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
- CalHR 190 – Military Service InformationOpens in new window
- STD 243 – Designation of Person(s) Authorized to Receive WarrantsOpens in new window
- STD 686 – Employee Action RequestOpens in new window
- STD 699 – Direct DepositOpens in new window
- CalPERS BSD 241 – Beneficiary DesignationOpens in new window
- Form I-9 – Employment Eligibility VerificationOpens in new window
- ABC 009 – ABC Employee Emergency InformationOpens in new window
Forms For Specific Appointment Type
- Sworn New To State Forms ChecklistOpens in new window
- CalHR 004 – Prior Exempt Service QuestionnaireOpens in new window
- CalHR 774 – Premier Vision Enrollment formOpens in new window
- CalHR 781 – Dependent Eligibility Verification ChecklistOpens in new window
- CalHR 782 – Affordable Care Act (ACA) Notification ChecklistOpens in new window
- CalHR 875 – Annual Leave – Sick Leave /Vacation Election FormOpens in new window
- CalHR 1070 – State Employee Race/Ethnicity QuestionnaireOpens in new window
- STD 261 – Authorization to Use Privately Owned Vehicles on State BusinessOpens in new window
- STD 677 – Request for Nondisclosure of Employee Home AddressOpens in new window
- STD 692 – Dental Plan Enrollment AuthorizationOpens in new window
- STD 700 – Vision Plan Enrollment AuthorizationOpens in new window
- STD 702 – COBEN Cash Enrollment ElectionOpens in new window
- CalPERS – 2021 Summary of Benefits – 2021 Summary of Benefits and Coverage NoticeOpens in new window
- CalPERS HBD-12 – Health Benefits Plan Enrollment for Active EmployeesOpens in new window
- CalPERS HBD-12 Instructions – Health Benefits Plan Enrollment for Active EmployeesOpens in new window
- CalPERS 1187 – Member Reciprocal Self-Certification FormOpens in new window
- Health Insurance Marketplace Coverage Options and Your Health Coverage NoticeOpens in new window
- Memorandum: Information Regarding Your Health and Dental BenefitsOpens in new window
- FPPC Form 700 – Statement of Economic InterestOpens in new window
- POST 2-114 – POST Notice of AppointmentOpens in new window
- Sworn Transfer Forms ChecklistOpens in new window
- CalHR 004 – Prior Exempt Service QuestionnaireOpens in new window
- CalHR 782 – Affordable Care Act (ACA) Notification ChecklistOpens in new window
- STD 261 – Authorization to Use Privately Owned Vehicles on State BusinessOpens in new window
- POST 2-114 – POST Notice of AppointmentOpens in new window
- FPPC Form 700 – Statement of Economic InterestOpens in new window
- Non-Sworn New To State Forms ChecklistOpens in new window
- CalHR 004 – Prior Exempt Service QuestionnaireOpens in new window
- CalHR 774 – Premier Vision Enrollment formOpens in new window
- CalHR 781 – Dependent Eligibility Verification ChecklistOpens in new window
- CalHR 782 – Affordable Care Act (ACA) Notification ChecklistOpens in new window
- CalHR 875 – Annual Leave – Sick Leave /Vacation Election FormOpens in new window
- CalHR 1070 – State Employee Race/Ethnicity QuestionnaireOpens in new window
- STD 261 – Authorization to Use Privately Owned Vehicles on State BusinessOpens in new window
- STD 677 – Request for Nondisclosure of Employee Home AddressOpens in new window
- STD 692 – Dental Plan Enrollment AuthorizationOpens in new window
- STD 700 – Vision Plan Enrollment AuthorizationOpens in new window
- STD 701C – Cash Option Enrollment AuthorizationOpens in new window
- STD 702 – COBEN Cash Enrollment ElectionOpens in new window
- CalPERS – 2021 Summary of Benefits and Coverage NoticeOpens in new window
- CalPERS HBD-12 – Health Benefits Plan Enrollment for Active EmployeesOpens in new window
- CalPERS HBD-12 InstructionsOpens in new window
- CalPERS 1187 – Member Reciprocal Self-Certification FormOpens in new window
- Health Insurance Marketplace Coverage Options and Your Health Coverage NoticeOpens in new window
- Memorandum: Information Regarding Your Health and Dental BenefitsOpens in new window
- Memorandum: Dental Enrollment RestrictionsOpens in new window
- Non-Sworn Student Assistant Forms ChecklistOpens in new window
- CalHR 782 – Affordable Care Act (ACA) Notification ChecklistOpens in new window
- CalHR 1070 – State Employee Race/Ethnicity QuestionnaireOpens in new window
- STD 677 – Request for Nondisclosure of Employee Home AddressOpens in new window
- CalPERS 1187 – Member Reciprocal Self-Certification FormOpens in new window
Contact
Questions about forms can be directed to Human Resources Personnel Specialist.
Call (916) 419-2557.