PDF Fill and Print Forms List      (Printer Friendly Version)
Form No.Product CodeForm TitleRev. Date

std004860002 Contract/Contractors Evaluation
5/2002
std005860001 Intra-Office Requisition (Local Request)
3/12
std007860013 Message Transmittal
5/96
std008860014 Special Handling Request
3/2007
std009860003 Space Action Request
3/2002
std012860004 Fresh Produce Weekly Order
4/2005
std013A860005 Intergovernmental Service Agreement and Invoice
6/88
std016 Contract Award Report
11/92
std017A860007 Nondiscrimination Clause (OCP-1)
9/2000
std018860008 Standard California Nondiscrimination Construction Contract Specifications
Form is an instructional document. Fillable parts not available.		1/95
std019860009 Nondiscrimination Compliance Statement
3/95
std020860155 Telecommunications Service Request
http://www.dts.ca.gov/stnd/resources/forms.asp?key=2113		9/2003
std021860010 Drug-Free Workplace Certification
12/93
std025860131 Transfer of Budget Allotment
9/94
std026860016 Budget Revision
7/2000
std027860011 Application for Discharge from Accountability
8/97
std027A860012 Claim For Reimbursement
4/2009
std029860034 Real Estate Service Request
10/2001
std031860051 Standard Budget Schedule
4/95
std033860062 Supplementary Schedule of Salaries and Wages
4/95
std040A860077 Sub-Purchase Order
6/2001c
std059860036 Operators Booklet
http://www.documents.dgs.ca.gov/ofa/handbook.pdf		7/2000
std061 Glove Box Directory of Approved Auto Repair Facilities
http://www.dgs.ca.gov/ofam/Programs/FARS/VendorPrgm/VendorApp.aspx		3/2002
std065860017 Purchasing Authority Purchase Order
7/2003
std065A860019 Purchasing Authority Purchase Order Continuation
7/2003
std066860120 Purchase Estimate
10/2006
std066A860121 Purchase Estimate Continuation
6/94
std067860122 Publishing Order
3/2010
std070860020 Records Inventory Worksheet
5/92
std071860022 Records Transfer List
3/96
std073860025 Records Retention Schedule
9/2010
std076860100 State Records Center Reference Request
11/2006
std096860026 Purchase Order/Estimate Change Request
4/94
std099860027 Report of Crime on State Property
http://www.chp.ca.gov/pdf/std_99.pdf		3/2010
std100860103 Office Memo
4/95
std100B860105 Mini Memo
9/70c
std106860028 Stock Received Report
5/82c
std107860079 Notice of Correction of Invoice
8/2005
std108860023 Returned Stock Report
5/94
std115860127 Storeroom Supplies Order
7/88
std115A860029 Requisition-Direct Deliveries Receipt
4/94
std119860134 Stock Control Record/Stock Price Quotation
8/97
std152860031 Property Survey Report
6/2009
std157860032 Property Inventory Listing
6/94
std158860033 Property Transfer Report
7/2000
std204860035 Payee Data Record
6/2003
std208860156 Penalty Calculation
2/2011
std209860135 Invoice Dispute Notification
7/2006
std210860037 Short Form Contract (For agreements up to $9,999.99)
http://www.dgs.ca.gov/ols/Forms/Instructions.aspx		6/2001
std213860190 Standard Agreement
http://www.dgs.ca.gov/ols/Forms/Instructions.aspx		6/2003
std213A860191 Standard Agreement Amendment
http://www.dgs.ca.gov/ols/Forms/Instructions.aspx		6/2003
std215860192 Agreement / Summary
http://www.dgs.ca.gov/ols/Forms/Instructions.aspx		4/2002
std218Cont860038 Claim Schedule (CALSTARS)
3/91
std218DD860039 Claim Schedule – EFT Transactions
6/94
std218ET860040 Claim Schedule Electronic Tape
6/94
std219TT860195 Replenishment Claim Schedule
4/2005
std236860041 Hotel/Motel Transient Occupancy Tax Waiver (Exemption Certificate for State Agencies)
9/91
std242860043 U.S. Savings Bonds Purchase/Payroll Deduction Authorization
12/2005
std243860044 Designation of Persons Authorized to Receive Warrants (Government Code Section 12479)
8/2011
std250860045 Employee Asbestos Notification
3/2002
std254860137 Straight Bill of Lading
6/2005
std255860046 Moving Service Authorization (Employee Household Goods)
7/2006
std255A860138 Moving Service Authorization (Bid Proposal – Mobile Home)
7/2006
std255C860047 Excess Lodging Rate Request/Approval
12/2005
std256860048 Moving/Relocation Expense Approval Request
2/96
std257860049 Out-of-State Travel Approval Request
