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