Forms
Training Forms
CICCS – Incident Qualifications, VOL
CICCS - Peer Review Application
Firefighter Forms
FFI Intent to Reinstate as a Volunteer
Volunteer Forms
Santa Cruz County Volunteer Injury Packet
Volunteer Engineer Application
Volunteer Request for Leave of Absence
Driver Forms
EMS Forms
Public Safety First Aid Application
Public Safety First Aid Skills Form
Santa Cruz County EMT Application
San Mateo County EMT Application
State Hiring Packet
***For questions contact: czuhumanresources@fire.ca.gov ***
- I-9, Employment Eligibility Verification
- STD 686, Employee Action Request
- Std 686-Quick Start Guide-Info only, don’t submit
- CAL FIRE 31, Emergency Notification Info
- STD 699-Direct Deposit Enrollment
- Payroll Distribution Selection
- STD 243, Warrant Designation
- STD 261, State Vehicle Authorization
- Driver’s License Info
- SSA 1945, Social Security Statement
- PO 155, DIA Statement
- PO 227, Rules of Conduct
- Substance Abuse Policy
- STD 677, Request for Nondisclosure
- Hep B Declaration
- STD 912, Military Service Declaration
- Beneficiary Designation
- PERS BSD 241/800, Beneficiary Desig.
- PO-107, Reasonable Accommodation
- STD 689, Oath of Allegiance
- CalHR 1070, Race/Ethnicity Quest
- CAL HR 875, Leave Election
- CalPERS Benefit Summary-Info only, don’t submit
- Benefit Rates by Bargaining Unit-Info only, don’t submit
- HBD 12, Health Enrollment
- STD 692, Dental Enrollment
- STD 702, COBEN CASH Enrollment
- Dependent Eligibility Responsibilities
- CAL HR 782, ACA Notification Checklist
- CAL HR 025, ACA Affidavit
- PO-302, Employee ID Request form
- AO-448, CalATERS Table Maint. Req.
- AO-449, CalATERS Authorization
- SCIF Notification-Info only, don’t submit
- ACA Health Ins. Marketplace Notice-Info only, don’t submit
- ECC Information
- DMV INF-1101
State Separation Packet
***For questions contact: czuhumanresources@fire.ca.gov ***
DUE 1 WEEK BEFORE SEPARATION:
- FFI Separation Quicklist
- PLP Leave Election Form
- FFI Waiver of Salary Advance Form
- Cobra Continuation Selection Form
DUE BY THE DAY OF SEPARATION:
- PPE Checklist
- CAL FIRE 212, Seasonal Employee Performance Record
- FFI Returnee Inquiry
- FFI Exit Survey
- CZU Demob Checklist