| 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 |
|
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 |
4/2009 |
| 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 |
9/2000c |
| 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 |
9/2007 |
| std262a.pdf |
860139 |
Travel Expense Claim (CALSTARS) |
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 |
6/2008 |
| 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 |
9/2008 |
| std399.pdf |
860065 |
Fiscal Impact Statement (Regulations and Orders) |
12/2008 |
| 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 |
4/2006c |
| 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 |
10/2008 |
| 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/Files-PPSD/empinfo_howto_std500.pdf |
12/2005 |
| std501.pdf |
|
The Work Number Verifier http://www.sco.ca.gov/Files-PPSD/empinfo_howto_verify.pdf |
10/98 |
| 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 |
10/2008 |
| 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) |
9/2008 |
| std610.pdf |
860074 |
Health Questionnaire (With Physicians 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 |
6/2009 |
| 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 |
5/2009 |
| std639cfs.pdf |
860091 |
Salary Garnishment Child Support / Family Support |
5/2009 |
| std640.pdf |
860092 |
Employee Attendance Summary |
9/2008c |
| 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 |
10/2008 |
| std676v.pdf |
860154 |
Non-USPS Adjustment Request Values |
10/2008 |
| 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 |
7/2007c |
| 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 |
| std689.pdf |
860106 |
Oath of Allegiance and Declaration of Permission to Work for Persons Employed by the State of California |
5/2002 |
| std692.pdf |
860178 |
Dental Plan Enrollment Authorization 6/26/08 Fill & Print Form STD. 629 (REV. 2/2008) is under review by the author agency. Expected to be approved and added to website by July 17, 2008. |
2/2008 |
| std696.pdf |
860179 |
Dental Plan Direct Payment Authorization |
5/2008 |
| std697.pdf |
860107 |
Training Request |
10/2004 |
| std698.pdf |
860180 |
Life Insurance Enrollment Authorization |
3/97 |
| std699.pdf |
860181 |
Direct Deposit Enrollment Authorization |
1/2006 |
| std700.pdf |
860108 |
Vision Plan Enrollment Authorization 6/2/08 WEB PDF REV. 2/2008 is expected to be completed within the next two weeks. |
2/2008 |
| std701c.pdf |
860109 |
Cash Option Enrollment Authorization FlexElect Program |
9/2005 |
| std701r.pdf |
860110 |
Reimbursement Account Enrollment Authorization FlexElect Program |
5/2002 |
| std702.pdf |
860182 |
Consolidate Benefits (CoBen) Cash Enrollment Election |
4/2000 |
| std703.pdf |
860123 |
Vision Plan Direct Payment Authorization |
12/2008 |
| std750.pdf |
860111 |
Managerial Performance Appraisal Summary |
6/94 |
| std802.pdf |
860112 |
Federal Excise Tax Exemption Certificate |
9/93 |
| std805a.pdf |
860113 |
State Agency Trust Check Replacement Application (Executed WITHIN the State of California) |
9/2001 |
| std805b.pdf |
860114 |
State Agency Trust Check Replacement Application (Executed OUTSIDE the State of California) |
4/94 |
| std807.pdf |
860115 |
Payment Bond to Accompany Construction Contract |
9/87 |
| std810.pdf |
860116 |
Contracting Activity Report http://www.documents.dgs.ca.gov/pd/smallbus/reportspage/Std810test.xls |
11/2003 |
| std811.pdf |
860117 |
Small Business Preference and Certification Request |
12/2007 |
| std812.pdf |
860184 |
Disabled Veterans Business Enterprise Certification Application http://www.pd.dgs.ca.gov/smbus/paperapp.htm |
1/2002 |
| std815.pdf |
860118 |
Advertising in the Contracts Register |
6/2002 |
| std821.pdf |
860119 |
Contract Advertising Exemption Request |
10/2006 |
| std830.pdf |
860186 |
Target Area Contract Preference Act Preference Request For Goods and Services |
1/2005 |
| std831.pdf |
860187 |
Enterprise Zone Act (EZA) Preference Request |
1/2005 |
| std832.pdf |
860188 |
Local Agency Military Base Recovery Area (LAMBRA) Preference Request |
1/2005 |
| std840.pdf |
860124 |
Disabled Veteran Business Enterprise Participation Summary The Std. 840 is temporarily unavailable. It will be returned as soon as the Prescribing Document, which you will need to properly prepare the newly revised form, becomes available. For the interim, please continue to use the existing procedures, available summary form, etc. These documents are located on the DGS-PD Small Business and DVBE services website at: www.pd.dgs.ca.gov/smbus |
3/2007 |
| std840a.pdf |
860125 |
Additional Disabled Veteran Business Enterprise Contacts The Std. 840A is temporarily unavailable. It will be returned as soon as the Prescribing Document, which you will need to properly prepare the newly revised form, becomes available. For the interim, please continue to use the existing procedures, available summary form, etc. These documents are located on the DGS-PD Small Business and DVBE services website at: www.pd.dgs.ca.gov/smbus |
3/2007 |
| std843.pdf |
|
Disabled Veterans Business Enterprise Equipment Owner or Broker Declaration http://www.pd.dgs.ca.gov/smbus/default.htm |
5/2006 |
| std850.pdf |
860128 |
Fire Safety Inspection Request |
4/2000 |
| std897.pdf |
860129 |
Bilingual Pay Authorization |
4/95 |
| std910.pdf |
860084 |
Essential Functions Health Questionnaire Established January 2002 to replace STD. 610 HQ. |
1/2002 |
| std912.pdf |
860126 |
Military Service Declaration |
7-94 |
| std995a.pdf |
860132 |
Non-USPS-Agency Collection Accounts Receivable |
7/94 |
| std995r.pdf |
860133 |
Non-USPS Refund of Overcollections |
7/94 |