4/2012
std257C860050 Out-of-State Travel Request
5/94
std260860052 Blanket Approval for Out-of-State Travel
4/2012
std261860053 Authorization to Use Privately Owned Vehicles on State Business
3/95
std262860054 Travel Expense Claim
9/2007
std262A860139 Travel Expense Claim (CALSTARS)
9/2007
std265860055 Insurance Verification and Authorization to Operate Privately Owned/Rented Leased Aircraft on State Business
2/91
std268860056 Accident Report (Other than Motor Vehicle)
11/2007
std269860140 Accident Identification
6/2008
std270860141 Vehicle Accident Report
Linked to Office of Records and Information Management's Website		2/2002c
std273860058 Official Monthly Travel Log
12/10
std274860144 Review of State Driver Accident (Supervisor's)
1/2003
std275860057 Claims Against the State of California
3/93
std276860059 Vehicle Usage Justification
10/96
std276A860060 Passenger Vehicle Usage Report
1/2007
std278860063 Superior Accomplishment Gift or Cash Award Recommendation
8/98
std340860145 Audit Report
2/75
std377860064 Vehicle Home Storage Request/Permit
8/2010
std399860065 Fiscal Impact Statement (Regulations and Orders)
12/2008
std400860067 Notice Publication/Regulations Submission
4/99
std404C860147 Remittance Advice (Continuous) (carbonless)
4/95
std407860068 Payroll Header Change
4/97
std422860149 Salary Advances Paid/Offset Report
8/2005
std432860150 Stop Payment Request
The Std. 432 is temporarily unavailable because of a technical difficulty. We are sorry for the inconvenience and are currently working to correct this problem. 6/9/05		4/2006c
std435860069 Request for Duplicate Controller's Warrant/Stop
9/2000c
std436860061 Duplicate Wage and Tax Statement Request
9/2006c
std438860151 Revolving Fund Disbursement Voucher
10/2006
std439860152 Disbursement Voucher
3/2002
std440860143 Transfer Receipt
1/2006
std445860070 Report of Bank/Savings and Loan Association Account-Outside the Treasury System
6/98
std457860071 CSU Student Payroll Action Request
10/2008
std458860072 Voluntary Child Support Deduction/Authorization
6/2001
std459860073 Voluntary Spousal Support Deduction/Authorization
4/90
std500 The Work Number – Employee
http://www.sco.ca.gov/Files-PPSD/empinfo_howto_std500.pdf		12/2005
std501 The Work Number – Verifier
http://www.sco.ca.gov/Files-PPSD/empinfo_howto_verify.pdf		10/98
std567860157 Depositor's Disbursement Voucher
4/97
std603860075 Absences Without Pay Report
10/92
std607860076 Change in Established Position
10/2008
std607A860158 Change in Established Position
12/93
std608860159 Established Position Record (Permanent)
4/2002
std608A860160 Established Position Record (Temporary)
9/2008
std610860074 Health Questionnaire (With Physician’s Report)
6/2009
std612860078 Employee Transfer Data
6/2001
std618860162 Benefit Option Selection
4/93
std618S860080 Industrial Disability Leave With Supplementation Benefits Information and Options Selection
6/94
std619860081 Industrial Disability Benefits Information
7/93
std625860082 Classification and/or Certification Action Request
8/88
std628860083 Employment Inquiry
6/2009
std630860085 Employee Contract Grievance
10/95
std631860086 Excluded Employee Grievance
8/2002
std634860088 Absence and Additional Time Worked Report
8/2002
std634MCP860088 Absence and Additional Time Worked Report - MyCalPAYS Timesheet
6/2012
std636860089 Report of Performance for Probationary Employee
8/2002
std636A860087 Report of Performance for Probationary Employee (For Performance Based Budget Agencies)
6/96
std637860161 Performance Appraisal Summary/Individual Development Plan
7/94c
std639860091 Salary Garnishment
5/2009
std639CFS860091 Salary Garnishment – Child Support / Family Support
5/2009
std640860092 Employee Attendance Summary
9/2010
std642860163 Monthly Employee Leave Record
4/93
std644860093 Annual Leave Credits Statement
9/94
std645860094 Employee Suggestion
7/2007
std645A860095 Suggestion Evaluation Report
4/95
std650860096 Miscellaneous Deduction Change Report
8/2005
std653860097 Long-Term Assignment (LTA) Information and Certification of Subsistence Rate
