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.This form provides instructions and information for some of the leave of absence process. Please contact the Transportation Services Division Personnel Unit at 213.580.2970 for information or instructions on permissive leaves, Family Medical Leave Act designations, and other absence related questions.These forms must be completed for absences of more than 20 consecutive work days resulting from any of the absence types listed on the request form. Please also review the Employee Absences – Important Information form for additional instruction.This form must be completed to request an unpaid leave of absence which does not qualify as a mandatory leave. Please contact the Transportation Services Division Personnel office at 213.580.2970 for instruction or information.These forms must be completed and turned in within 1 - 2 days of your expected return to work date. Please also review the Employee Absences – Important Information form for additional instruction.Certification/Request of absence for illness, family illness, or new child.Certificate of Absence - Non-Illness
Certification/Request of absence for vacation, bereavement, jury duty, personal necessity, and other non-illness absences.
FMLA - Health Care Provider (HCP) Certification Form
Certification by health care provider of employee's or 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
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 Bus Accommodation
Complete this form if requesting a reasonable accommodation in the Light or Heavy Bus Driver classification.Physician Certification for Reasonable Accommodation Form
Form to be completed by physician to verify medical reason for a bus accommodation.
Request for Reinstatement
Request to reinstate for employees who resigned in good standing.
Complete this form if you are resigning.Complete this form to bid on a vacancy in your classification during the posting period (Fleet personnel only).
Complete this form to request a transfer due to a posted vacancy being filled (Fleet personnel only).
Transfer Request Form
Request to change work location.
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.The California Department of Transportation (DOT) tightened regulations for issuing commercial driver's licenses.