Calhr 695 2025

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The document is a Retiree Vision Plan Enrollment Authorization form from the State of California's Department of Human Resources. It outlines the process for retirees to enroll in a vision plan, including sections for personal and dependent information, enrollment elections, and agency use. The form emphasizes the requirement for a minimum 12-month enrollment period and includes privacy notices regarding the handling of personal information.

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Click ‘Get Form’ to open the calhr 695 in the editor.
Begin with Section A, where you will enter your personal information. Fill in your last name, first name, middle initial, date of birth, and social security number. Ensure that all details are accurate for proper identification.
Next, provide your mailing address including street number, city, state, and zip code. This is crucial for any correspondence regarding your enrollment.
If you have dependents, proceed to Section B. List each dependent's name, relationship to you, social security number, and date of birth. If there are more dependents than can fit on the form, attach additional pages as needed.
In Section C, indicate your choice to enroll in the vision plan by checking the appropriate box. Review the authorization statement carefully before signing and dating it at the bottom of this section.
Finally, if applicable, complete Section D for agency use only. This section is typically filled out by an authorized agency representative.

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What is the qualifying pay period for Calhr?

(A qualifying pay period for full-time employees is at least 11 work days; for half-time employees its 5.5 work days; and for permanent intermittent employees its 160 hours). The number of sick leave hours you accumulate depends on your time base and your bargaining unit agreement.

Who is eligible for Calhr reinstatement?

Government Code Section 19140 provides reinstatement eligibility if you previously held a State civil service position as a permanent or probationary employee, and separated from your position by (1) resignation, (2) service retirement, (3) absence without leave (AWOL), (4) accepting another civil service or exempt

What is the maximum days of annual leave?

Statutory paid holiday is limited to 28 days. For example, if someone works 6 days a week theyre still only entitled to 28 days of paid holiday.

What is the maximum annual leave you can have?

An employee (other than a casual employee) accumulates 4 weeks of paid annual leave for each year of service with the employer.

What is the voluntary personal leave program for Calhr?

Voluntary Personal Leave Program (VPLP) Most permanent, full-time employees are eligible to receive an additional day of leave credit per month in exchange for a 5 percent reduction in pay.

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What is the maximum paid leave?

This is limited to 30 days in most cases, but employees covered by the Shops and Establishments Act can carry over between 45 to 60 days, depending on the region. Some states allow leave carryover for up to three years. When accrued leave exceeds this limit, its automatically converted into cash.

What is the maximum annual leave for Calhr?

How much annual leave can I accumulate? Youre allowed to accumulate up to 640 hours of annual leave as of January 1 of each year. Exceptions are allowed only in extremely unusual situations.

What is the maximum federal annual leave?

Annual Leave Ceilings DescriptionDays Federal Employees Stationed within the United States 30 days Federal Employees Stationed Overseas* 45 days Members of the Senior Executive Service, Senior-Level and Scientific and Professional Employees** 90 days