Employee Onboarding
Welcome to CalPERS. You're joining an organization which values diversity and inclusion, facilitates employee recognition, and actively promotes career development. As part of the hiring process, you'll need to read and sign a number of documents. To make the transition to CalPERS as seamless as possible, review the documents related to your specific type of employment below.
- Fill out the documents listed below and email them in advance to Human Resources or bring them with you on your first day of work.
- If you do not have access to a printer, take time to familiarize yourself with the documents and print them when you arrive on your first day.
- During your first week of employment, you will meet with a Personnel Specialist who will receive the documents and answer any outstanding questions.
New to State Service
If you've never been employed by a state agency, here are the necessary forms:
Benefits Information and Applicable Enrollment Forms
Print and Sign
- Health Benefit Plan Enrollment Form (HBD 12) (PDF)
- Premier Vision Plan Enrollment Authorization (PDF)
- Dependent Eligibility Verification Checklist (PDF)
- Affordable Care Act (ACA) Notification Checklist (PDF)
- Second Tier Benefit Election Package – Receipt of Retirement Information Acknowledgment (PDF)
- Notification of Benefits (PDF)
- Acknowledgement of Receipt of Initial COBRA Notice (PDF)
For Your Review
- 2024 Health Benefit Summary (PDF, 1.8 MB)
- CalPERS Health Program Guide (PDF)
- Dental benefits
- Vision benefits
- Leave benefits
- Vision Care Plan Disclosure Statement and Evidence of Coverage (PDF)
- Savings Plus Program 401K 457 Plan Highlights
- New Employees Guide to Workers Compensation (PDF)
- Health Insurance Marketplace Coverage Options and Your Health Coverage Notice (PDF)
- Health Premium Deduction Notice (PDF)
Appointment Documents
Print and Sign
- I-9 Employment Eligibility Verification (PDF)
- Designation of Persons Authorized to Receive Warrants (STD 243) (PDF)
- Employee Emergency Contact Information (PDF)
- Employee Action Request (STD 686) (PDF)
- State Employee Race/Ethnicity Questionnaire (PDF)
- Military Service Information (PDF)
- Member Reciprocal Self-Certification Form (PDF)
- Prior Exempt Service Questionnaire (PDF)
- Oath of Allegiance and Declaration of Permission to Work for Person Employed by the State of California (STD 689) (PDF)
- Pre-Retirement Lump Sum Beneficiary Designation (PDF)
- Annual Leave-Sick/Vacation Leave Election Form (PDF)
For Your Review
- Wounded Warriors Transitional Leave Act (PDF)
- Employee Attendance Summary/Calendar (PDF)
- Group Legal Services (PDF)
- CalPERS Special Power of Attorney (PDF)
- CalHR New Employee Survey
- Rights of Victims of Domestic Violence, Sexual Assault and Stalking (PDF)
- Employee Assistance Program (PDF)
- California State Employees Charitable Campaign Information and Pledge Form (PDF)
CalPERS Policies and Acknowledgement Documents
Print and Sign
Benefits Information and Applicable Enrollment Forms
Print and Sign
- Health Benefit Plan Enrollment Form (PDF)
- Premier Vision Plan Enrollment Authorization (PDF)
- Dependent Eligibility Verification Checklist (PDF)
- Affordable Care Act (ACA) Notification Checklist (PDF)
- Second Tier Benefit Election Package – Receipt of Retirement Information Acknowledgment (PDF)
- Notification of Benefits (PDF)
- Acknowledgement of Receipt of Initial COBRA Notice (PDF)
For Your Review
- 2024 Health Benefit Summary (PDF, 1.8 MB)
- CalPERS Health Program Guide (PDF)
- Dental benefits
- Vision benefits
- Leave benefits
- Vision Care Plan Disclosure Statement and Evidence of Coverage (PDF)
- Savings Plus Program 401K 457 Plan Highlights
- New Employees Guide to Workers Compensation (PDF)
- Health Insurance Marketplace Coverage Options and Your Health Coverage Notice (PDF)
- Health Premium Deduction Notice (PDF)
- Compensation Plus
- Common Carrier Travel and Accident Insurance
- Consolidated Benefits (CoBen)
- Long-Term Disability (LTD) Insurance
- Non-Industrial Disability Insurance (NDI)
Appointment Documents
Print and Sign
- I-9 Employment Eligibility Verification (PDF)
- Designation of Persons Authorized to Receive Warrants (STD 243) (PDF)
- Employee Emergency Contact Information (PDF)
- Employee Action Request (STD 686) (PDF)
- State Employee Race/Ethnicity Questionnaire (PDF)
- Military Service Information (PDF)
