Human Resources Forms
Please Note: We have moved forms more suitable only to staff/faculty to the wiki. If you don't see a form you are looking for, please check there.
2022-2023 Benefits
- Anthem Blue Cross EAP
- Anthem Blue Cross Select HMO
- Beneficiary Designation
- Benefit Enrollment Form and Rates
- Anthem Blue Cross CA Care HMO
- Anthem Blue Cross PPO 100
- Anthem Blue Cross PPO 90
- Delta Dental - PPO Plan Summary
- DeltaCare USA - Plan Summary
- Enrollment Guide
- EyeMed - Plan Summary
- Kaiser - $10 Plan Summary
- Kaiser - $30 Plan Summary
- Vol. Life & AD&D Insurance
- SBCCD Educational Partnerships
- Medical PPO cost-share information and estimates
American Fidelity
- American Fidelity - Accident Plan
- American Fidelity - Brochure
- American Fidelity - Cancer Plan
- American Fidelity - Disability Plan
Leave of Absence Information
- Employee Leave of Absence Instructions
- Family Care - CSEA
- Family Care - CTA
- Leave of Absence Request Form
- Medical Disability - CSEA
- Pregnancy - CSEA
- Pregnancy - CTA