6/94
std654860164 Long-Term Assignment Cost Analysis
8/89
std666860098 Payroll Exceptions Report
3/97
std671860166 Miscellaneous Payroll/Leave Actions
12/99
std674860167 Payroll Adjustment Notice
10/2000
std674AR860168 Payroll Adjustment Notice – Accounts Receivable (A/R)
3/2008
std674D860169 Industrial/Non-Industrial Disability Pay Request
STD. 674D is under development. Expected completion date is Feb. 15, 2008.		7/2006
std675860099 Supplemental Wage Deduction
9/97
std676P860102 Non-USPS Adjustment Request – Payments
10/2008
std676V860154 Non-USPS Adjustment Request – Values
10/2008
std677860170 Nondisclosure of Employee Home Address Request
2/99
std678860171 Examination and/or Employment Application
http://www.spb.ca.gov/jobs/stateapp_adobe.htm		6/2010
std680A860172 Personnel Action Request
2/2009
std681860173 Monthly Attendance Report
1/2000
std682860174 Authorization for Extra Hours
2/2007
std683860175 Pay Adjustment Request (New)
6/2000
std686860176 Employee Action Request
7/2007c
std687860177 Separation/Disposition of CalPERS Contributions
Fill and Print eForm STD. 687 (REV. 6/2010) is being deveoped and is not available.		6/2010
std688860104 Oath of Office
11/99
std689860106 Oath of Allegiance and Declaration of Permission to Work for Persons Employed by the State of California
5/2002
std692860178 Dental Plan Enrollment Authorization
6/26/08 Fill & Print Form STD. 629 (REV. 2/2008) is under review by the author agency. Expected to be approved and added to website by July 17, 2008.		2/2008
std696860179 Dental Plan Direct Payment Authorization
5/2008
std697860107 Training Request
10/2004
std698860180 Life Insurance Enrollment Authorization
3/97
std699860181 Direct Deposit Enrollment Authorization
12/2011
std700860108 Vision Plan Enrollment Authorization
6/2/08 WEB PDF REV. 2/2008 is expected to be completed within the next two weeks.		2/2008
std701C860109 Cash Option Enrollment Authorization – FlexElect Program
11/2009
std701R860110 Reimbursement Account Enrollment Authorization – FlexElect Program
12/2008
std702860182 Consolidate Benefits (CoBen) Cash Enrollment Election
4/2000
std703860123 Vision Plan Direct Payment Authorization
12/2008
std750860111 Managerial Performance Appraisal Summary
6/94
std802860112 Federal Excise Tax Exemption Certificate
9/93
std805A860113 State Agency Trust Check Replacement Application (Executed WITHIN the State of California)
9/2001
std805B860114 State Agency Trust Check Replacement Application (Executed OUTSIDE the State of California)
4/94
std807860115 Payment Bond to Accompany Construction Contract
9/87
std810860116 Contracting Activity Report
http://www.documents.dgs.ca.gov/pd/smallbus/reportspage/Std810test.xls		11/2003
std811860117 Small Business Preference and Certification Request
12/2007
std812860184 Disabled Veterans Business Enterprise Certification Application
http://www.documents.dgs.ca.gov/pd/smallbus/std812.pdf		1/2002
std815860118 Advertising in the Contracts Register
6/2002
std821860119 Contract Advertising Exemption Request
10/2006
std830860186 Target Area Contract Preference Act Preference Request For Goods and Services
1/2005
std831860187 Enterprise Zone Act (EZA) Preference Request
1/2005
std832860188 Local Agency Military Base Recovery Area (LAMBRA) Preference Request
1/2005
std843 Disabled Veterans Business Enterprise Equipment Owner or Broker Declaration
http://www.pd.dgs.ca.gov/smbus/default.htm		5/2006
std850860128 Fire Safety Inspection Request
4/2000
std897860129 Bilingual Pay Authorization
4/95
std910860084 Essential Functions Health Questionnaire
Established January 2002 to replace STD. 610 HQ.		1/2002
std912860126 Military Service Declaration
7-94
std966860130 Employee Time Certification
6/2000
std970860193 Deceased Employee Data
STD. 970 is under development and is not currently available. When STD. 970 becomes effective, availability information will be published on FMC's website.		4/2005
std995A860132 Non-USPS-Agency Collection Accounts Receivable
7/94
std995R860133 Non-USPS Refund of Overcollections
7/94