (Student) | |
| Bulgaria (Student) | |
| China (Student) | |
| Cyprus (Student) (Student) | |
| Czech Republic (Student) (Student) | |
| Egypt (Student) (Student) | |
| Estonia (Student) (Student) | |
| France (Student) (Student) | |
| Germany (Student) | |
| Iceland (Student) | |
| Indonesia (Student) | |
| Israel (Student) | |
| Latvia (Student) | |
| Lithuania (Student) | |
| Morocco (Student) | |
| Netherlands (Student) | |
| Norway (Student) | |
| Pakistan (Student) | |
| Phillipines (Student) | |
| Poland (Student) | |
| Portugal (Student) | |
| Romania (Student) | |
| Slovak Republic (Student) | |
| Slovenia (Student) | |
| Spain (Student) | |
| Thailand (Student) | |
| Trinidad & Tobago (Student) | |
| Tunisia (Student) | |
| Venezuela (Student) | |
