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