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PERSONNEL SERVICES DEPARTMENT <br />RECORD RECORD RECORD RECORD <br />CATEGORY SERIES DESCRIPTION DATES <br />OFFICIAL Family and Basic employee data (name, address, class EE Separated <br />PERSONNEL Medical Leave title, pay rate, hours worked per pay period; October 2003 and <br />FILES (FML) additions to or deductions from wages). prior <br /> Dates (or hours) FML designated/ taken; <br /> FML notices given to employer by employee; <br /> documents from employer describing FML <br /> policies; records of premium payments of <br /> employee benefits; records of any disputed <br /> confidential files: records/documents relating <br /> to medical certifications.** <br /> Job Application Applications for employment and resumes (if EE Separated <br /> any) for hired employees.* October 2003 and <br /> rior <br /> Medical Leave of Leave of Absence forms used in the EE Separated <br /> Absences*" documentation of medical leave (including October 2003 and <br /> pregnancy leave and Family and Medical prior <br /> Leave).** <br /> Miscellaneous Documents not specifically mentioned but EE Separated ~ <br />A <br /> Documents kept in official personnel file.*** October 2003 and <br />li <br /> rior <br /> Notice of Form completed by employee and/or EE Separated <br /> Separation department indicating effective date of October 2003 and <br /> separation, last day on the job, reason for prior <br /> separation, etc.* <br /> Oath of Office Form completed and signed by employee EE Separated ', <br /> affirming allegiance to the Constitution of the October 2003 and ', <br /> United States and the Constitution of the prior <br /> State of California.* <br /> Outside Form submitted by employee for approval for EE Separated <br /> Employment employee to be engaged in outside October 2003 and <br /> employment.* prior <br /> Performance Employee performance evaluation forms EE Separated <br /> Evaluations completed by supervisory personnel re October 2003 and <br /> employees' accomplishment of their prior <br /> assigned duties and responsibilities, etc.* <br /> PERS Forms to enroll employees in the Public EE Separated <br /> Enrollment Employees' Retirement System (PERS)** October 2003 and <br /> rior <br /> Pre-Employment Forms completed by employee and medical EE Separated <br /> Medical clinic to assess physical capability of October 2003 and <br /> employee prior to hiring.** prior <br /> Security Check Form completed by Personnel Svcs to EE Separated <br /> Form request Police Dept to conduct security October 2003 and <br /> check on employee prior to hiring.* prior <br /> Special Licenses Special licenses issued to employees from EE Separated <br /> DMV, accredited schools, etc., verifying October 2003 and <br /> employee meets certain job-related prior <br /> requirements.* <br />19C-10 <br />