- Member Reciprocal Self-Certification Form (PDF)
- Prior Exempt Service Questionnaire (PDF)
- Oath of Allegiance and Declaration of Permission to Work for Person Employed by the State of California (STD 689) (PDF)
- Pre-Retirement Lump Sum Beneficiary Designation (PDF)
- Annual Leave-Sick/Vacation Leave Election Form (PDF)
For Your Review
- Wounded Warriors Transitional Leave Act (PDF)
- Employee Attendance Summary/Calendar (PDF)
- Group Legal Services (PDF)
- CalPERS Special Power of Attorney (PDF)
- Rights of Victims of Domestic Violence, Sexual Assault and Stalking (PDF)
- CalHR New Employee Survey
- Employee Assistance Program Supervisor's Handbook (PDF)
- California State Employees Charitable Campaign Information and Pledge Form (PDF)
CalPERS Policies and Acknowledgement Documents
Print and Sign
Transfer
If you're currently an employee for the state but are new to CalPERS, here are the necessary forms:
Appointment Documents
Print and Sign
For Your Review
CalPERS Policies and Acknowledgement Documents
Print and Sign
Appointment Documents
Print and Sign
For Your Review
- CalPERS Special Power of Attorney (PDF)
- CalHR New Employee Survey
- Employee Assistance Program Supervisor's Handbook (PDF)
- Vacation vs Annual Leave Comparison Chart
- Compensation Plus
- Common Carrier Travel and Accident Insurance
- Consolidated Benefits (CoBen)
- Long-Term Disability (LTD) Insurance
- Non-Industrial Disability Insurance (NDI)
CalPERS Policies and Acknowledgement Documents
Print and Sign
Temporary Appointment
If you're returning to state service as a retired annuitant or a seasonal hire, here are the necessary forms:
Appointment Documents
Print and Sign
- I-9 Employment Eligibility Verification (PDF)
- Designation of Persons Authorized to Receive Warrants (STD 243) (PDF)
- Employee Emergency Contact Information (PDF)
- Employee Action Request (STD 686) (PDF)
- State Employee Race/Ethnicity Questionnaire (PDF)
- Oath of Allegiance and Declaration of Permission to Work for Person Employed by the State of California (STD 689) (PDF)
For Your Review
CalPERS Policies and Acknowledgement Documents
Print and Sign
Benefits Information and Applicable Enrollment Forms
Print and Sign
Appointment Documents
Print and Sign
- I-9 Employment Eligibility Verification (PDF)
- Designation of Persons Authorized to Receive Warrants (STD 243) (PDF)
- Employee Emergency Contact Information (PDF)
- Employee Action Request (STD 686) (PDF)
- State Employee Race/Ethnicity Questionnaire (PDF)
- Military Service Information (PDF)
- Member Reciprocal Self-Certification Form (PDF)
- Oath of Allegiance and Declaration of Permission to Work for Person Employed by the State of California (STD 689) (PDF)
- Prior Exempt Service Questionnaire (PDF)
- Annual Leave-Sick/Vacation Leave Election Form (PDF)
For Your Review
- CalPERS Special Power of Attorney (PDF)
- CalHR New Employee Survey
- Employee Attendance Summary/Calendar (PDF)
- Employee Assistance Program (PDF)
- California State Employees Charitable Campaign Information and Pledge Form (PDF)
- Wounded Warriors Transitional Leave Act (PDF)
- Rights of Victims of Domestic Violence, Sexual Assault and Stalking (PDF)
- Savings Plus Program 401K 457 Plan Highlights
- Direct Deposit (PDF)
CalPERS Policies and Acknowledgement Documents
Print and Sign
Onboarding Checklist
- I-9 Employment Eligibility Verification
- Health Benefit Plan Enrollment Form (HBD-12)
- Dental Plan Enrollment Authorization (STD 692)
- Premier Vision Plan Enrollment Authorization
- Dependent Eligibility Verification Checklist
- Affordable Care Act (ACA) Notification Checklist
- Second Tier Benefit Election Package – Receipt of Retirement Information Acknowledgment
- Notification of Benefits
- Acknowledgement of Receipt of Initial COBRA Notice
- Designation of Person Authorized to Receive Warrants (STD 243)
- Employee Emergency Contact Information
- Employee Action Request (STD 686)
- State Employee Race/Ethnicity Questionnaire
- Military Service Information
- Member Reciprocal Self-Certification Form
- Prior Exempt Service Questionnaire
- Oath of Allegiance and Declaration of Permission to Work for Person Employed by the State of California (STD 689)
- Pre-Retirement Lump Sum Beneficiary Designation
- Annual Leave-Sick/Vacation Leave Election Form
- Information Systems Security and Confidentiality Acknowledgement
- Incompatible Activities