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STANDARD FORMS

PDF Fill and Print Forms List
Form No. Product Code Form Title Rev. Date
std004.pdf  860002  Contract/Contractors Evaluation   5/2002  
std005.pdf  860001  Intra-Office Requisition (Local Request)   6/88  
std007.pdf  860013  Message Transmittal   5/96  
std008.pdf  860014  Special Handling Request   3/2007  
std009.pdf  860003  Space Action Request   3/2002  
std012.pdf  860004  Fresh Produce Weekly Order   Order Low Use Form via Sam Carbone (916) 445-5360. 4/2005  
std013a.pdf  860005  Intergovernmental Service Agreement and Invoice   6/88  
std016.pdf  860006  Contract Award Report   11/92  
std017a.pdf  860007  Nondiscrimination Clause (OCP-1)   9/2000  
std018.pdf  860008  Standard California Nondiscrimination Construction Contract Specifications   Form is an instructional document. Fillable parts not available. 1/95  
std019.pdf  860009  Nondiscrimination Compliance Statement   3/95  
std020.pdf  860155  Telecommunications Service Request http://www.dts.ca.gov/stnd/resources/forms.asp?key=2113  9/2003  
std021.pdf  860010  Drug-Free Workplace Certification   12/93  
std025.pdf  860131  Transfer of Budget Allotment   9/94  
std026.pdf  860016  Budget Revision   7/2000  
std027.pdf  860011  Application for Discharge from Accountability   8/97  
std027a.pdf  860012  Claim For Reimbursement   6/2000  
std029.pdf  860034  Real Estate Service Request   10/2001  
std031.pdf  860051  Standard Budget Schedule   4/95  
std033.pdf  860062  Supplementary Schedule of Salaries and Wages   4/95  
std040a.pdf  860077  Sub-Purchase Order   6/2001c  
std059.pdf  860036  Operators Booklet http://www.ofa.dgs.ca.gov/StateFleetHandbook/default.htm  7/2000  
std061.pdf    Glove Box Directory of Approved Auto Repair Facilities http://www.ofaapps.dgs.ca.gov/Approved_Auto_Rpr_Fac/  3/2002  
std065.pdf  860017  Purchasing Authority Purchase Order   7/2003  
std065a.pdf  860019  Purchasing Authority Purchase Order Continuation   7/2003  
std066.pdf  860120  Purchase Estimate   10/2006  
std066a.pdf  860121  Purchase Estimate Continuation   6/94  
std067.pdf  860122  Publishing Order   2/2003  
std070.pdf  860020  Records Inventory Worksheet   5/92  
std071.pdf  860022  Records Transfer List   3/96  
std073.pdf  860025  Records Retention Schedule   6/2002  
std076.pdf  860100  State Records Center Reference Request   11/2006  
std096.pdf  860026  Purchase Order/Estimate Change Request   4/94  
std099.pdf  860027  Report of Crime on State Property http://www.chp.ca.gov/pdf/std_99.pdf  11/2006  
std100.pdf  860103  Office Memo   4/95  
std100b.pdf  860105  Mini Memo   9/70c  
std106.pdf  860028  Stock Received Report   5/82c  
std107.pdf  860079  Notice of Correction of Invoice   8/2005  
std108.pdf  860023  Returned Stock Report   5/94  
std115.pdf  860127  Storeroom Supplies Order   7/88  
std115a.pdf  860029  Requisition-Direct Deliveries Receipt   4/94  
std116.pdf  860030  Supply Order   6/99  
std119.pdf  860134  Stock Control Record/Stock Price Quotation   8/97  
std152.pdf  860031  Property Survey Report   9/2000  
std157.pdf  860032  Property Inventory Listing   6/94  
std158.pdf  860033  Property Transfer Report   7/2000  
std204.pdf  860035  Payee Data Record   6/2003  
std208.pdf  860156  Penalty Calculation   1/2000  
std209.pdf  860135  Invoice Dispute Notification   7/2006  
std210.pdf  860037  Short Form Contract (For agreements up to $9,999.99) http://www.ols.dgs.ca.gov/contracting+info/formsandinstruction.htm  6/2001  
std213.pdf  860190  Standard Agreement http://www.ols.dgs.ca.gov/Contracting+Info/formsandinstruction.htm  9/2001  
std213a.pdf  860191  Standard Agreement Amendment http://www.ols.dgs.ca.gov/Contracting+Info/formsandinstruction.htm  4/2001  
std215.pdf  860192  Agreement / Summary http://www.ols.dgs.ca.gov/Contracting+Info/formsandinstruction.htm  4/2001  
std218cont.pdf  860038  Claim Schedule (CALSTARS)   3/91  
std218dd.pdf  860039  Claim Schedule – EFT Transactions   6/94  
std218et.pdf  860040  Claim Schedule Electronic Tape   6/94  
