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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 title, EE Separated <br />PERSONNEL Medical Leave pay rate, hours worked per pay period; additions December 2006 and <br />FILES (FML) to or deductions from wages). Dates (or hours) prior <br /> FML designated/ taken; FML notices given to <br /> employer by employee; documents from <br /> employer describing FML policies; records of <br /> premium payments of employee benefits; records <br /> of any disputed confidential files: <br /> records/documents relating to medical <br /> certifications.** <br /> Job Application Applications for employment and resumes (if any) EE Separated <br /> for hired employees.* December 2006 and <br /> prior <br /> Medical Leave of Leave of Absence forms used in the EE Separated <br /> Absences" documentation of medical leave (including December 2006 and <br /> pregnancy leave and Family and Medical prior <br /> Leave).** <br /> Miscellaneous Documents not specifically mentioned but kept in EE Separated <br /> Documents official personnel file.`** December 2006 and <br /> prior <br /> Notice of Form completed by employee and/or department EE Separated <br /> Separation indicating effective date of separation, last day on December 2006 and <br /> the job, reason for separation, etc.** prior <br /> Oath of Office Form completed and signed by employee EE Separated <br /> affirming allegiance to the Constitution of the December 2006 and <br /> United States and the Constitution of the State of prior <br /> California.* <br /> Outside Form submitted by employee for approval for EE Separated <br /> Employment employee to be engaged in outside employment.* December 2006 and <br /> prior <br /> Performance Employee performance evaluation forms EE Separated <br /> Evaluations completed by supervisory personnel re December 2006 and <br /> employees' accomplishment of their assigned prior <br /> duties and responsibilities, etc.* <br /> PERS Enrollment Forms to enroll employees in the Public EE Separated <br /> Employees' Retirement System (PERS)** December 2006 and <br /> prior <br /> Pre-Employment Forms completed by employee and medical clinic EE Separated <br /> Medical to assess physical capability of employee prior to December 2006 and <br /> hiring.** prior <br /> Security Check Form completed by Personnel Svcs to request EE Separated <br /> Form Police Dept to conduct security check on December 2006 and <br /> employee prior to hiring.* prior <br /> Special Licenses Special licenses issued to employees from DMV, EE Separated <br /> accredited schools, etc., verifying employee December 2006 and <br /> meets certain job-related requirements.* prior <br /> <br />19C-9