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PERSONNEL SERVICES DEPARTMENT RECORD RECORD -- RECORD _ RECORD CATEGORY SERIES __ __ DESCRIPTION DATES OFFICIAL Family and Basic employee data (name, address, class July 2002 and prior PERSONNEL Medical Leave title, pay rate, hours worked per pay period; FILES (FML) additions to or deductions from wages) .Dates (or hours) FML designated/ taken; FML notices given to employer by employee; documents from employer describing FML policies; records of premium payments of employee benefits; records of any disputed confidential files: records/documents relating to medical certifications. Job Application Applications for employment and resumes (if July 2002 and prior __ any) for hired employees. Medical Leave of Leave of Absence forms used in the July 2002 and prior Absences** documentation of medical leave (including pregnancy leave and Family and Medical Leave). Miscellaneous Documents not specifically mentioned but July 2002 and prior Documents kept in official personnel file. Notice of Form completed by employee and/or July 2002 and prior Separation department indicating effective date of separation, last day on the job, reason for separation, etc. Oath of Office Form completed and signed by employee July 2002 and prior affirming allegiance to the Constitution of the United States and the Constitution of the State of California. Outside Form submitted by employee for approval for July 2002 and prior Employment employee to be engaged in outside __ employment. Performance Employee performance evaluation forms July 2002 and prior Evaluations completed by supervisory personnel re employees' accomplishment of their _ assigned duties and responsibilities, etc. PERS Forms to enroll employees in the Public July 2002 and prior Enrollment Employees' Retirement System (PERS) Pre-Employment Forms completed by employee and medical July 2002 and prior Medical clinic to assess physical capability of employee prior to hiring. Security Check Form completed by Personnel Svcs to July 2002 and prior Form request Police Dept to conduct security check on employee prior to hiring. Special Licenses Special licenses issued to employees from July 2002 and prior DMV, accredited schools, etc., verifying employee meets certain job-related requirements. Tuition Copies of applications for training and July 2002 and prior Reimbursement educational assistance which show EE Request request, department head approval, and final disposition of request. 19C-6