std219tt.pdf  860195  Replenishment Claim Schedule   4/2005  
std236.pdf  860041  Hotel/Motel Transient Occupancy Tax Waiver (Exemption Certificate for State Agencies)   9/91  
std242.pdf  860043  U.S. Savings Bonds Purchase/Payroll Deduction Authorization   Fill & Print eForm STD242 (REV. 12/2005) is due to be published April 16,2006 12/2005  
std243.pdf  860044  Designation of Persons Authorized to Receive Warrants (Government Code Section 12479)   12/2004  
std250.pdf  860045  Employee Asbestos Notification   3/2002  
std254.pdf  860137  Straight Bill of Lading   6/2005  
std255.pdf  860046  Moving Service Authorization (Employee Household Goods)   7/2006  
std255a.pdf  860138  Moving Service Authorization (Bid Proposal – Mobile Home)   7/2006  
std255c.pdf  860047  Excess Lodging Rate Request/Approval   12/2005  
std256.pdf  860048  Moving/Relocation Expense Approval Request   2/96  
std257.pdf  860049  Out-of-State Travel Approval Request   5/94  
std257c.pdf  860050  Out-of-State Travel Request   5/94  
std260.pdf  860052  Blanket Approval for Out-of-State Travel   5/94  
std261.pdf  860053  Authorization to Use Privately Owned Vehicles on State Business   3/95  
std262.pdf  860054  Travel Expense Claim   April 5, 2007. The author agency requests STD. 262 is temporarily not available because of a calculation error in rounding of the number entered in the miles column that rounded to a whole number and amount column that rounded to two decimal places. Form should be available by April 13, 2007. 9/2007  
std262a.pdf  860139  Travel Expense Claim (CALSTARS)   April 5, 2007. The author agency requests STD. 262 is temporarily not available because of a calculation error in rounding of the number entered in the miles column that rounded to a whole number and amount column that rounded to two decimal places Form should be available by April 13, 2007. 9/2007  
std265.pdf  860055  Insurance Verification and Authorization to Operate Privately Owned/Rented Leased Aircraft on State Business   2/91  
std268.pdf  860056  Accident Report (Other than Motor Vehicle)   11/2007  
std269.pdf  860140  Accident Identification   1/2002  
std270.pdf  860141  Vehicle Accident Report http://www.orim.dgs.ca.gov/Publications/270.htm  2/2002  
std273.pdf  860058  Official Monthly Travel Log   9/2006  
std274.pdf  860144  Review of State Driver Accident (Supervisor's)   1/2003  
std275.pdf  860057  Claims Against the State of California   3/93  
std276.pdf  860059  Vehicle Usage Justification   10/96  
std276a.pdf  860060  Passenger Vehicle Usage Report   1/2007  
std278.pdf  860063  Superior Accomplishment Gift or Cash Award Recommendation   8/98  
std340.pdf  860145  Audit Report   2/75  
std377.pdf  860064  Vehicle Home Storage Request/Permit   10/97  
std399.pdf  860065  Fiscal Impact Statement (Regulations and Orders)   2/98  
std400.pdf  860067  Notice Publication/Regulations Submission   4/99  
std404c.pdf  860147  Remittance Advice (Continuous) (carbonless)   4/95  
std407.pdf  860068  Payroll Header Change   4/97  
std422.pdf  860149  Salary Advances Paid/Offset Report   8/2005  
std432.pdf  860150  Stop Payment Request   The Std. 432 is temporarily unavailable because of a technical difficulty. We are sorry for the inconvenience and are currently working to correct this problem. 6/9/05 4/2006  
std435.pdf  860069  Request for Duplicate Controller's Warrant/Stop   9/2000c  
std436.pdf  860061  Duplicate Wage and Tax Statement Request   9/2006c  
std438.pdf  860151  Revolving Fund Disbursement Voucher   10/2006  
std439.pdf  860152  Disbursement Voucher   3/2002  
std440.pdf  860143  Transfer Receipt   1/2006  
std442.pdf    Report of Deposit (Bank of America)   eForm Print Only Sample. Must order Paper Form. (Emergency Supply Only) 5/2001  
std442p.pdf    Report of Deposit (Bank of America Presort Account)   eForm Print Only Sample. Must order Paper Form. (Emergency Supply Only) 2/97  
std442m.pdf    Report of Deposit (Bank of America Misc-Sort Account)   eForm Print Only Sample. Must order Paper Form. (Emergency Supply Only) 3/2002  
