Forms | Transportation Branch

The Transportation Services Division has posted certain forms concerning personnel matters online for ease of accessibility. To access a form, just click on the link of the form and print it out for completion.

Form	Description
Leaves
Leaves of Absence Packet	These forms must be completed for absences more than 20 consecutive work days.
Certification of Absence - Illness	Certification/Request of absence for illness, family illness, or new child.
FMLA - Certification by Health Care Provider of Employee's Serious Health Condition	Certification by health care provider of employee's serious health condition.
FMLA - Certification by Health Care Provider of Family Member's Serious Health Condition	Certification by health care provider of family member's serious health condition.
FMLA - Certification of Serious Injury or Illness of Covered Service Member for Military Family Leave	Certification by health care provider of covered service member's serious health condition for military family leave.
FMLA - Certification of Qualifying Exigency For Military Family Leave	Certification by health care provider of qualifying exigency for military family leave.
Return to Work Forms (for safety sensitive employees only)	Required for safety sensitive employees returning to work from an absence of more than 20 days. This document will be needed in addition to the Notice of Intent to Return to Work Form included in the Leave of Absence packet.
Drug and Alcohol Testing Forms
Drug and Alcohol Testing Notification and Authorization Form	Completed by supervisor whenever an employee is sent for testing
Post Accident Log	Completed by supervisor when an employee is sent for testing following an accident
Drug and Alcohol Testing Form Request	Completed when more forms are needed
Observed Behavior-Reasonable Suspicion Record	Completed when suspected employee may be under influence of drugs and/or alcohol
Miscellaneous
1a Change of Address Form	Complete this form if your home address has changed.
1b Employee Information Sheet	Complete this form to provide current personal information for Division records
Payroll Service Request Form	Request for service regarding payroll issues.
Request for Bilingual Differential	Language differential request for bilingual skills.
Request for Change of Assignment	Request to change assignment. This is NOT a transfer request form.
Request for Reasonable Accommodation	Complete this form if requesting a reasonable accommodation in the Light or Heavy Bus Driver classification. It must be completed by the employee and physician.
Request for Reinstatement	Request to reinstate for employees who resigned in good standing.
Resignation Form	Complete this form if you are resigning.
Transfer Request Form	Request to change work location.
Tuition Reimbursement Form	Request for pre-approval of tuition reimbursement/voucher.
IRS Form W-4: Employee's Withholding Allowance Certificate	Complete this IRS form to designate withholding from your pay.
State of California Form DE 4 - Employee's Withholding Allowance Certificate	Complete this State of California form to designate withholding from your pay.
Motor Vehicle Accident/Incident Report	Complete this form after an accident involving a District vehicle
Medical Facility Survey	Provide feedback on quality of care and service at medical facilities providing DOT physicals, return-to-work physicals, and Drug & Alcohol Testing.
Checklist for Reporting Death	Assist family members with reporting an employee's death.