Acknowledgement of “Notices Given to Employees” on Checklist for New Employees – (GA)
NEW HIRE CHECKLIST
GA
= = = = = = = = = = = = = = = = = NOTICES GIVEN TO EMPLOYEES = = = = = = = = = = = = = = = = = =
Affordable Care Act (ACA) Employee Notice (Must provide the notice within 14 days of hire)
Employee Benefits Summary Sheet
Health Benefits Reference Guide – EUTF Booklet
Retirement Health Benefits - EUTF Booklet
Premium Conversion Plan Brochure (Within 90 days of a qualified change of status)
Royal State National Insurance Company: Certificate of Insurance
Official Notice to Faculty, Staff and Students re: Substance Abuse
Family and Medical Leave Act (FMLA) Poster (Must provide the notice/poster to each employee upon hire)
State Ethics Guidelines
Nondiscrimination and Affirmative Action Policy
Equal Employment Opportunity/Affirmative Action Resources
Sexual Harassment and Related Conduct Policy
EEO Sexual Harassment Brochure: Mānoa / Hilo / Community Colleges
(click appropriate campus)
Workplace Non-Violence Policy (E9.210)
EEO Workplace Violence Brochure: System / Mānoa / Community Colleges (click appropriate campus)
Smoke Free Workplace
Campus Security Brochure
James Gaine’s Memo (Dec., 2008) Regarding Temporary Employee’s on Extramural Funds (If applicable)
Information on Importation/Shipment of Chemicals and Hazardous Materials (If applicable)
Campus Guide
= = = = = = = VOLUNTARY PROGRAMS (FOR EMPLOYEE TO COMPLETE & SUBMIT) = = = = = = =
403(b) Tax Sheltered Annuity Program (May enroll at anytime)
Campus parking (If applicable)
HI529 – Hawai‘i College Savings Program
I acknowledge distributing (hard copy or internet link) the above “Notices Given to Employees” and “Voluntary
Programs” on the new hire checklist.
Distribution acknowledged (Department Staff):
Signature: _______________________________________________________
Date: ________
Name (print): ______________________________________________________
UH Username: _____________________________________________________
I acknowledge receiving (hard copy or internet link) the above “Notices Given to Employees” and “Voluntary Programs”
on the new hire checklist.
Receipt acknowledged (Employee): _
Signature: ________________________________________________________
Date: ________
Name (print): ______________________________________________________
UH Username: _____________________________________________________