std445.pdf  860070  Report of Bank/Savings and Loan Association Account-Outside the Treasury System   6/98  
std447.pdf    Report of Deposit (Union Bank of California)   eForm Print Only Sample. Must order Paper Form. (Emergency Supply Only) 2/97  
std449.pdf    Report of Deposit (West America Bank)   eForm Print Only Sample. Must order Paper Form. (Emergency Supply Only) 2/97  
std457.pdf  860071  CSU Student Payroll Action Request   STD. 457 is under development. Expected completion date is Feb. 29, 2008. 11/2007  
std458.pdf  860072  Voluntary Child Support Deduction/Authorization   6/2001  
std459.pdf  860073  Voluntary Spousal Support Deduction/Authorization   4/90  
std500.pdf    The Work Number – Employee http://www.sco.ca.gov/ppsd/empinfo/howto/std500.pdf  12/2005  
std567.pdf  860157  Depositor's Disbursement Voucher   4/97  
std603.pdf  860075  Absences Without Pay Report   10/92  
std607.pdf  860076  Change in Established Position   7/98  
std607a.pdf  860158  Change in Established Position   12/93  
std608.pdf  860159  Established Position Record (Permanent)   4/2002  
std608a.pdf  860160  Established Position Record (Temporary)   9/2000  
std610.pdf  860074  Health Questionnaire (With Physician’s Report)   12/2002  
std612.pdf  860078  Employee Transfer Data   6/2001  
std618.pdf  860162  Benefit Option Selection   4/93  
std618s.pdf  860080  Industrial Disability Leave With Supplementation Benefits Information and Options Selection   6/94  
std619.pdf  860081  Industrial Disability Benefits Information   7/93  
std625.pdf  860082  Classification and/or Certification Action Request   8/88  
std628.pdf  860083  Employment Inquiry   12/95  
std630.pdf  860085  Employee Contract Grievance   10/95  
std631.pdf  860086  Excluded Employee Grievance   8/2002  
std634.pdf  860088  Absence and Additional Time Worked Report   8/2002  
std636.pdf  860089  Report of Performance for Probationary Employee   8/2002  
std636a.pdf  860087  Report of Performance for Probationary Employee (For Performance Based Budget Agencies)   6/96  
std637.pdf  860161  Performance Appraisal Summary/Individual Development Plan   7/94c  
std639.pdf  860091  Salary Garnishment   4/2005  
std640.pdf  860092  Employee Attendance Summary   9/2006c  
std642.pdf  860163  Monthly Employee Leave Record   4/93  
std644.pdf  860093  Annual Leave Credits Statement   9/94  
std645.pdf  860094  Employee Suggestion   7/2007  
std645a.pdf  860095  Suggestion Evaluation Report   4/95  
std650.pdf  860096  Miscellaneous Deduction Change Report   8/2005  
std653.pdf  860097  Long-Term Assignment (LTA) Information and Certification of Subsistence Rate   6/94  
std654.pdf  860164  Long-Term Assignment Cost Analysis   8/89  
std666.pdf  860098  Payroll Exceptions Report   3/97  
std671.pdf  860166  Miscellaneous Payroll/Leave Actions   12/99  
std674.pdf  860167  Payroll Adjustment Notice   10/2000  
std674ar.pdf  860168  Payroll Adjustment Notice – Accounts Receivable (A/R)   2/3/06 STD. 674AR (REV. 12/2005) is under construction. It is anticipated to be completed April 14, 2006 12/2005  
std674d.pdf  860169  Industrial/Non-Industrial Disability Pay Request   STD. 674D is under development. Expected completion date is Feb. 15, 2008. 7/2006  
std675.pdf  860099  Supplemental Wage Deduction   9/97  
std676p.pdf  860102  Non-USPS Adjustment Request – Payments   12/2007  
std676v.pdf  860154  Non-USPS Adjustment Request – Values   12/2007  
std677.pdf  860170  Nondisclosure of Employee Home Address Request   2/99  
std678.pdf  860171  Examination and/or Employment Application http://www.spb.ca.gov/jobs/stateapp_adobe.htm  12/2006c  
std680a.pdf  860172  Personnel Action Request   8/2003  
std681.pdf  860173  Monthly Attendance Report   1/2000  
std682.pdf  860174  Authorization for Extra Hours   2/2007  
std683.pdf  860175  Pay Adjustment Request (New)   6/2000  
std686.pdf  860176  Employee Action Request   7/2007  
std687.pdf  860177  Separation/Disposition of CalPERS Contributions   Fill and Print eForm STD. 687 (REV. 11/2006) is being deveoped and is not available. 11/2006  
std688.pdf  860104  Oath of Office   11/99