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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 title, <br />EE Separated June <br />PERSONNEL <br />Medical Leave <br />pay rate, hours worked per pay period; additions <br />2008 and prior <br />FILES <br />(FML) <br />to or deductions from wages). Dates (or hours) <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 <br />Applications for employment and resumes (if any) <br />EE Separated June <br />for hired employees.* <br />2008 and prior <br />Medical Leave of <br />Leave of Absence forms used in the <br />EE Separated June <br />Absences *" <br />documentation of medical leave (including <br />2008 and prior <br />pregnancy leave and Family and Medical <br />Leave). *" <br />Miscellaneous <br />Documents not specifically mentioned but kept in <br />EE Separated June <br />Documents <br />official personnel file. * ** <br />2008 and prior <br />Notice of <br />Form completed by employee and /or department <br />EE Separated June <br />Separation <br />indicating effective date of separation, last day on <br />2008 and prior <br />the job, reason for separation, etc. ** <br />Oath of Office <br />Form completed and signed by employee <br />EE Separated June <br />affirming allegiance to the Constitution of the <br />2008 and prior <br />United States and the Constitution of the State of <br />California.* <br />Outside <br />Form submitted by employee for approval for <br />EE Separated June <br />Employment <br />employee to be engaged in outside employment.* <br />2008 and prior <br />Performance <br />Employee performance evaluation forms <br />EE Separated June <br />Evaluations <br />completed by supervisory personnel re <br />2008 and prior <br />employees' accomplishment of their assigned <br />duties and responsibilities, etc.* <br />PERS Enrollment <br />Forms to enroll employees in the Public <br />EE Separated June <br />Employees' Retirement System (PERS) ** <br />2008 and prior <br />Pre - Employment <br />Forms completed by employee and medical clinic <br />EE Separated June <br />Medical <br />to assess physical capability of employee prior to <br />2008 and prior <br />hiring. ** <br />Security Check <br />Form completed by Personnel Svcs to request <br />EE Separated June <br />Form <br />Police Dept to conduct security check on <br />2008 and prior <br />employee prior to hiring.* <br />Special Licenses <br />Special licenses issued to employees from DMV, <br />EE Separated June <br />accredited schools, etc., verifying employee <br />2008 and prior <br />meets certain job - related requirements.* <br />19C -5 <br />