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PERSONNEL SERVICES DEPARTMENT <br /> RECORD RECORD RECORD RECORD <br /> CATEGORY SERIES DESCRIPTION DATES <br /> <br /> OFFICIAL Family and Basic employee data (name, address, class EE Separated Feb. <br /> PERSONNEL Medical Leave title, pay rate, hours worked per pay period; 2005 and prior <br /> FILES (FML) additions to or deductions from wages). <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 Feb. <br /> any) for hired employees.* 2005 and prior <br /> Medical Leave of Leave of Absence forms used in the EE Separated Feb. <br /> Absences** documentation of medical leave (including 2005 and prior <br /> pregnancy leave and Family and Medical <br /> Leave).** <br /> Miscellaneous Documents not specifically mentioned but EE Separated Feb. <br /> Documents kept in official personnel file.*** 2005 and prior <br /> Notice of Form completed by employee and/or EE Separated Feb. <br /> Separation department indicating effective date of 2005 and prior <br /> separation, last day on the job, reason for <br /> separation, etc.** <br /> Oath of Office Form completed and signed by employee EE Separated Feb. <br /> affirming allegiance to the Constitution of the 2005 and prior <br /> United States and the Constitution of the <br /> State of California.* <br /> Outside Form submitted by employee for approval fv EE Separated Feb. <br /> Employment employee to be engaged in outside 2005 and prior <br /> employment.* <br /> Performance Employee performance evaluation forms EE Separated Feb. <br /> Evaluations completed by supervisory personnel re 2005 and prior <br /> employees' accomplishment of their <br /> assigned duties and responsibilities, etc.* <br /> PERS Forms to enroll employees in the Public EE Separated Feb. <br /> Enrollment Employees' Retirement System (PERS)** 2005 and prior <br /> Pre-Employment Forms completed by employee and medical EE Separated Feb. <br /> Medical clinic to assess physical capability of 2005 and prior <br /> employee prior to hiring.** <br /> Security Check Form completed by Personnel Svcs to EE Separated Feb. <br /> Form request Police Dept to conduct security 2005 and prior <br /> check on employee prior to hiring.* <br /> Special Licenses Special licenses issued to employees from EE Separated Feb. <br /> DMV, accredited schools, etc., verifying 2005 and prior <br /> employee meets certain job-related <br /> requirements.* <br /> Tuition Copies of applications for training and EE Separated Feb. <br /> Reimbursement educational assistance which show EE 2005 and prior <br /> Request request, department head approval, and final <br /> disposition of request.* <br /> 19C-11 <br /> <br />