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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 August PERSONNEL Medical Leave title, pay rate, hours worked per pay period; 2005 and prior 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 EE Separated August any) for hired employees.* 2005 and prior Medical Leave of Leave of Absence forms used in the EE Separated August Absences** documentation of medical leave (including 2005 and prior pregnancy leave and Family and Medical Leave).** Miscellaneous Documents not specifically mentioned but EE Separated August Documents kept in official personnel file.*** 2005 and prior Notice of Form completed by employee and/or EE Separated August Separation department indicating effective date of 2005 and prior separation, last day on the job, reason for separation, etc.** Oath of Office Form completed and signed by employee EE Separated August affirming allegiance to the Constitution of the 2005 and prior United States and the Constitution of the State of California.' Outside Form submitted by employee for approval for EE Separated August Employment employee to be engaged in outside 2005 and prior employment.* Performance Employee performance evaluation forms EE Separated August Evaluations completed by supervisory personnel re 2005 and prior employees' accomplishment of their assigned duties and responsibilities, etc.* PERS Forms to enroll employees in the Public EE Separated August Enrollment Employees' Retirement System (PERS)** 2005 and prior Pre-Employment Forms completed by employee and medical EE Separated August Medical clinic to assess physical capability of 2005 and prior employee prior to hiring.** Security Check Form completed by Personnel Svcs to EE Separated August Form request Police Dept to conduct security 2005 and prior check on employee prior to hiring.* Special Licenses Special licenses issued to employees from EE Separated August DMV, accredited schools, etc., verifying 2005 and prior employee meets certain job-related requirements.* Tuition Copies of applications for training and EE Separated August Reimbursement educational assistance which show EE 2005 and prior Request request, department head approval, and final disposition of request.* 19C-45