New Hire Forms
Welcome to the Department of Alcoholic Beverage Control! Below are all the new forms you will need to complete and return to your supervisor on your first day.
Sworn employees
Employees who will be employed as peace officers with the department
For example:
- Agent
- Supervising Agent
Non-Sworn employees
Employees who are not peace officers
For example:
- Licensing Representatives
- Program Technicians
- Information Technology Series
- Associate Governmental Program Analysts
Contact
Questions about forms can be directed to Human Resources Personnel Specialist.
Call (916) 419-2557
All New Employees
Complete all of the forms listed below and the forms specific to your appointment type.
Forms For All Employees
Forms For Specific Appointment Type
Sworn New to State
- Sworn New To State Forms Checklist
- CalHR 004 – Prior Exempt Service Questionnaire
- CalHR 774 – Premier Vision Enrollment form
- CalHR 781 – Dependent Eligibility Verification Checklist
- CalHR 782 – Affordable Care Act (ACA) Notification Checklist
- CalHR 875 – Annual Leave – Sick Leave /Vacation Election Form
- CalHR 1070 – State Employee Race/Ethnicity Questionnaire
- STD 261 – Authorization to Use Privately Owned Vehicles on State Business
- STD 677 – Request for Nondisclosure of Employee Home Address
- STD 692 – Dental Plan Enrollment Authorization
- STD 700 – Vision Plan Enrollment Authorization
- STD 702 – COBEN Cash Enrollment Election
- CalPERS – 2021 Summary of Benefits – 2021 Summary of Benefits and Coverage Notice
- CalPERS HBD-12 – Health Benefits Plan Enrollment for Active Employees
- CalPERS HBD-12 Instructions – Health Benefits Plan Enrollment for Active Employees
- CalPERS 1187 – Member Reciprocal Self-Certification Form
- Health Insurance Marketplace Coverage Options and Your Health Coverage Notice
- Memorandum: Information Regarding Your Health and Dental Benefits
- FPPC Form 700 – Statement of Economic Interest
- POST 2-114 – POST Notice of Appointment
Sworn Transfer from Another State Department
Non-Sworn New to State
- Non-Sworn New To State Forms Checklist
- CalHR 004 – Prior Exempt Service Questionnaire
- CalHR 774 – Premier Vision Enrollment form
- CalHR 781 – Dependent Eligibility Verification Checklist
- CalHR 782 – Affordable Care Act (ACA) Notification Checklist
- CalHR 875 – Annual Leave – Sick Leave /Vacation Election Form
- CalHR 1070 – State Employee Race/Ethnicity Questionnaire
- STD 261 – Authorization to Use Privately Owned Vehicles on State Business
- STD 677 – Request for Nondisclosure of Employee Home Address
- STD 692 – Dental Plan Enrollment Authorization
- STD 700 – Vision Plan Enrollment Authorization
- STD 701C – Cash Option Enrollment Authorization
- STD 702 – COBEN Cash Enrollment Election
- CalPERS – 2021 Summary of Benefits and Coverage Notice
- CalPERS HBD-12 – Health Benefits Plan Enrollment for Active Employees
- CalPERS HBD-12 Instructions
- CalPERS 1187 – Member Reciprocal Self-Certification Form
- Health Insurance Marketplace Coverage Options and Your Health Coverage Notice
- Memorandum: Information Regarding Your Health and Dental Benefits
- Memorandum: Dental Enrollment Restrictions
Non-Sworn Transfer from Another State Department
Non-Sworn Student Assistant
Contact
Questions about forms can be directed to Human Resources Personnel Specialist.
Call (916) 419-2557.