DO NOT WRITE BELOW THIS LINE. FOR DEPARTMENT USE ONLY: ADMINISTRATIVE GROUP OF APPLICANT CAMPUS SENIORITY DATE OF APPLICANT
DO NOT WRITE BELOW THIS LINE. NO. BOND UNITS/DATE ISSUED BY Union Insurance Group / NO. UNITS/DATE ISSUED BOND PACKAGE PURCHASER NO. BOND UNITS NOS. MASTER POLICY NO. EXPLANATORY INFORMATION PURCHASING ORGANIZATION: Any organization (public or private, nonprofit or profit) that provides job placement services to ex-offenders and other at-risk job applicants and issues the purchased Fidelity Bonds as a job placement tool without charge to any employer or job applicant for the bonds. Each Bond Unit now costs $100, regardless of how many bonds are purchased. The bond units are to be issued over a 24-month period from the date of purchase of the package. Once issued, each unit of bonding provides the employer with 6-months insurance coverage. BOND INSURANCE AMOUNT: Each bond unit provides $5,000 insurance for employee dishonesty for a six-month period. The number of bond units issued for any specific six-month period is determined by the purchasing organization. Past experience shows that issuance of only one bond unit is sufficient to achieve most job placements. From 1 to 5 bond units can be issued to cover any full or part-time worker who earns wages and whose paycheck reflects automatic deductions for Federal taxes (self-employed persons cannot be covered by these bond units). Therefore, bond amounts issued will be either $5,000, $10,000, $15,000, $20,000 or $25,000 (see FIDELITY BOND CERTIFICATION FORM included in GUIDELINES FOR BONDING). Bond units are not transferable from one employer to another. After the initial six-month period of bonding, the purchasing organization may choose to renew the bond covering the same employee at the same employer who received the original bond. Such renewal will require use of additional bon d units and OFFICIAL BOND INSURANCE STAMPS (see FIDELITY BOND CERTIFICATION FORM). However, after the initial six-month period of bonding, if no claim is paid due to employee dishonesty, St. Xxxx Travelers will make the bond available for purchase by the employer at a regular commercial rate. The cost of each bond package includes 24 months of technical assistance pertaining to bond issuance, processing, utilization, exemplary practices, policy developments, sample public information materials, etc., as well as the toll-free hotline 0-000-000-0000 to address ongoing needs of service delivery staff of the purchasing organization.
DO NOT WRITE BELOW THIS LINE. DAYS AVAILABLE TO: ESP, PSE, IUOE – 3 days, PROF-TECH – 2 day only Total Days Paid This Date / Assigned hours Total Remaining Days to Be Claimed PSE - CK TRN PARA ED ESP IUOE PROF TECH ACCT # 88000-364 Payment Authorization Date Note: If you wish a copy, please make a photocopy of the form before sending it to Human Resources. Form 147 08/02 Page 1
DO NOT WRITE BELOW THIS LINE. FOR DEPARTMENT USE ONLY: ADMINISTRATIVE GROUP OF APPLICANT CAMPUS SENIORITY DATE OF APPLICANT APPENDIX I SENIORITY BYPASS APPEAL FORM Date: Office of Employee Labor Relations Xxxxxxxx Administration Building In accordance with Article 19, Section 5, of the current Collective Bargaining Agreement, please arrange a meeting regarding my non-selection for the following position: Position : Requisition Number: Date Advertised on Yellow Sheet: Date Filled: Name (Printed) Signature Title Seniority Date Xxxxxxx of Record
DO NOT WRITE BELOW THIS LINE. FOR DEPARTMENT USE ONLY: ADMINISTRATIVE GROUP OF APPLICANT CAMPUS SENIORITY DATE OF APPLICANT APPENDIX D, EMPLOYEE REQUEST FOR CHANGE IN WORK LOCATION OR ASSIGNMENT, AFSCME UNIT B (This Application to be filed with Department Head of Work Location to which employee wishes to transfer) NAME OF APPLICANT: (Last) (First) (Middle) PRESENT DEPARTMENT: PRESENT TITLE: PRESENT GRADE: PRESENT LOCATION: DESIRED LOCATION: COMMENTS OR INFORMATION YOU WOULD LIKE TO MAKE CONCERNING THIS REQUEST: Date of Application) (Signature of Employee) (THIS FORM MUST BE RENEWED ON OR AFTER JANUARY 1 OF EACH YEAR)
DO NOT WRITE BELOW THIS LINE. FOR DEPARTMENT USE ONLY: ADMINISTRATIVE GROUP OF APPLICANT
DO NOT WRITE BELOW THIS LINE. FOR DEPARTMENT USE ONLY: ADMINISTRATIVE GROUP OF APPLICANT CAMPUS SENIORITY DATE OF APPLICANT APPENDIX I SENIORITY BYPASS APPEAL FORM Date: Office of Employee Labor Relations Xxxxxxxx Administration Building In accordance with Article 19, Section 5, of the current Collective Bargaining Agreement, please arrange a meeting regarding my non-selection for the following position: Position : Requisition Number: Date Advertised on Yellow Sheet: Date Filled: Name (Printed) Signature Title Seniority Date Xxxxxxx of Record INDEX Agency Service Fee. 2 Alcohol and Controlled Substances Abuse Policy 25 Appeal of Classification of "Trust Funded" Position. 19 Arbitration. 2, 3, 6, 8, 19, 24, 29, 30, 33 Assignment. 5 Bereavement Leave. 9, 35 Breaks. 6 Bulletin Boards 3 Bumping. 17 Bypass 5 Call-back 6 Cancellation. 7 Civic Duty Leave. 9 Class Reallocations 19 Classification and Reclassification. 19 Clean-up. 7 Compensatory Time. 6, 7, 10, 13, 34, 35 Contracting out. 18 Cost Items and Appropriation. 32 Definitions 1 Disciplinary Action. 25, 35 Discipline. 8, 25, 35 Discrimination. 3 Duration. 33
DO NOT WRITE BELOW THIS LINE. Date Received by Units Committee Member: Units Committee Member Signature: Date Approved by Units Committee: Signature of Committee Chair: Date Submitted to Personnel Office: Appendix E Colusa Unified School District Teacher Evaluation
DO NOT WRITE BELOW THIS LINE. FOR OFFICE USE ONLY Payment Received Date Received Location(s) Terms and Conditions for Exhibit Space
DO NOT WRITE BELOW THIS LINE. Date Received: Amount Received: $ Check #
