New to state service: Represented

General Information

As part of the hiring process, you will need to read and sign a number of documents. Please review the documents listed below for newly hired represented employees new to state service.

  • Print the appropriate pages of the documents and 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 you can 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.

For accessible versions of files on this page, contact ADACoordinator@CalSTRS.com.

New to state employee appointment documents

Print and sign

Employee Action Request (STD 686)
Print page 1 of this two-page document.

Request for Nondisclosure of Employee Home Address (STD 677)
Print page 1 of this one-page document.

CalSTRS Employee Emergency Contact Information (AD-1894)
Print page 1 of this one-page document.

State Employee Race/Ethnicity Questionnaire (CalHR 1070)
Print page 1 of this one-page document.

Military Service Information (CalHR-190)
Print page 1 of this one-page document.

Authorization to Use Privately Owned Vehicles on State Business (STD 261)
Print page 1 of this one-page document.

Employment Eligibility Verification (Form I-9)
Print all pages of this four-page document.

Member Reciprocal Self-Certification Form (PERS-EAMD-801)
Print page 3 of this five-page document.

Designation of Person(s) Authorized to Receive Warrants (STD 243)
Print page 1 of this one-page document.

Prior Exempt Service Questionnaire (CalHR-004)
Print page 1 of this two-page document.

Oath of Allegiance and Declaration of Permission to Work for Persons Employed by the State of California (STD 689)
Print page 1 of this one-page document.

CalSTRS policies and acknowledgement documents

Print and sign

Confidentiality, Non-Disclosure and Acceptable Use Agreement (ISO 1949)

CalSTRS Incompatible Activities Acknowledgement (AD-150)

CalSTRS Policy Prohibiting Insider Trading Acknowledgement (Form 600C)

For your reference

CalSTRS Employee Relationship Policy

CalSTRS Zero Tolerance for Workplace Violence Prevention Policy

CalSTRS Physical Security & Emergency Management

Internet Usage Policy

New to state employee benefits information and applicable enrollment forms

Print and sign

Health Benefits Plan Enrollment for Active Employees (HBD-12)
Print pages 1 and 2 of this three-page document.

Dental Plan Enrollment Authorization (STD 692)
Print page 1 of this two-page document.

Premier Vision Plan Enrollment Authorization (CalHR 774)
Print page 1 of this two-page document.

Dependent Eligibility Verification Checklist

For your reference

CalPERS Health Program Guide

CalPERS Health Benefit Summary

Vision Care Plan Disclosure Statement and Evidence of Coverage

Flex Elect Program Handbook

Savings Plus Program 401K/457 Plan Highlights

New Employee’s Guide to Workers’ Compensation

State of California’s Employee Assistance Program

Disability Insurance Provisions

Paid Family Leave Benefits